- BlueCross BlueShield of North Carolina (NC)
- … Analyst identifies physician practices with complex coding patterns and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). **What ... to evaluate appropriateness of provider coding and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). + Uses all resources to… more
- Molina Healthcare (Long Beach, CA)
- …current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, ... processes and solutions associated with a wide variety of data sets used for data /text mining, analysis,...is required. + Experience with QNXT is preferred. + Medicare / medicaid membership exp required Required soft skill include… more
- Waystar (Lehi, UT)
- …decisions and elevate the team member experience. We're looking for a detail-oriented, data -driven reporting analyst for our growing team. In this role, you'll ... harness the power of data and Ai to influence strategy, enhance reporting capabilities,...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- AmeriHealth Caritas (Detroit, MI)
- …numbers-it's the foundation of trust, access, and quality care. As a Senior Provider Network Data Analyst , you'll be at the center of that mission, a vital ... and the providers who care for our members across Medicare , Medicaid, and Exchange products. In this role, you...Exchange products. In this role, you won't just manage data -you'll ensure that every provider is accurately represented in… more
- DATAMAXIS (Okemos, MI)
- …experience in SQL, DBT, and Tableau, and a strong understanding of Medicaid and Medicare dental data . This individual will help drive insights, automation, and ... focused on dental claims, utilization trends, and benefit impact + Interpret Medicaid/ Medicare dental data for care progression, cost modeling, and policy… more
- Trinity Health (Columbus, OH)
- …to call your own in Columbus. Learn more at www.experiencecolumbus.com ! The Clinical Data Analyst position manages data acquisition from various databases ... (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and… more
- Tucson Electric Power (Tucson, AZ)
- **Benefits Analyst - I, II, Senior or Lead** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **6015** **About Us** UNS Energy Corporation ... employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Benefits Analyst - I, II, Senior or Lead** **Position Overview**… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- **Lead Business Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Virginia, Fairfax **Alternate Location(s):** ... playing this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . **Position… more
- Humana (San Juan, PR)
- …and independent determination of the appropriate courses of action. The Actuarial Analyst 2, Analytics/Forecasting ensures data integrity by developing and ... of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data … more
- Providence (WA)
- …Fiduciary, Property, Cyber, Managed Care, and Auto Claims. The Senior Quality Analyst assists the Claims leaders in managing a quality assurance program to ... regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance program,… more
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