to make informed decisions. Design, review and maintain process for evaluation and estimation of contractual discounts... and third-party liabilities. Approach all estimates with an eye towards continious process improvement; document approaches...
to make informed decisions. Design, review and maintain process for evaluation and estimation of contractual discounts... and third-party liabilities. Approach all estimates with an eye towards continious process improvement; document approaches...
and Pricing Committee business cases and financial analysis Assists with the development of presentations for senior management... to inform decision making & drives digitalization and business solutions to attain NNI goals. Finance, Insights & Enterprise...
policies, SNAP, Medicaid, TANF programs and more. Identify opportunities for efficiencies in work process and innovative... growth and new responsibilities? Are you interested in helping clients drive alignment with their business, improve...
strategic financial planning process. Responsible for the integrity of net revenue. Essential Functions and Responsibilities...: * Prepares and or reviews the schedules required to support the submission of Medicare, Medicaid and Blue Cross cost report...
as a Project Manager-Associate ; Quality Assurance Senior Analyst ; Business Systems Consultant-Intermediate ; Quality Assurance... to business rules, ETL code, HAL tables, new or updated OHG Medicaid claim code grouping categories, etc.) Develop test cases...
application.) Two (2) years of work experience as a Project Manager-Associate ; Quality Assurance Senior Analyst ; Business... requirements for HAL system improvements (e.g. changes to business rules, ETL code, HAL tables, new or updated OHG Medicaid claim...
application.) Two (2) years of work experience as a Project Manager-Associate ; Quality Assurance Senior Analyst ; Business... in: Knowledge of Medicaid administrative data and eligibility requirements. Knowledge of project management principles. Business...
: Individual, Commercial, ASO, Medicare and Medicaid lines of business. Lead strategic business transformation programs, manage... motivated Management Consulting professionals with Healthcare Business Consulting experience in health plans, health systems...
for HAL system improvements (e.g. changes to ETL code, business rules, HAL tables, new or updated OHG Medicaid claim code... and/or developmental disabilities; process claims and benefits; manage provider licensing and state hospital facilities; and promote...
Your Role The Medi-Cal Analytics team supports the Medi-Cal Business Unit. The Medical Informatics Analyst... - Consultant will report to the Senior Manager, Medical Informatics and will have a dotted reported line to the Special Populations...
Analyst - Consultant will report to the Senior Manager, Medical Informatics and will have a dotted reported line to the...Job Description: Your Role The Medi-Cal Analytics team supports the Medi-Cal Business Unit. The Medical Informatics...
of Enterprise Data (OED). The Data Science Analyst III is a senior-level analyst who independently collaborates with stakeholders... Analyst III, under the direction and supervision of the Director of Analytics, will play a hands-on role in our Office...
Analyst III is a senior-level analyst who independently collaborates with stakeholders across the organization to develop... in California prior to start date. Purpose Statement/Position Summary: The Data Science Analyst III, under the direction...
and pricing support for all Prime’s lines of business (commercial, Medicare and Medicaid). Responsibilities Build, support... of that. It fuels our passion and drives every decision we make. Job Posting Title Actuarial Analyst - REMOTE...
computational errors, implementing process improvements, and other approaches that add value to business processes and analytic... dynamic and detail-orientated candidates for a full-time Programmer/Analyst with Python, SAS, or SQL analytic programming...
computational errors, implementing process improvements, and other approaches that add value to business processes and analytic... dynamic and detail-orientated candidates for a full-time Programmer/Analyst with Python, SAS, or SQL analytic programming...
: The Quality Analyst for Quality oversight team is responsible for preparing, inspecting, and complying with contractual.... Training employees on quality standards and procedures. Preparing and presenting quality reports to senior management...
The Senior Analyst, Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan...Job Title: Sr Analyst, Medical Economics (Clinical Analytics UM/CM) - REMOTE Job Location: New York, NY, USA...
to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the... Career worklet, please review this . The Quality Management Analyst 3 conducts highly complex analysis while leading the...