- 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
- BlueCross BlueShield of North Carolina (NC)
- …of degree, 7+ years of experience in related field **Bonus Points** + Deep Medicare and/or Medicare Advantage regulatory experience + Extensive Medicare ... and communicates the downstream impact of process weaknesses and gaps on the business /organization. + In the course of investigation, may be required to provide… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …+ Solid understanding of Medicare and its related financial models, including Medicare FFS, Medicare Advantage , Medicare Part D, and ... BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker...and senior products. + Provide effective technical and non-technical business advice and support to internal and external customers… 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 ... degree of complexity. + Working knowledge of Medicare and Medicare Advantage + Experience leading business process, project management and organizational… more
- Medical Mutual of Ohio (OH)
- …Data and Information Set (HEDIS) lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage , and Medicaid), including ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Supports… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Provides basic ... offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. This position ... including Access. + Ability to interpret and articulate standard business and financial concepts. **Sr. Financials Systems Analyst...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- UCLA Health (Los Angeles, CA)
- Description The Business Data Analyst plays a key role within the Medicare Advantage Operations team, acting as a liaison between business units, IT ... external partners. This role is responsible for gathering and documenting business and system requirements, analyzing and interpreting data to support… more
- Medical Mutual of Ohio (OH)
- …to identify actionable opportunities for quality improvement across all lines of business (Commercial, Marketplace, Medicare Advantage , and Medicaid). ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Produces… 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 ... not just a method of gaining a one-time cost advantage , but an effective strategy for gaining and maintaining...overall sourcing strategy NTT DATA currently seeks a DSNP Business Analyst to join our team in… more