- Humana (Harrisburg, PA)
- …our organization's standing within the Medicaid markets. **Complex Ad-Hoc Requests:** The Data and Reporting Professional 2 will address complex ad-hoc ... caring community and help us put health first** The Medicaid Data and Reporting Analyst...operating objectives, including their linkages to related areas. The Data and Reporting Professional 2… more
- Humana (Harrisburg, PA)
- …etc. Partner with actuarial, financial, and clinical teams to align on data definitions, methodologies, and reporting . Identify cost drivers, utilization ... patterns, and anomalies in Medicaid medical claims data . Maintain dashboards to...degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills +… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or ... or data warehouse queries and scripts. The Data and Reporting Professional 2...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Takeda Pharmaceuticals (Exton, PA)
- … related questions and analysis related to Model N Revenue Management Rebates, Chargebacks, Medicaid , Pricing, and Master Data . + Perform root cause analysis of ... the creation of Tableau reports. + As an expert professional within the organization, this role will develop innovative...modeling, price and demand forecasting). + Experience with ETL, reporting tools, data governance, data … more
- Humana (Harrisburg, PA)
- …PowerPoint and Visio **Preferred Qualifications** + 3+ years of technical experience in data reporting + Stars or HEDIS Experience + Process proficiency with ... appropriate strategies for each successful season, ensuring all regulatory submissions of data collection and reporting are accurate, complete and timely. This… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Senior Agency Professional ; Finance & Accounting supports data analysis related to compliance and ... determine the best course of action. The Senior Agency Professional ; Finance & Accounting provides support for handling and...Finance & Accounting provides support for handling and analyzing data that pertains to the compliance and commissions of… more
- Humana (Harrisburg, PA)
- …our caring community and help us put health first** The Supply Chain Budget Professional reports to the Director of Enterprise Print Management (EPM) and plays a key ... Print and Postage operations through effective budget development, management, financial reporting , and cost tracking. This position ensures accuracy and efficiency… more
- CVS Health (PA)
- …abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data visualization tools (eg, Tableau, Power BI ... a full time role and is ideal for a data professional with strong coding skills in...to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory & compliance reporting . This is… more
- Humana (Harrisburg, PA)
- …and overall market sales support. The ideal candidate will be able to summarize reporting data and present ideas and results. If you are detail oriented ... and help us put health first** The Sales Support Professional 1 will provide sales support to the Large...high level of accountability + Synthesizing and analyzing financial data (ex. budgets and income statement forecasts) with consideration… more
- WellSpan Health (York, PA)
- …for qualified patients, drugs and locations. Monitors and audits state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates. ... procedures related to inventory management and 340B procedures. - Expands professional development through related classes and seminars, current publications, and… more