- Humana (Boise, ID)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Molina Healthcare (Naperville, IL)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... to use reports related to Risk and Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. Assists with research, development, and...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and ... to use reports related to Risk and Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. **Job Duties** + Work with...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- State of Montana (Helena, MT)
- …This position is responsible for statistical analysis and dynamic reporting of Medicaid claims , surveillance information, health and treatment indicators, risk ... that analyzes large datasets (R, SAS, SQL). o Experience in Medicaid claiming systems, behavioral health-related epidemiology, statistics, or research analysis. o… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... as well as Reporting modules related to Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. + Analysis and reporting related...and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality… more
- Trinity Health (Syracuse, NY)
- …position Monday - Friday, Day Shift Schedule **Position: Clinical Risk Management Analyst ** **Mission Statement:** We, St Joseph's Health and Trinity Health, serve ... healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical risk… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Cross and Blue Shield of Minnesota Position Title: Senior Submissions Business Analyst Location: Remote Career Area: Information Technology About Blue Cross and Blue ... and provide data-driven solutions. This position requiresexpertisein healthcare data-including claims , membership, and provider information-along with hands-on experiencewithfile sets… more
- Cognizant (Baton Rouge, LA)
- …digital transformation initiatives * Deep understanding of payer functions and Medicaid plan implementations, including enrollment, billing, claims , care ... **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As...* Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people… more
- Mount Sinai Health System (New York, NY)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding, modeling, and reporting on… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …serve as a leader of positive change. The Third Party Follow-Up Analyst provides statistical and financial data enabling management to accurately monitor accounts ... years of experience in a healthcare billing office or health insurance claims environment. + Familiar with common medical billing practices, concepts, and… more