• Lead Data Analyst ( Medicare

    Molina Healthcare (Albany, NY)
    …(using Power BI and Databricks) to inform and influence decision making for the Medicare Stars program * Responsible for data compilation, data management, ... processes and solutions associated with a wide variety of data sets used for data /text mining, analysis,...experience **PREFERRED EXPERIENCE:** 7-9 years Power BI and Databricks Medicare Stars experience To all current Molina employees: If… more
    Molina Healthcare (04/20/25)
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  • Lead Data Analyst (Remote)…

    CareFirst (Baltimore, MD)
    …**PURPOSE:** The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk adjustment. This person will ... risk adjustment operational decisions, and working independently to improve process and data integrity. In addition, this person will work directly with vendors that… more
    CareFirst (03/27/25)
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  • Reimbursement Analyst ( Medicare

    UTMB Health (Galveston, TX)
    Reimbursement Analyst ( Medicare /Medicaid Reimbursement), Remote/Local - Government Reimbursement **Galveston, Texas, United States** Business, Managerial & ... 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 (04/04/25)
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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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  • Technical Business Analyst - Aetna…

    CVS Health (Tallahassee, FL)
    …And we do it all with heart, each and every day. **Position Summary** Aetna Medicare Product Tools & Technology is seeking a Technical Business Analyst to join ... our exciting team. We build and support internal Medicare related applications that allow our business users to...to complete crucial business processes for Aetna. The Business Analyst plays a role in business problem solving and… more
    CVS Health (05/11/25)
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  • Business Analyst , Medicare

    Amazon (Boston, MA)
    …care experiences, and more value, within a better care team environment. Medicare Population Health Programs (MPHP) supports our Seniors business in identifying, ... to succeed in Value Based Care (VBC). As an Analyst on the MPHP team, you will lead the...MPHP team, you will lead the delivery of various data analytics functions including analyzing large data more
    Amazon (05/09/25)
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  • CMS Business Analyst - Medicare

    ERP International (Laurel, MD)
    …International, LLC** ( www.erpinternational.com ) is currently seeking Full-Time **Business Analyst ** to support of the **CMS Division of Enterprise Architecture** ... 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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  • Actuarial Analyst ( Medicare )…

    Molina Healthcare (Albany, NY)
    …rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. **KNOWLEDGE/SKILLS/ABILITIES** + ... Collaborate with Actuarial staff to perform IBNR estimates and rate adequacy studies. Document assumptions. + Analyze results to identify early signs of trends or other issues related to medical care costs. + Design and perform actuarial studies related to… more
    Molina Healthcare (04/20/25)
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  • Sr Actuarial Analyst ( Medicare )…

    Molina Healthcare (Seattle, WA)
    …rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. **KNOWLEDGE/SKILLS/ABILITIES** + ... Collaborate with Actuarial staff to complete IBNR estimates and rate adequacy studies. Document assumptions. + Analyze results to identify early signs of trends or other issues related to medical care costs. Recommend solutions to identified issues. + Design… more
    Molina Healthcare (04/20/25)
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  • Master Data Management Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Master Data Management Analyst I** The MDM Analyst within the ... as well as Integrations from/to Source/Target systems across multiple data domains. The MDM Analyst will utilize...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.… more
    Medical Mutual of Ohio (05/03/25)
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