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...
of that. It fuels our passion and drives every decision we make. Job Posting Title Compliance Analyst Sr--Medical Pharmacy... Specialty- REMOTE Job Description The Senior Compliance Analyst assists in the implementation of Prime’s compliance programs...
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/training.... In-depth knowledge of Medicare program instructions/regulations related to provider enrollment/issues. Required Software...
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...
Job Summary: The on-site Sr. Revenue Integrity Analyst reviews and revises accounts to achieve revenue enhancement... Editor, CPT/HCPCs Guide, CMS website, Medicare Manuals, etc. to resolve billing issues and promote regulatory compliance...
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...
achieve their best possible health and quality of life. Sr. Competitive Intelligence Analyst Plays a pivotal role.... Responsibilities Sr. Competitive Intelligence Analyst Competitive Analysis: Build and maintain competitive intelligence...
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...
with discretion. In-depth knowledge of pricing methodology and discount programs. In-depth knowledge of Medicare program instructions... Analyst. Provides leadership/guidance/direction/training to staff. Distributes work and is available to answer questions...
Purpose: The Senior Risk Management Analyst is responsible for providing oversight to the company's Workers... TPA expenses regarding assignment of outside claim investigators, nurse case management, physician reviews, Medicare/SCHIP...
across Point32Health business lines. The Data Analyst will assist in managing vendor relationships, monitoring risk adjustment program..., and evaluating vendor and program performance. This person will also provide the risk adjustment department with operational support...
Overview: The Senior Clinical Analytics Analyst designs complex analytics/reporting solutions and analyzes data... Strategic business decisions. The analyst will have direct responsibility for creating automated processes to facilitate report...
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. Medical Mutual’ s status as a mutual company means we are owned...
with the program Senior Business Analyst to complete impact assessments and provide support through the change control process... and formats. Creates detailed specifications from which programs will be written. As a Business Analyst and Product Owner...
and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make...). 4 years as a Developer, Data Analyst, or equivalent implementing technical solutions (data intake, stored procedures...
of that. It fuels our passion and drives every decision we make. Job Posting Title Senior Compliance Analyst (Regulatory... Complaints & Inquires) - Remote Job Description The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the...
and capabilities. The Sr. BI Programmer Analyst will have heavy interaction with our Business Analysts to ensure all requirements... processes. Healthcare background is a plus. Sr. Business Intelligence Programming Analyst Bachelor's Degree in Business...
of that. It fuels our passion and drives every decision we make. Job Posting Title Senior Compliance Analyst (Interpretation... and Advising) - Remote Job Description The Senior Compliance Analyst assists in the implementation of Prime’s compliance...
complex issues to the Sr Benefits Analyst. Handles calls from retirees and troubleshoots issues. Provides Summary Plan..., including ERISA, COBRA, FMLA, Section 125, and Medicare. Demonstrate a commitment to communicating, improving and adhering...