Health Care Analyst (Medicare)
Roljobs Technology Services
Company DescriptionAbout Client:They help in transforming the leading organizations and communities around the world. Organizations infrastructure and culture is amazing. Best place!!Job DescriptionJob Title: Health Payer Technology Medicare ConsultantJob Level: Senior Level Job Description: THIS IS WHAT YOU WILL DO... You will be adapting existing methods and procedure to create possible alternative solutions to moderate complex problems.You will design and implement solutions that are Medicare complaint.You will be understanding the strategic direction set by senior management as it relates to team goals. WE ARE LOOKING FOR SOMEONE.!!Who holds 4 years of experience as a consultant!Who holds consulting experience in US Healthcare Payer market!Who holds 2+ years’ experience in US Payer operations & US Payer system implementations!Who is experienced in systems and processes required to support health plan!Who is currently in Medicare/ Medicaid!Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience!Who holds 2 years experience with Medicare systems and technologies with formal consulting!QualificationsWho holds 4 years of experience as a consultant!Who holds consulting experience in US Healthcare Payer market!Who holds 2+ years’ experience in US Payer operations & US Payer system implementations!Additional InformationAll your information will be kept confidential according to EEO guidelines.SummaryType: Full-timeFunction: ConsultingExperience level: Mid-Senior LevelIndustry: Management Consulting
$6,624.64 - $9,557.3 per month
...tasked with providing oversight of the mental health services and supports provided under the... ...Angeles County and increasing access to care. CMMD is adopting a streamlined structure... ...in and assists the Health Program Analyst III in developing standardized policies,...SuggestedFull timeContract workFor contractorsWork at officeFlexible hours$7,776.73 - $11,218.9 per month
...tasked with providing oversight of the mental health services and supports provided under the... ...Angeles County and increasing access to care. CMMD is adopting a streamlined structure... ...Leads, plans, and assigns, the work of analyst staff and administrative support staff...SuggestedContract workFor contractorsWork at officeFlexible hours- ...network performance analysis, reporting, and consulting. The Data Analyst-Health, Principal role will report to the Senior Director, Provider... ...Requires 10 years of experience in healthcare (managed care, academic, or government payer) Intermediate to advanced knowledge...SuggestedFull timePart timeWork experience placementWork at officeLocal areaWork from homeHome office2 days per week
- ...Ukraine. At SimplePractice, we are improving access to quality care by equipping health and wellness clinicians with all the tools they need to... ...onsites in both the US and Mexico. The Role As aSr. Data Analyst, Strategic Health Analytics, you will play a key role in supporting...SuggestedSummer workPrivate practiceWork from homeRelocation packageFlexible hours
$6,806.73 - $9,820.8 per month
...division under the Los Angeles County Department of Health Services (DHS). The State of California’s Department of Health Care Services (DHCS) is implementing the California... ...ODR’s CalAIM CS SeniorStaffAnalyst. The Staff Analyst will be responsible for planning, developing,...SuggestedContract workWork at officeFlexible hours- SCHARP - Southern California Health & Rehabilitation Program is seeking a Chart Analyst to support documentation quality and regulatory compliance across staff.... ...documentation and collaborative problem-solving with care teams. Responsibilities include monitoring chart...
$5,529 - $6,922 per month
Paralegal - Health Quality Enforcement Senior Legal Analyst Salary: $6,330.00 - $7,929.00 A Classification: SENIOR LEGAL ANALYST New to State candidates will... .... They manage cases and issues on behalf of health care oversight agency clients, including disciplinary actions...Permanent employmentFull timeTemporary workRemote workMonday to FridayFlexible hoursShift work$101.5k - $130k
DescriptionKey Responsibilities:The Health actuary is responsible for performing as the lead Health Practice technical resource providing... ...resource on Health and Welfare design, financing and managed care issues, providing colleagues both inside and outside the practice...Immediate start$148.2k - $292.3k
...transformation in a rapidly evolving market. This role offers the opportunity to work on high-impact engagements spanning the entire health care landscape and product types, focused on pricing, underwriting, forecasting, reserving, and value-based care. Our Human Capital...Local areaVisa sponsorship$100.4k - $197.9k
...Consultant and help clients address complex challenges across the health care ecosystem. In this role, you will support strategic and... ...design, and cost of care initiatives to drive performance Review Medicare Advantage (MA) and Part D bid submissions for accuracy and consistency...Work at officeLocal areaVisa sponsorship$128k - $252.5k
...opportunity to work on high-impact engagements spanning the entire health care landscape and product types, focused on pricing, underwriting,... ..., network changes, or other detailed claims analytics Review Medicare Advantage and Part D bid submissions for accuracy and...Work at officeLocal areaVisa sponsorship- Heluna Health is seeking a contract management professional to oversee monitoring of OPOP contracts and ensure programmatic and fiscal compliance. You will guide agencies, develop performance metrics, and coordinate data reporting with DMH stakeholders. The role emphasizes...Contract work
- County of Los Angeles- Statistical Analyst, Health Service SELECTION REQUIREMENTS: Bachelor's degree or higher from an accredited institution* with specialization in a Health Science, Behavioral Science, Biological Science or Statistics, including two semester or three...
