• 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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  • Reimbursement Analyst (Cost Reporting…

    UTMB Health (Galveston, TX)
    Reimbursement Analyst (Cost Reporting - Medicare /Medicaid) - Government Reimbursement **Galveston, Texas, United States** Business, Managerial & Finance UTMB ... Accounting, Business, or related field. and a minimum of three years of Medicare and Medicaid Cost Report or related experience. An equivalent combination of… more
    UTMB Health (06/14/25)
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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 (04/24/25)
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  • Sr Actuarial Analyst - Medicare

    Centene Corporation (Madison, WI)
    …play a hands-on role in shaping strategy and performance. **In this Sr. Actuarial Analyst role, you will:** + Assist ** Medicare ** bid review and perform ... workplace flexibility. **Eligibility Requirement:** **To qualify for this Senior Actuarial Analyst role, applicants must be actively pursuing their ASA designation… more
    Centene Corporation (07/05/25)
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  • Medicare Risk Adjustment Actuarial…

    Elevance Health (Mendota Heights, MN)
    ​ ** Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Actuarial Analyst III** is...develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data more
    Elevance Health (07/18/25)
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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 (04/30/25)
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  • CMS Policy & Regulatory Analyst

    ERP International (Laurel, MD)
    …( www.erpinternational.com ) is currently seeking Full-Time **Policy & Regulatory** ** Analyst ** to support of the **CMS Division of Enterprise Architecture** in ... requirements affect CMS business processes, IT systems, organizational roles, data standards, and governance frameworks. + Maintain comprehensive regulatory… more
    ERP International (05/06/25)
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  • Business Analyst II- Medicare

    Centene Corporation (Tallahassee, FL)
    …large-scale data mapping and transformation. Familiarity with provider directories and Medicare data is highly preferred. Pay Range: $55,100.00 - $99,000.00 ... and objectives for assigned function. This role will focus on data mapping for Medicare provider directories. + Support business initiatives through data more
    Centene Corporation (07/14/25)
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  • Senior Business Analyst ( Medicare

    Molina Healthcare (Green Bay, WI)
    **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and advanced Excel functions) from internal and external sources to ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
    Molina Healthcare (05/31/25)
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  • Business Analyst ( Medicare

    Molina Healthcare (FL)
    …DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
    Molina Healthcare (07/18/25)
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