- CareFirst (Baltimore, MD)
- …better business decisions. The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk adjustment. This ... **Resp & Qualifications** **PURPOSE:** The main purpose of a data analyst is to find meaning in...technical documentation that is consistent with professional standards. + Lead in the design, development, validation and delivery of… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …projections, and sharing recommendations based on analytic results. + Initiate and lead efforts to continually improve data and analytic capabilities considering ... 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… more
- 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
- 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
- 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
- Molina Healthcare (Sterling Heights, MI)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... lead level support as a highly capable business analyst who serves as a key strategic partner in...and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements… more
- Medical Mutual of Ohio (OH)
- …or MHA) preferred. + 7 years progressive experience as a Clinical Quality Data Analyst or equivalent experience conducting analyses and delivering analytic ... in required training and performs other duties as assigned. ** Lead HEDIS Analyst ** + Schedules, assigns, and...data visualization tools such as Tableau. **Sr HEDIS Analyst ** **Education and Experience:** + Bachelors Degree in health… more
- UCLA Health (Los Angeles, CA)
- …As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... requirements are understood and implemented consistent with the Business Data Analyst 's vision + perform testing, design...+ Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or… more
- Aveanna Healthcare (Newtown Square, PA)
- Lead Board Certified Behavior Analyst - Full Time Salary Position with Comprehensive Benefits ApplyRefer a FriendBack Job Details Requisition #: 207178 Location: ... Salary: $70,000.00 - $90,000.00 per year Position Details Job Title: Lead Board Certified Behavior Analyst (BCBA) -...as dressing, feeding, and toileting, to promote independence. + Data Collection and Progress Monitoring + Real-Time Data… more
- Sanford Health (Fargo, ND)
- …and have relatively little turnover except for retirements. **Job Summary** The Lead Reimbursement Analyst provides critical analytical and reimbursement related ... Directs the implementation and monitoring of reimbursement functions, which includes Medicare , Medicaid or other third party cost reports, related audits, appeals,… more
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