• Senior Risk Adjustment Analyst

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk score calculation, submissions, enrollment,… more
    CareFirst (09/26/25)
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  • Decision Support Analyst

    Highmark Health (Pittsburgh, PA)
    …effective August 2016) **Preferred** + Experience and demonstrated proficiency as a Decision Support Analyst or equivalent training and experience ... achieve financial value from implemented clinical programs. This position determines how decision support systems will provide information required for effective… more
    Highmark Health (11/13/25)
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  • Lead Analyst , Payment Integrity - REMOTE

    Molina Healthcare (Sterling Heights, MI)
    **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + Assists… more
    Molina Healthcare (10/18/25)
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  • Senior Compliance Analyst

    AdventHealth (Maitland, FL)
    …compiling and analyzing multiple sources of data to support executive decision -making regarding contract violations. The Senior Compliance Analyst will have ... person demonstrates attention to detail and competencies in contract language review, research, decision support , and financial analysis in the preparation and … more
    AdventHealth (10/18/25)
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  • Returns and Compliance Analyst

    Merck (North Wales, PA)
    …enable affordable patient access, deliver insightful customer experiences, and support enriching employee experiences across IAM Contract Management, Service ... system - including pharmacy benefit managers (PBMs), health plans, state Medicaid agencies, pharmacies/wholesalers, and infusion companies - for our Company's… more
    Merck (11/06/25)
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  • Health and Policy/Economics Intelligence…

    Huntington Ingalls Industries (Woodlawn, MD)
    …integrates and manages the sensors, systems and other assets necessary to support integrated ISR operations and accelerated decision -making. With data fusion ... Are HII - Mission Technologies is seeking a Health and Policy/Economics Intelligence Analyst for a hybrid work arrangement, combining telework and work at the… more
    Huntington Ingalls Industries (11/13/25)
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  • Sr Financial Analyst

    Catholic Health Services (Rockville Centre, NY)
    …& CBR reports and requests. + Prepare and review OASAS/OMH monthly claims and support County audits. + Medicaid DSH Audit preparation. + Prepare Budget Capital ... Health was named Long Island's Top Workplace! Job Details The Senior Financial Analyst reports to the Reimbursement team within the Corporate Finance department, and… more
    Catholic Health Services (10/07/25)
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  • Healthcare Data Analyst I - Quality

    Billings Clinic (Billings, MT)
    …(https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Healthcare Data Analyst I - Quality QUALITY (BILLINGS CLINIC ... every two weeks (Non-Exempt) Starting Wage DOE Healthcare Data Analyst is a position within the Quality and Infection...analytic deliverables and assures accuracy in data provided for decision making. * Assists the director in the development… more
    Billings Clinic (10/08/25)
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  • Pharmacy Svcs Payor Credentialing & Enrollment Sr…

    Fairview Health Services (Minneapolis, MN)
    …as well as mandatory government requirements for enrollment with Medicare and Medicaid (for all 50 states) to ensure uninterrupted patient access to the ... **Job Expectations:** **Enrollment Management** + Advanced working knowledge of Medicare, Medicaid , and third-party insurance/ payor plans. + Lead internal system… more
    Fairview Health Services (11/15/25)
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  • Data Science Analyst III / Office…

    Children's Hospital Los Angeles (Los Angeles, CA)
    …**It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Data Science Analyst III, under the direction and supervision of the Director of ... a hands-on role in our Office of Enterprise Data (OED). The Data Science Analyst III is a senior-level analyst who independently collaborates with stakeholders… more
    Children's Hospital Los Angeles (09/24/25)
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