• Senior Medical Economics Analyst - Health…

    Henry Ford Health System (Troy, MI)
    …+ Knowledge of medical claims data and managed care membership data . + Knowledge of reimbursement (Commercial, Medicare , Medicaid) methodologies a plus. ... GENERAL SUMMARY: The Senior Medical Economic Analyst plays a critical role in analyzing healthcare...analyzing healthcare utilization and medical cost trends to support data driven decision-making within the health plan. Responsibilities include… more
    Henry Ford Health System (06/24/25)
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  • Senior Analyst , Actuarial

    CVS Health (Austin, TX)
    …Prior Pharmacy or Medicare Part D experience. + Experience with SQL, SAS , and/or Python. + Comfortable interacting with colleagues at various levels across the ... high-performing actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage and Prescription Drug Plan business. This position will… more
    CVS Health (07/23/25)
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  • Sr Advisor, Quality Data Analytics (HEDIS/…

    Commonwealth Care Alliance (Boston, MA)
    013670 CCA-Clinical Analytics Position Summary: As a Stars Senior Data Analyst , your main focus will be to improve publicly reported rates and close the gaps in ... HOS surveys * Intermediate to advanced knowledge of analytic programming languages and data visualization tools, including SAS , SQL, and Tableau. * Ability to… more
    Commonwealth Care Alliance (07/24/25)
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  • Actuarial Lead

    UPMC (Pittsburgh, PA)
    …plan; assist with reconciling Medicare Advantage Part C and Part D claims data to financials; analyze bid projections of Part B and Part D rebates; evaluate ... Medicare Advantage Part C and Part D claims data to financials; o Analyze bid projections of Part...junior staff; utilizing tools and technologies including: SQL or SAS , Excel including VBA, macro development, data … more
    UPMC (05/31/25)
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  • Division Director of Research GME

    HCA Healthcare (Austin, TX)
    …sets including, electronic health records, Medicare claims, or other health care claims data sets preferred. + SAS , R, SPSS or Tableau experience is strongly ... and process documentation for both the department and for assigned projects + Perform data analyst functions that generate knowledge via data mining,… more
    HCA Healthcare (06/21/25)
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  • Healthcare Network Pricing Consultant

    AmeriHealth Caritas (Newtown Square, PA)
    …Education:** + At least three (3) years of experience. + Experience mining large data sets. + Advanced capabilities in Excel, SAS /SQL, and database applications ... Discover more about us at www.amerihealthcaritas.com . The **Network Pricing Analyst ** will collaborate with team members and other stakeholders toward delivering… more
    AmeriHealth Caritas (06/17/25)
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