- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful ... measurements used in both internal and external reporting. You will: + Ensure data quality and accuracy through rigorous assurance checks. + Develop and maintain… more
- Centene Corporation (Providence, RI)
- …and performance of Medicare -focused VBP arrangements across New York, including Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). This role ... in transforming healthcare to improve outcomes, advance quality, and promote equity. The Analyst , Value-Based Payment Initiatives (VBP) will support the expansion… more
- Elevance Health (Mendota Heights, MN)
- …and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and data -driven ... ** Medicare Risk Adjustment Actuarial Analyst III**...complex projects related to risk adjustment analytics in the Medicare Advantage line of business. **How You… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …+ Solid understanding of Medicare and its related financial models, including Medicare FFS, Medicare Advantage , Medicare Part D, and ... BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker...results. + Initiate and lead efforts to continually improve data and analytic capabilities considering changing state and federal… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responsibilities** **Master Data Management Analyst ... III** The MDM Analyst within the Enterprise Data & Analytics department is responsible for leading the...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Commonwealth Care Alliance (Boston, MA)
- …ensuring accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of ... Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge,… more
- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed ... 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
- NTT DATA North America (Merced, CA)
- …maintaining competitive advantages when executed as part of an overall sourcing strategy NTT DATA currently seeks a direct hire Application Analyst III - Core to ... At NTT DATA , we know that with the right people...team in remote in California. **Job Overview:** The Application Analyst III - Core Systems is the advanced working… more
- UCLA Health (Los Angeles, CA)
- …do all this and more at UCLA Health. As a key member of our Medicare Advantage Operations team, you will develop detailed requirements specifications to meet our ... Five or more years of experience managing enrollment, claims, or encounters in a Medicare or managed care environment required + Five or more years of experience… more
- ChenMed (Miami, FL)
- …will make data -driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position has the opportunity ... people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data...(4) years of related experience + Experience in a Medicare Advantage , Hospital Systems and/or risk-based healthcare… more