- General Dynamics Information Technology (Fairfax, VA)
- …Able to Obtain:** None **Public Trust/Other Required:** None **Job Family:** Data Analysis **Skills:** Analytical Thinking, Data Science, Medicare ,R ... clients' biggest challenges. Our work is looking for a Sr . Data Scientist to help us support...business outcomes. + Assists with identifying opportunities for leveraging Medicare and Medicaid data to drive insightful… 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 ... performing quality review on the teams model products and data pulls prior to submitting them for implementation into...are found. + Work collaboratively within a team of Medicare , Medicaid and/or Marketplace policy expert SMEs and analysts.… more
- Molina Healthcare (Georgetown, KY)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...existing health plans. + Must have experience working on QNXT/ Medicare /NetworX + Must have experience working on SQL. +… more
- Commonwealth Care Alliance (Boston, MA)
- …. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective claims auditing ... ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also...and report outcome results on edits implemented. + Utilize data to examine large claims data sets… 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, ... interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of...contracted provider demographic records by validating and submitting all data management requests for completion. + Prepare for and… more
- Molina Healthcare (Richmond, KY)
- **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. ... well as Reporting modules related to Risk Adjustment for Medicaid, Marketplace and Medicare /MMP. + Assist Risk Adjustment Data Analytics Leaders in designing and… more
- Robert Half Management Resources (Brockton, MA)
- Description We are in search of a Sr . Financial Analyst to join our team in Brockton, Massachusetts. In this role, you will be tasked with various external and ... the preparation of various external and regulatory reports, including Medicare 2552, CHIA cost reports, and RFA reporting *...analysis * Utilize business systems and CRM tools for data mining and report generation * Leverage skills in… more
- Martin's Point Health Care (Portland, ME)
- …third party software as well as the data warehouse as key sources of data . The Senior Analyst uses their extensive content knowledge and analytical ... a "Great Place to Work" since 2015. Position Summary **NEW REMOTE POSITION** The Senior Risk Adjustment Analyst analyzes data , reviews findings, and develops… more
- Healthfirst (NY)
- …policies and procedures, reporting and project specifications, job aids and workflows for Medicare products. + Leads the setup and monitoring of Medicare ... collaboration with our Pharmacy Benefit Manager (PBM). + Collaborates with our Medicare product team to identify and implement benefit solutions to promote quality… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …and maintain processes related to C-SCRM and ICT risk assessments + Analyze C-SCRM-related data and convey the threat level to senior leadership along with a ... leading the next evolution of national defense - the data evolution - by accelerating a breadth of national...We Are HII - Mission Technologies is seeking a Senior Cyber Supply Chain Risk Management (C-SCRM) Consultant for… more