• Medicare Advantage Risk Adjustment Business…

    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 ... department measurements used in both internal and external reporting. You will: + Ensure data quality and accuracy through rigorous assurance checks. + Develop and maintain reports, from ad hoc requests to scheduled production reports. + Write clear… more
    UCLA Health (06/11/25)
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  • Provider Engagement Analyst , VBP…

    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
    Centene Corporation (07/23/25)
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  • Business Analyst II- Medicare

    Centene Corporation (Tallahassee, FL)
    …for assigned function. This role will focus on data mapping for Medicare provider directories. + Support business initiatives through data analysis, identification ... + Perform data mapping and validation for large datasets related to Medicare provider directories + Support user acceptance testing (UAT) and troubleshoot issues… more
    Centene Corporation (07/28/25)
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  • Senior Medicare Markets Pricing Consultant…

    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
    Blue Cross Blue Shield of Massachusetts (07/30/25)
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  • Contract & Grants Analyst 1 - Hybrid/Remote

    University of Miami (Coral Gables, FL)
    …work at the University of Miami. CORE JOB SUMMARY The Contracts and Grants Analyst 1 ( Medicare Billing Coding & Financial) works independently to review ... including agreements and proposals, as required for development of Medicare Coverage Analysis (MCA), facilitating research billing, financial compliance and… more
    University of Miami (07/23/25)
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  • Senior Analyst , Project Management

    CVS Health (St. Louis Park, MN)
    …it all with heart, each and every day. **Position Summary** The Senior Analyst , Project Management will support the Minnesota Medicare market with coordination ... of operational excellence for the Allina Health | Aetna Medicare plan. The Senior Analyst will facilitate project teams to prioritize work, meet deadlines,… more
    CVS Health (08/03/25)
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  • Data Analyst (flex-hybrid)

    UCLA Health (Los Angeles, CA)
    Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... requirements are understood and implemented consistent with the Business Data Analyst 's vision + perform testing, design and delivery requirements + work… more
    UCLA Health (08/02/25)
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  • Director Medicare /Medicaid Reimbursement

    Robert Half Finance & Accounting (Eatontown, NJ)
    …Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare /Medicaid Reimbursement. + The Director will have advanced level of knowledge of ... not listed above. + Planning, preparing and reviewing of the annual Medicare /Medicaid cost reports filings. In partnership with the Vice President of Corporate… more
    Robert Half Finance & Accounting (06/24/25)
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  • Senior Medicaid & Medicare Reimbursement…

    OhioHealth (Columbus, OH)
    …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
    OhioHealth (06/07/25)
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  • Medicare /Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical ... This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for… more
    Commonwealth Care Alliance (05/28/25)
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