• Medicaid Data and Reporting…

    Humana (Nashville, TN)
    …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 (10/07/25)
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  • Actuary, Medicaid Trend Analytics…

    Humana (Nashville, TN)
    …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 (10/02/25)
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  • Data and Reporting…

    Humana (Nashville, TN)
    **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
    Humana (10/07/25)
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  • Senior Data Quality/Integrity Engineer

    Humana (Nashville, TN)
    …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 (10/02/25)
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  • Senior Agency Professional ; Finance…

    Humana (Nashville, TN)
    …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 (10/02/25)
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  • Supply Chain Budget Professional

    Humana (Nashville, TN)
    …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
    Humana (10/03/25)
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  • Healthcare Analytics Business Consultant (SQL…

    CVS Health (TN)
    …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
    CVS Health (10/07/25)
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  • Sales Support Professional 1

    Humana (Nashville, TN)
    …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
    Humana (10/07/25)
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  • Pro Fee Coding Quality Review Educator

    HCA Healthcare (Dickson, TN)
    …for coder education via coder reviews, stakeholder feedback, and review of data analytics that identify educational opportunities, trends, etc. The CQR Educator will ... the accuracy, consistency, and efficiency of code assignment for reimbursement and reporting purposes. This individual will assist in training and support of medical… more
    HCA Healthcare (09/27/25)
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  • Risk Adjustment Actuarial Analyst II - Advanced…

    Elevance Health (Nashville, TN)
    …requirements from internal and external requestors to ensure that the team is meeting reporting needs and facilitates seamless data transfer. + Develops ad hoc ... studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You... and Medicare Advantage risk adjustment initiatives. + Performs data mining and data -driven analyses to evaluate… more
    Elevance Health (09/30/25)
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