- Medical Mutual of Ohio (Brooklyn, OH)
- …Medicare Supplement, and individual plans. The Medicare Advantage Products Analyst plays an integral role in the product development of the ... the development and execution of Medicare Advantage product strategy and corresponding benefits. The Analyst ...the annual CMS Bid development in partnership with the Product Managers, ensuring the products are competitive,… more
- Kelsey-Seybold Clinic (Houston, TX)
- …of high dollar claims and present summary to management. **Job Title: Medicare Claims Analyst ** **Location: Remote** **Department:** **Claims** **Job Type: Full ... professional claims. Essential job functions include: Apply knowledge of Centers for Medicare & Medicaid Services (CMS) rules specific to DRG pricing methods, APC,… more
- CareFirst (Washington, DC)
- **Resp & Qualifications** **PURPOSE:** The Senior Public Policy Analyst monitors, evaluates, and provides recommendations on strategy and communications regarding ... issues in support of the companys business objectives and requirements. The Analyst has key responsibility for supporting policy development on key issues, ensuring… more
- General Dynamics Information Technology (Fairfax, VA)
- …support an exciting new program focused on identifying vulnerabilities in Medicaid, Medicare and the Marketplace. The position will monitor, inspect, and propose ... position will be responsible for performing quality review on the teams model products and data pulls prior to submitting them for implementation into their system.… more
- Providence (OR)
- …people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:** + Be responsible for developing and ... as well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare... product design impacts on financial performance for Medicare Advantage plans to optimize performance + Analyzing and… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... position involves extensive interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of a Coordinated Care… more
- Insight Global (Scotts Valley, CA)
- Job Description The Medicare /DSNP ITS Implementation Analyst Consultant will ensure that partner vendors, implementation teams, UAT end-users, and quality ... existing systems in compliance with published policy guides and standards for Medi-Cal, Medicare , and D-SNP to support the 1/1/2026 launch of new Medicare /DSNP… more
- CVS Health (Chicago, IL)
- …convenient and affordable. **Position Summary** We are looking for Actuarial Senior Analyst for Medicare Dental Business to provide actuarial pricing support. ... \#AetnaActuary The Actuarial Senior Analyst responsibilities include: + Support Medicare Dental...with all CMS regulations and tests + Works with Product team to provide pricing support to identify best… more
- The Cigna Group (Bloomfield, CT)
- **The job profile for this position is Nurse Case Management Senior Analyst , which is a Band 3 Senior Contributor Career Track Role.** For this position, Nurse Case ... Manager Senior Analyst , through the case management process, will promote the...candidate would have previous case management experience with the Medicare /Medicaid population specifically focusing on Special Needs Plan. Model… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …understanding of financial/accounting theory **Position Specific Preferences: Sr\. Financial Analyst \- Performance Reporting & Analysis** + Medicare /Medicaid ... and its subsidiaries no longer hire individuals who use tobacco or nicotine products \(including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing… more