and continuous improvement. To achieve this, we're looking for a Professional, Sr. Risk Adjustment Analyst to join #TeamMVP... required Knowledge of CMS risk adjustment and reinsurance payment processes and audits for Medicare and Commercial programs...
and continuous improvement. To achieve this, we're looking for a Professional, Sr. Risk Adjustment Analyst to join #TeamMVP... required Knowledge of CMS risk adjustment and reinsurance payment processes and audits for Medicare and Commercial programs...
. We are looking to add a Data Analyst to our SGS team of talented professionals. What you'll do: The position requires the individual to conduct... research on Medicare claims data and other sources of information to identify problems, review sophisticated data model output...
Overview: Medicaid/Medicare Program Integrity Analyst II - REMOTE The Medicaid/Medicare Program Integrity Analyst... aberrancies in Medicare and Medicaid claims data, and proactively seeks out and develops leads/investigations received...
and enhancing member acquisition. Co-op Job Description: The Medicare Sales Analyst Co-op will support the day-to-day operations...Department Overview: The Medicare Broker Sales team drives enrollment growth through strategic partnerships...
Medicare FFS and other expense forecasting Assist with developing probability tables based on analysis of statistical data... to estimate outcomes. In this Sr. Actuarial Analyst role, you will: Apply knowledge of mathematics, probability, statistics...
is preferred Knowledge of ACA, Medicare, and TPA business requirements is a plus. Skills/Abilities: Excellent data...JOB SUMMARY The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter...
, procedures and processes. Perform Medicare Coverage Analysis (MCA) for sponsored research projects. Configure studies... in a Clinical Trial Management System (CTMS) to guide users in accurate data recording to prevent billing errors, ensuring data...
, financial, or economic data. Leads internal audit process, reviews audit results, and engages with auditors to resolve... unit financial information by reviewing evaluation of financial trends, data analysis reports, and forecasts of income...
and operational knowledge (especially Medicare Advantage), strong technical skills (e.g., SQL, data and document management platforms... strategy, roadmap, and delivery of Medicare's risk adjustment models. This role requires a combination of healthcare clinical...
internal and external data and trends to identify areas of risk and/or opportunity, in partnership with HCE... and others Partners with Clinical Affordability Value Business Analyst, HCE and M&R Finance to analyze year over year gross...
to complaint analyst, data analysis and investigator teams. Activities include logging cases, filing and general clerical support...Responsibilities SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation...
stakeholders. Support the Sales Reporting Analyst with compensation data and analytics to ensure timely and accurate broker..., activation/suspension/termination data, and system access (e.g. unique IDs, security compliance) Manage all agency post...
differential is added in certain positions. Responsibilities: Position Overview: The Quality Data Analyst – Epic leads the...’s degree in Healthcare Administration, Public Health, Data Science, Nursing, Finance, or related field Five (5) years...
Health Plan is seeking a dedicated and experienced Senior Health Data Analyst to join our team on a full-time, regular basis.... The Senior Health Data Analyst is a key member of the team and serves as a strategic partner to various functional areas...
modeling, etc. to detect aberrancies in Medicare/Medicaid claims data, and proactively seeks out and develops leads and cases... in provider, beneficiary, law enforcement, or staff training as related to Medicare/Medicaid fraud, waste and/or abuse data...
and Data Protection Analyst will support Independent Health’s data protection, privacy, and information governance programs..., and other applicable laws. The analyst will help drive improvements in privacy and data protection practices and serve as a resource...
:DIV SF:LJN SF:IHE Sr Data Reporting Analyst, The Graduate School Date: Jul 17, 2025 Location: Cincinnati, OH... techniques, e.g. statistical analysis, explanatory and predictive modeling, data mining to create high quality reports to be used...
Data Analyst REMOTE Top 3 Skills Required 1. Healthcare payer IT experience 2. Solid SQL/data querying skills... to pull data and compare with other sources 3. familiarity with Medicare Advantage is a plus Role description 路 Work...
Job Title: Data Analyst Healthcare Payer Location: Orange County, CA (Onsite) Employment Type: Full-time Contract... Job Overview: We are seeking a highly analytical Data Analyst with strong experience in the healthcare payer domain. The ideal...