- CVS Health (Hartford, CT)
- …Vendor to QA measure updates and QA file layout that pertain to HEDIS and Medicaid State Reporting . + Support stakeholders to generate member detail files, ... complex research and analytics in support of internal HEDIS reporting for high profile stakeholders such as Medicaid...be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity… more
- COOLSOFT (Columbia, SC)
- Medicaid Analyst (Jobs in Columbia, SC) Requirement id 155069 Job title Analyst Job location in Columbia, SC Skills required not found, IBM CuRam, Government ... IT Projects As A Business Analyst Or Related Duties, Medicaid Open Date...processes, including change control, version control, tracking and status reporting , and traceability. * Providing requirements interpretation and guidance… more
- Elevance Health (Grand Prairie, TX)
- **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating ... encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and...with internal teams to gather requirements and determine data reporting needs. + Identify trends, anomalies, and issues in… more
- Zelis (Plano, TX)
- … state registers, waiver programs and bulletins regarding payment rules for State Medicaid programs as well as deciphering contractual language regarding ... that shape who you are. Position Overview The Sr. Medicaid Regulatory Pricer Analyst will collaborate with...a related field + Five+ years of experience in Medicaid billing, reimbursement, claim payment or cost reporting… more
- Molina Healthcare (Everett, WA)
- …**Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, ... available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score… more
- State of Georgia (Fulton County, GA)
- Compliance and Reporting Analyst ( State Based Exchange) Georgia - Fulton - Atlanta ... Share this Job Sign Up for Job Alerts Under general supervision, the Compliance and Reporting Analyst coordinates the rollout of new or updated reporting … more
- BayCare Health System (Clearwater, FL)
- …remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Senior Reimbursement Analyst - Cost Reporting **Location** Clearwater | Business and ... responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of responsibility while… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …oversight necessary to ensure accountability and efficient and effective administration of the state 's Medicaid program. The Reporting and Data Management ... Data Analyst Augusta , Maine , United States |...Office of MaineCare Services (OMS) within DHHS administers the state 's Medicaid program, which provides free or… more
- MyFlorida (Tallahassee, FL)
- …support to Agency staff and contracted entities on work related to State Medicaid managed care plans, capitation rates, financial analysis/projections. *Serve ... 68064839 - SENIOR DATA BASE ANALYST Date: Aug 29, 2025 The State... state statutes and rules, and the Florida Medicaid State Plan. *Participated in continuing education… more
- MyFlorida (Tallahassee, FL)
- 68064228 - SENIOR DATA BASE ANALYST Date: Aug 29, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Care Administration Working Title: 68064228 - SENIOR DATA BASE ANALYST Pay Plan: Career Service Position Number: 68064228 Salary:...and impactful analysis that shapes the future of Florida Medicaid . As the Agency hub for analytics, reporting… more
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