- Humana (Baton Rouge, LA)
- …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 (Springfield, IL)
- …a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets ... data warehouse queries and scripts. The Senior Data and Reporting Professional work...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Lincoln, NE)
- …a part of our caring community and help us put health first** The Medicaid Process Improvement Professional 2 is responsible for analyzing and evaluating the ... and regulatory standards. Assignments are varied and often require interpretation of Medicaid -specific policies and data . The role demands independent judgment… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and ... Requires strong project management skills to evaluate the downstream impacts of data changes on actuarial models, reporting tools, and financial results.… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …financial analysts, and other stakeholders to ensure accurate, compliant, and data -informed decision-making in support of Medicaid managed care financial ... Medicaid populations. + Ensure rate development and financial reporting meet CMS and state audit standards. + Maintain...SAS, R, SQL) to manage, analyze, and report financial data . + Support ongoing improvements in Medicaid … more
- Humana (Louisville, KY)
- …be a data scientist, financial analyst, economist, or other analytical professional ; though experience in Medicaid or government healthcare programs is ... health outcomes, optimized cost performance and measurable program value across Medicaid . This executive leverages advanced analytical, data science, and… more
- The Cigna Group (Franklin, TN)
- …are effective in mitigating risk. This position will be responsible for providing Medicaid regulatory and reporting guidance to internal stakeholders and will ... and business stakeholders, this role will be accountable for EviCore's Medicaid Compliance program and processes, applicable state and federal regulations, and… more
- Humana (Augusta, ME)
- …and Medicaid program requirements to drive accurate and timely submissions. The Senior Data and Reporting Professional integrates data from multiple ... operations across multiple states. This role ensures compliance with state-specific Medicaid reporting implementations and requirements, will collaborate with… more
- Health Care Service Corporation (Richardson, TX)
- …clients., large employers, brokers, or consultants. + 7 years experience requiring data analysis and information reporting relating to healthcare data ... and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for planning, managing and… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Certified Professional Coder (CPC) - AAPC + Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing-related certifications **Required ... Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports...& Abilities (must have):** + Proficiency with Excel and reporting tools for data analysis. + Understanding… more
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