- 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 ... measurements used in both internal and external reporting. You will: + Ensure data quality and accuracy through rigorous assurance checks. + Develop and maintain… more
- Centene Corporation (Providence, RI)
- …healthcare to improve outcomes, advance quality, and promote equity. The Analyst , Value-Based Payment Initiatives (VBP) will support the expansion and performance ... of Medicare -focused VBP arrangements across New York, including ...terms, and generating insights to guide strategic decision-making. The Analyst will work closely with the VBP Manager, Director,… more
- Elevance Health (Woodbridge, NJ)
- ** 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
- 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
- Insight Global (Woonsocket, RI)
- …Bach degree or equivalent 2-4 years or more years of Technical Business Analyst experience Medicare or Health Insurance experience: claims, member benefits, ... Job Description Insight Global is seeking a Technical Business Analyst to support a large health insurance client of ours. Work with business partners and technical… more
- Centene Corporation (Tallahassee, FL)
- …large-scale data mapping and transformation. Familiarity with provider directories and Medicare data is highly preferred. Pay Range: $55,100.00 - $99,000.00 ... and objectives for assigned function. This role will focus on data mapping for Medicare provider directories. + Support business initiatives through data … more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and advanced Excel functions) from internal and external sources to ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact.… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III (HEDIS, Tableau, SQL) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full ... the safety net required to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and process improvement… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …applications + Completed the annual Medicaid DSH Surveys. + Manage and optimize the data collection and reporting process for the Medicare , Medicaid and NJ SHARE ... Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare /Medicaid Reimbursement. + The Director will have advanced level of knowledge of… more