- Staffing Solutions Organization (Albany, NY)
- … needs and requirements. + Interpret guidance and instructions related to Medicaid eligibility , enrollment, appeals processes, and notices from a requirements ... in Albany, NY** **Bureau of System Quality Assurance and Business Requirements (SQA) - Eligibility Systems Modernization...for activities related to the implementation of the new eligibility system for New York's Complex Medicaid … more
- TEKsystems (Montgomery, AL)
- Description The Alabama Medicaid Agency (AMA) requires a Sr Business Analyst (SBA) to support the Alabama Medicaid Management Information System (AMMIS) ... this effort, the AMA is seeking an experienced Sr Business Analyst to be a member of...standards and regulations include but are not limited to: Medicaid Information Technology Architecture (MITA), CMS Seven Conditions and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... business process and technical workflow documents. + Understand Medicaid risk score methodology, including risk score calculation, financial risk receivable… more
- CVS Health (Santa Fe, NM)
- …heart, each and every day. **Position Summary** This role supports the Medicaid team, specifically price monitoring and behaviorial health analytics across Aetna's ... Medicaid states. Within this role, you will: * Provide...* Demonstrate an advanced understanding of actuarial concepts and business acumen. * Set own priorities within pre-established overall… 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 ... solutions and demonstrate an advanced understanding of actuarial concepts and business acumen. + Set own priorities within pre-established overall deadlines. +… more
- Onset Technologies LLC (Austin, TX)
- …brings extensive experience in business analysis, Agile product ownership, Medicaid systems, and complex stakeholder engagement. Eligibility : Must be local ... Summary: Onset Technologies is seeking an experienced Business Analyst / Product Owner to...US without sponsorship or visa transfer. Job Description: The Business Automation Support (BAS) unit within the Medicaid… more
- MyFlorida (Tallahassee, FL)
- 68900188 - OPS GOVERNMENT ANALYST II Date: Nov 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency for Health Care Administration Working Title: 68900188 - OPS GOVERNMENT ANALYST II Pay Plan: Temp Position Number: 68900188 Salary: $25.00 Hourly Posting… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... operational requirements for Medicare Advantage(MA), Affordable Care Act (ACA) & Medicaid Lines of Business (LOB). Additional responsibilities include… more
- COOLSOFT (Lincoln, NE)
- …in Medicaid or healthcare data systems. . Knowledge of Medicaid data ( eligibility , enrollment, claims, encounters, providers). . Hands-on experience ... SQL Jira Analyst (Jobs in Lincoln, NE) Requirement id 155815...are seeking a detail-oriented MES Tester to support the Medicaid Data Warehouse Migration Project. The successful candidate will… more
- Idaho Division of Human Resources (Coeur D'Alene, ID)
- Analyst - MED Posting Begin Date: 2025/10/27 Posting End Date: 2025/11/17 Category: Accounting and Finance Work Type: Full Time Remote: Flexible Hybrid Location: ... in making a difference for Idaho's vulnerable population by helping to ensure Medicaid dollars are spent on services they need? Do you have strong analytical… more
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