- Elevance Health (Louisville, KY)
- ** Medicare Risk Adjustment Advanced Analytics Analyst ** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Analyst ** is...Analyzes and develops SAS and SQL programming to support Medicare Advantage risk adjustment initiatives. + Performs data… more
- Molina Healthcare (Lexington, KY)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... lead level support as a highly capable business analyst who serves as a key strategic partner in...and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements… more
- Elevance Health (Louisville, KY)
- …is granted as required by law. The **Provider Network Analyst Lead ** reviews and strategizes between data , creates models, and reporting spreadsheets ... **Provider Network Analyst Lead ** **Location:** This role requires...development, client services, and actuarial services. + Manages large data sets, including claims and UM data … more
- Molina Healthcare (Louisville, KY)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding… more
- Evolent (Frankfort, KY)
- …Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete ... end to end testing in the specialty domain. Test data is analyzed to inform decision makers. Data...exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across… more
- Molina Healthcare (Louisville, KY)
- …to management + Lead projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports + Serve as subject matter ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Waystar (Louisville, KY)
- …update presentation materials for public company reporting and board meetings, taking a lead role in the process. + Develop financial models and perform scenario ... and present analyses to executive leadership on an ad-hoc basis. + Lead initiatives to identify opportunities for financial and operational improvements. + Enhance… more
- Molina Healthcare (KY)
- …Prepare and design test plans and test cases with the help of testing lead for both new and existing features (regression testing). + Vendor Management: Provides ... + Computer Science or Info tech + Testing experience required + Data analytics + Familiarity w/SDLC Methodologies: Agile, waterfall, etc. **PREFERRED EXPERIENCE:** +… more
- Molina Healthcare (Lexington, KY)
- …cross-functional coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & ... the role. + Validate findings and test assumptions through data , but lead with contextual knowledge of...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Molina Healthcare (KY)
- …core function of the role. + Validates findings and test assumptions through data , but lead with contextual knowledge of claims processing, provider contracts, ... achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for… more