- CVS Health (Richmond, VA)
- …day. **Position Summary** The Corporate Medicaid Compliance team is looking for a Sr . Analyst to support the Medicaid Business Compliance Office (BCO) ... will have a successful background in supporting cross-functional projects. The Sr . Analyst will support compliance oversight of market-specific implementations… more
- Prime Therapeutics (Baton Rouge, LA)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr . AI Business Analyst - Remote **Job Description** **Are you a Business ... grow your career in the IT AI space.** The Sr . IT Business Systems Analyst (BSA) is...project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr … more
- Datavant (Little Rock, AR)
- …educational and life experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a deep ... to understand business objectives and deliver results. As a Sr . Data Analyst , you will: + Take...+ Run various risk adjustment models for Medicare Advantage, Medicaid or ACA to forecast patient risk scores and… more
- Prime Therapeutics (Santa Fe, NM)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & ... Complaints Senior Compliance Analyst assists in the implementation...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Baylor Scott & White Health (Austin, TX)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position ... independently and with cross functional groups.Knowledge of ACA, Medicare, Medicaid , MCO, TPA business requirements preferred.Experience with healthcare encounters,… more
- Waystar (Atlanta, GA)
- …are seeking an opportunity to advance their leadership and analytical capabilities. The Senior Corporate Financial Analyst plays a critical role in driving ... for internal and external stakeholders, and communicating insights to senior leadership. Senior Analysts are expected to...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk score calculation, submissions, enrollment,… more
- Catholic Health Initiatives (Lufkin, TX)
- …current with respect to government payer reimbursement methodology changes (ie Traditional Medicare/ Medicaid /Tricare). + Other duties: * Assist National Tax team ... performance of the service lines. * Make recommendations to Senior Management for action to improve such vulnerabilities and...of annual tax returns and tax payments. * Assist National Enterprise Net Revenue team and local Financial Services… more
- CVS Health (Chicago, IL)
- …Brief Overview** + Provide actuarial support for the **Texas and Oklahoma Medicaid ** plans. + Performs actuarial functions by applying expanded quantitative skills ... with others to meet/exceed expectations. **Preferred Qualifications** + Experience in Medicaid + Experience with SQL + Experience with PowerPoint **Education** +… more
- Molina Healthcare (Everett, WA)
- …sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk ... **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model,… more