- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... data issues and members with missing HCCs. + Support project management efforts including monitoring and evaluating progress against timelines, project milestones… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... to identify trends, data issues. + Support project & program management efforts including monitoring and evaluating progress against timelines, project milestones… more
- CareFirst (Baltimore, MD)
- …addition to the required work experience. **Experience:** 2 years experience as a Functional Analyst OR 4 years experience in ( level 2 or above) operational ... Qualifications** **PURPOSE:** This position will support the Pricing Administration Management department with NetworX Pricing. Implements provider pricing based on… more
- CareFirst (Baltimore, MD)
- …needs and work activities/deliverables that week._ **PURPOSE:** The main purpose of a data analyst is to find meaning in data as a thought leader so that the ... staff. May lead a team of matrixed resources. **QUALIFICATIONS:** **Education Level :** Bachelor's Degree in Data Science, Mathematics, Computer Science, Statistics,… more
- RTX Corporation (Fulton, MD)
- …+ Some travel **Qualifications You Must Have** + Experience as a Systems Analyst /System Engineer in the Aerospace and Defense industry + Working knowledge of ... of the following: radar sensor integration, track filtering and track management techniques and algorithms, cloud computing, Artificial Intelligence and Machine… more
- CareFirst (Baltimore, MD)
- …This position will support the modernization and redesign of the utilization management department. Utilizes data analytics and supports a set of business ... visualizations for analysis, problem solving, and business solutions for the utilization management team and related clinical partners. This role will lead the… more
- Cardinal Health (Annapolis, MD)
- …Includes warehousing and fulfillment of materials and products, transportation, inventory management as well as demand , supply and manufacturing planning. ... materials and products between suppliers, manufacturing, warehousing and the customer. Management of transportation assets and systems to gain greater service, cost… more
- CareFirst (Baltimore, MD)
- …challenging. + Serves as a mentor and/or resource to junior or senior level Reporting Analysts. + Translates business system processes and requirements into Use Case ... staff. May lead a team of matrixed resources. **QUALIFICATIONS** : **Education Level :** Bachelor's Degree in Business Administration or related field OR in lieu… more
- CareFirst (Baltimore, MD)
- …provide scenarios for reimbursement models and alternatives. Make recommendations to management . Assist in developing pricing recommendations for services across the ... daily claim inquiries from various internal platforms. **QUALIFICATIONS:** **Education Level :** Bachelor's Degree in HealthCare Administration, Business Administration, Finance… more
- CareFirst (Baltimore, MD)
- …complex accounting topics and projects. Communicate with corporate management on accounting/financial processes and regulatory requirements. Prepare financial ... data for presentation to upper management . Coordinates, reviews, and analyzes quarterly and annual financial report submissions to ensure corporate compliance with… more
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