of providers. Job Description The senior Medicare Program Analyst will work cross-functionally within the team, helping develop... is building, automating, and optimizing technical processes for running Medicare Value-Based Care Program MVBCP) analytics...
solutions to transform the health care industry? As a Sr Actuarial Analyst ALDP at UnitedHealth Group, you can do just... of Medicare products (Medical, Dental, Part-D Rx, Med Supp) Assist and support Appointed Actuaries in preparation of Actuarial...
of that. It fuels our passion and drives every decision we make. Job Posting Title Sr. Compliance Analyst (Regulatory... Intelligence and Assessment) - Remote Job Description The Senior Compliance Analyst assists in the implementation of Prime...
Job Description: Your Role The Sr. Principal Actuarial Analyst for our Medi-Cal team is responsible for overseeing... rate development & rate analysis, Medi-Cal program analysis, experience reporting, and Medi-Cal program strategy...
Summary As a Sr. Provider Enrollment Analyst, you will act as a team lead by providing guidance, direction... of Medicare program instructions / regulations related to provider enrollment issues. Experience with Microsoft Office...
Summary As a Sr. Provider Enrollment Analyst, you will act as a team lead by providing guidance, direction... of Medicare program instructions / regulations related to provider enrollment / issues. Experience with Microsoft Office...
Summary As a Sr. Provider Enrollment Analyst, you will act as a team lead by providing guidance, direction... programs. In-depth knowledge of Medicare program instructions and regulations related to provider enrollment issues...
Overview: is seeking a Sr Financial Analyst in its Provider contracting department. The Senior Financial Analyst... activities through analyses and reporting of critical information including utilization data. The Senior Financial Analyst...
Summary As a Sr. Provider Enrollment Analyst, you will act as a team lead by providing guidance/direction/training... with discretion. In-depth knowledge of pricing methodology and discount programs. In-depth knowledge of Medicare program...
Maximus is seeking a qualified Sr. Technical Analyst. The qualified candidate will be involved in technical planning... domains: Child Support Enforcement Child Welfare Medicare / Provider Management 3+ years of large enterprise...
The Sr. Systems Configuration Analyst will play a crucial role in managing and optimizing the configuration of claims... systems and applications. The Sr. Systems Configuration Analyst's primary responsibility is to ensure claims systems...
Position Scope: Manages/coordinates an active caseload of case management cases for Cigna Medicare. Uses clinical... description of position: This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote the...
and communities. To learn more about who we are at Point32Health, click . Job Summary This Senior Actuarial Analyst will support the... Medicare Part C Pricing work. The key responsibilities for this role are pricing, rate filing (Medicare Advantage Bid...
and approving artifacts related to the program, project, or software. The Business Analyst must also understand the contract... Information Technology for Economic and Clinical Health act (HITECH act). There are two vendors already in the program and there...
States of America) Location Olympia Center Job Description The Compliance Analyst Senior is an experienced compliance... Center ("Medical Center") Compliance and Integrity Program. Job Responsibilities: Serves as a collaborative resource...
dedicated to being a vital partner for health solutions in the public sector. Acentra is looking for a Senior Business Analyst... to join our growing team. Job Summary: Senior Business Analyst is responsible for analyzing business problems, identify gaps...
encounter. As a Data Analyst within the Optum Alabama Enterprise Data Services (EDS) team, you will be responsible... program and data analyses Design, build, and maintain business rules and logic pertaining to data processing and reporting...
encounter. As a Data Analyst within the Optum Alabama Enterprise Data Services (EDS) team, you will be responsible... program and data analyses Design, build, and maintain business rules and logic pertaining to data processing and reporting...
(SDLC) Preferred Qualifications: Knowledge of Medicare Advantage Risk Adjustment Model (HCC model) Knowledge... of with NUCC and NUBC guidelines Knowledge of Medicare Regulations and Medicaid State Processing Guidelines Experience in working...
(SDLC) Preferred Qualifications: Knowledge of Medicare Advantage Risk Adjustment Model (HCC model) Knowledge... of with NUCC and NUBC guidelines Knowledge of Medicare Regulations and Medicaid State Processing Guidelines Experience in working...