• Lead Data Analyst , Medicare

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The main purpose of a data analyst is to find meaning in data as a thought leader so that the derived knowledge can be ... and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk...+ Experience in healthcare industry and deep understanding of Medicare risk adjustment (clinical,submission cycle, and financial experience). +… more
    CareFirst (08/19/25)
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  • 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 ... measurements used in both internal and external reporting. You will: + Ensure data quality and accuracy through rigorous assurance checks. + Develop and maintain… more
    UCLA Health (06/11/25)
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  • Senior Medicare Analyst

    R1 RCM (Salt Lake City, UT)
    …AI, intelligent automation, and workflow orchestration. We are seeking to expand our Medicare reimbursement team by adding a senior analyst . Working as a ... of the data **Qualifications:** + 2+ years' experience working with Medicare Reimbursement + Medicare Disproportionate Share experience a plus + Strong… more
    R1 RCM (09/03/25)
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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 (09/05/25)
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  • Medicare Risk Adjustment Advanced…

    Elevance Health (Grand Prairie, TX)
    ** Medicare Risk Adjustment Advanced Analyst Senior** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... and adaptable workplace. Alternate locations may be considered. The ** Medicare Risk Adjustment Advanced Analyst Senior** is...**How you will make an impact:** + Prepares analytical data sets in support of modeling studies. + Build,… more
    Elevance Health (08/16/25)
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  • Medicare Analyst - Revenue Strategy…

    Mayo Clinic (Rochester, MN)
    data sciences, or accounting, and/or CPA with two years of experience in Medicare reimbursement, Data Science, or Bachelor's degree with five years of ... your future. **Responsibilities** The position will assume responsibility for the Medicare Part A and B government reimbursement and compliance activities across… more
    Mayo Clinic (08/10/25)
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  • Senior Analyst , Operational Regulatory…

    Molina Healthcare (Kenosha, WI)
    …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
    Molina Healthcare (08/22/25)
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  • Senior Business Analyst - Medicare

    CVS Health (Hartford, CT)
    …each and every day. **Position Summary** We are seeking a Senior Business Analyst to support modernization efforts across our Medicare Sales verticals, including ... in this role. **Required Qualifications** + 5+ years of experience as a Business Analyst or Product Owner in a technical or healthcare environment + Proven ability… more
    CVS Health (08/23/25)
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  • Senior Business Analyst , Medicare

    CVS Health (Hartford, CT)
    …do it all with heart, each and every day. Summary The Senior Business Analyst acts as a technology enabler at the intersection of business, product, and engineering. ... vision, enabling measurable outcomes through OKRs and KPIs. The analyst translates strategic goals into actionable technology capabilities, facilitates alignment… more
    CVS Health (09/03/25)
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  • Actuarial Analyst II - Medicare

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Actuarial Analyst II will perform individual project tasks as requested, execute calculations of moderate complexity, and ... incumbent is responsible for utilizing various sources to procure data and then turning that data into...in a variety of actuarial analyses that may include Medicare bid pricing, financial forecasts, trend analysis, experience analysis,… more
    CareFirst (08/20/25)
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