- CVS Health (Hartford, CT)
- …and every day. **Position Summary** We are seeking a Senior Business Analyst to support modernization efforts across our Medicare Sales verticals, including ... in this role. **Required Qualifications** + 5+ years of experience as a Business Analyst or Product Owner in a technical or healthcare environment + Proven… more
- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful ... with the ability to analyze complex datasets. + Skilled in translating business questions and requirements into actionable reports, database views, and BI query… more
- CVS Health (Albany, NY)
- …market performance but help to shape and drive the markets bid strategy. + An analyst of Medicare business performance, meaning that the role is expected ... do it all with heart, each and every day. **Position Summary** The Medicare Performance Management Lead Business Consultant will facilitate and support… more
- NTT DATA North America (Merced, CA)
- …Overview:** We are seeking a detail-oriented and experienced DSNP Business Analyst with specialized knowledge in Medicare and D-SNP claims processing. The ... overall sourcing strategy NTT DATA currently seeks a DSNP Business Analyst to join our team in...**Required Qualifications:** + 5+ years pf proven experience with Medicare claims, including a deep understanding of CMS requirements… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …exposure to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker with the ability to drive ... collaboratively with both technical and non-technical staff including Underwriting, Medicare Product Development, Provider Contracting, Sales, and others across the… more
- Molina Healthcare (Kenosha, WI)
- …and/or detects violation of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business ... to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee,… more
- Elevance Health (Grand Prairie, TX)
- ** Medicare Risk Adjustment Advanced Analyst Senior** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... a dynamic and adaptable workplace. Alternate locations may be considered. The ** Medicare Risk Adjustment Advanced Analyst Senior** is responsible for creating… more
- Mayo Clinic (Rochester, MN)
- …your future. **Responsibilities** The position will assume responsibility for the Medicare Part A and B government reimbursement and compliance activities across ... Mayo Clinic and Mayo Clinic Health System. Researches and analyzes new and existing Medicare Part A and B, and other government regulations and policies to identify… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The main purpose of a data analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to ... make informed decisions and assist the organization in making better business decisions. The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data… more
- Healthfirst (NY)
- …of material reviews in HPMS. + Actively participates in the annual Medicare Go to Market process, including working with internal stakeholders on developing ... status including approvals/denials. + Coordinates a review of the website with business owners and ensures compliance with regulatory requirements specific to annual… more