- Molina Healthcare (WI)
- …improvement processes to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of application upgrades and ... existing health plans. + Must have experience working on QNXT/ Medicare /NetworX + Must have experience working on SQL. +.../NetworX + Must have experience working on SQL. + Medicare claims experience is a huge plus + … more
- Medical Mutual of Ohio (Brooklyn, OH)
- …departments, ensuring financial processes are efficient and aligned with company goals. Sr Financial Analyst Responsible for analyzing financial trends, creating ... close process and project reporting. **.** **Performs other duties as assigned** ** Sr . Financial Analyst ** . Supports financial analysis on company… more
- Prime Therapeutics (Atlanta, GA)
- …our passion and drives every decision we make. **Job Posting Title** Claims Technical Analyst , Sr . **Job Description** The Senior Claims Technical Analyst ... efforts for department level applications. **Responsibilities** + Serve as lead Analyst for complex and/or escalated analysis requests; coordinate requests from… more
- Prime Therapeutics (Columbia, SC)
- …passion and drives every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is ... processes, and participates in committee review meetings within the Commercial, Medicare , Medicaid, and Health Insurance Marketplace for the assigned department.… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …provide peace of mind to more than 1.2 million members through our high- quality health, life, disability, dental, vision and indemnity plans. We offer fully insured ... and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Implements and manages the… more
- Point32Health (Boston, MA)
- …Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** This Senior Actuarial Analyst will support the Medicare Part C Pricing work. The ... to everyone in our communities. At Point32Health, we are building on the quality , nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard… more
- Kepro (Albany, NY)
- …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 ... analysis relates to Provider Enrollment, Maintenance and Screening to ensure high quality . + Demonstrates advanced expertise and contributes to the Business Analysis… more
- Sanford Health (SD)
- …and support to all operating segments across Sanford. Responsible to review Medicare /Medicaid documentation to assist nursing centers in completing minimum data set ... (MDS) documentation to assure appropriate levels of Medicare and/or Medicaid reimbursement. Works with executive leadership, administrators, and facility staff in… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- American Academy of Pediatrics (Itasca, IL)
- …research, policy analysis, and medical liability/risk management. Reporting to the Sr Director, Child Health Financing Strategy, this role will research, develop, ... that impact pediatric healthcare financing, particularly those related to Medicaid, Medicare , value-based care arrangements, and other government programs such as… more