- CVS Health (Hartford, CT)
- …day. **Position Summary** The Corporate Medicaid Compliance team is looking for a Sr . Analyst to support the Medicaid Business Compliance Office (BCO) ... will have a successful background in supporting cross-functional projects. The Sr . Analyst will support compliance oversight of market-specific implementations… more
- Prime Therapeutics (Hartford, CT)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr . AI Business Analyst - Remote **Job Description** **Are you a Business ... grow your career in the IT AI space.** The Sr . IT Business Systems Analyst (BSA) is...project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr … more
- Prime Therapeutics (Hartford, CT)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & ... Complaints Senior Compliance Analyst assists in the implementation...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Baylor Scott & White Health (Hartford, CT)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position ... independently and with cross functional groups.Knowledge of ACA, Medicare, Medicaid , MCO, TPA business requirements preferred.Experience with healthcare encounters,… more
- CVS Health (Hartford, CT)
- …Brief Overview** + Provide actuarial support for the **Texas and Oklahoma Medicaid ** plans. + Performs actuarial functions by applying expanded quantitative skills ... with others to meet/exceed expectations. **Preferred Qualifications** + Experience in Medicaid + Experience with SQL + Experience with PowerPoint **Education** +… more
- Fair Haven Community Health Care (New Haven, CT)
- …medical and dental care, regardless of ability to pay. Job purpose The Senior Data Analyst turns clinical, operational, and financial data into insights ... Health Care (FHCHC). Duties and responsibilities Reporting to the Director of Data, the Senior Data Analyst will effectively prioritize and execute tasks in a… more
- CVS Health (Hartford, CT)
- …willing to be in office T,W and Th of each week._** **Position Summary** The Sr . Business Analyst supports UM Clinical Operations by making data accessible and ... improve reporting efficiency and accuracy. + Familiarity with Medicare and Medicaid regulations. **Education** + Bachelor's degree preferred + Certification in PMP… more
- Prime Therapeutics (Hartford, CT)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Risk Assessment and Oversight) - Remote **Job Description** ... The Senior Compliance Analyst assists in the implementation...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- CVS Health (CT)
- …and more compassionate. And we do it all with heart, each and every day. The ** Senior RFI Analyst ** within the Special Investigations Unit (SIU) plays a key role ... and accountability in all RFI-related activities. In addition to core responsibilities, the Senior RFI Analyst will support **Training** , **Quality** , and… more
- CVS Health (CT)
- …internal teams prior to the submission to the Centers of Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... coding, and/or auditing. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) required. +… more
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