- Molina Healthcare (Augusta, GA)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...cleaning of data. + 3+ Years of experience in Managed Care Organization executing similar techno functional… more
- Molina Healthcare (Lexington, KY)
- …for Medicaid, Marketplace and Medicare/MMP * Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement...cleaning of data. * 5+ Years of experience in Managed Care Organization executing similar techno functional… more
- Evolent (Salem, OR)
- …in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to communicate ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Molina Healthcare (Lexington, KY)
- …the clinical departments including utilization management/authorizations + Experience working with Managed Care /Payer or Hospital/other medical systems data is ... + Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of… more
- The County of Los Angeles (Los Angeles, CA)
- …effectiveness, ensuring regulatory compliance, and promoting health equity within the managed care framework. DEFINITION: Under immediate supervision, assists in ... PREDICTIVE DATA ANALYST / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4775405) Apply PREDICTIVE DATA … more
- AdventHealth (Maitland, FL)
- …government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application ... effectively. **The value you will bring to the team:** Systems/ Analytics Maintains Epic Certification (CPE) Continuing Professional Education Uses...and interim updates which may impact payers and products managed by other Managed Care … more
- AdventHealth (Maitland, FL)
- …and capitation Working knowledge of population health, utilization measurement, and claims analytics Managed Care , Patient Financial services, health ... ethic, trainability, communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both… more
- AdventHealth (Maitland, FL)
- …Governmental (Medicare, Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care staff in all ... + The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, and coding for… more
- Elevance Health (Mason, OH)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... as required by law. The **Provider Contract Cost of Care Analyst Senior** is responsible for providing...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …the US Preferred Skills and Experience * Bachelor's degree Master's degree. * Knowledge of managed care and health care claims preferred. * Experience with ... and client/member analytics . A typical day for the Senior Healthcare Analyst is fast-paced, detail-oriented, and highly collaborative. The analyst begins by… more