- Los Angeles Regional Reentry Partnership is seeking a Health Program Analyst I to assist with pre-release diversion processes for the ODR Housing program. This role involves conducting assessments, documenting clinical summaries, and liaising with justice partners. The...
$82k - $102k
Join to apply for the Conflicts/Intake Analyst role at Manatt, Phelps & Phillips, LLP 2... ...type Full-time Job function Job function Health Care Provider Industries Law Practice Referrals... ...Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid) Los Angeles...Permanent employmentFull timeContract workWork at officeLocal areaFlexible hoursShift work$56.84 per hour
...Description Los Angeles County Department of Public Health Substance Abuse Prevention and Control (SAPC) Senior Health Analyst Position: Hourly Hourly Rate: $56.84... ...technology and focusing on quality client care and outcomes. This position will manage examination...Hourly payContract work- ...Senior Health Equity Analyst/ Data Intelligence Analyst Grow your career at Cedars-Sinai! Building on a legacy of innovation, Cedars-Sinai... ...evolving breakthroughs in AI technology to enhance patient care, improve efficiency, advance scientific discovery, and cultivate...Remote job
$101.5k - $130k
...Responsibilities Perform as the primary or secondary consultant on Health Practice projects related to financial/actuarial modeling,... ...technical resource on Health and Welfare design, financing, and managed care issues, providing actuarial perspective to colleagues;...$101.5k - $130k
Segal is seeking an experienced actuary in Glendale, California, with 6+ years of health actuarial experience, preferably in managed care. Responsibilities include consulting on Health Practice projects, providing actuarial insights, and supporting data analysis and model...- SimplePractice is seeking a Senior Data Analyst, Strategic Health Analytics, to support Clinical and Commercial growth through rigorous, evidence-based analysis. You will blend technical problem-solving with strategic thinking and deliver clear, decision-ready narratives...
$93.5k - $187k
Health Actuary Manager Mercer is looking for a Health Actuary Manager. This role will be... ...Create deliverables and provide direction to analysts and associates, while serving as one of... ...contracts, or projecting health care related costs, in order to ensure actuarial...Minimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- A state law enforcement agency in California is seeking a Paralegal - Health Quality Enforcement Senior Legal Analyst to provide comprehensive legal support in health-related litigation. This role involves high-level case management, drafting legal documents, and collaborating...
- About the job Health Data Analyst (Remote) The Health Data Analyst provides information, analyses, and consultation to internal and external... ...and new products May be responsible for Centers for Medicaid/Medicare Services reporting and analysis, including the management of...Remote jobWork experience placementVisa sponsorshipWork visa
- Heluna Health in Los Angeles seeks a Junior Research Analyst to support data management, reporting, and evaluation of maternal and child health programs. You will manage datasets, ensure data quality, and assist with dashboards and grant reporting. The role requires strong...Work at office
- A healthcare consulting firm is seeking a Remote Health Data Analyst to provide critical insights and analytics for pharmacy benefits. The ideal candidate should have a degree in Mathematics or Finance and 2 years of relevant experience in pharmacy benefits management....Remote job
- SourcePro Search in Santa Monica, CA is seeking a Benefits Analyst to research, analyze, and administer US benefit plans, including health, life, disability, and retirement programs, while handling leaves of absence. You will respond to benefit inquiries, partner with third...
$112.3k - $142.43k
...at least 1 year as an Associate Principal Analyst. Demonstrated ability to work... ...employee wellness, FINRA provides comprehensive health, dental and vision insurance. Additional... ...short- and long-term disability, long-term care, business travel accident, disability and...Full timeTemporary workFor contractorsWork experience placementFor subcontractorLocal areaImmediate start- DescriptionAre you passionate about improving patient care through data, analytics, and system-wide improvement? The Clinical Audit Specialist... ..., and clinical leaders, this role leverages electronic health records, clinical documentation, workflow analysis, and data-driven...Work experience placement
$82.3k - $152.8k
....We have an opportunity for a Senior SAP Analyst - Global Trade Services (GTS). You will report... ...is required for go-lives and hyper-care to a Pentair facility. **You will: Partner... ...you and your family healthy and protected, health benefits, a generous 401(k), employee...Permanent employmentFull timeRemote workWorldwide$87.5k - $133.45k
...equity, M&A, finance, real estate, tax, antitrust, life sciences, health care, intellectual property, litigation & enforcement, privacy &... ...an equal opportunity employer. Overview The Conflicts Analyst supports the firm's critical risk management function by performing...Work at officeMonday to FridayFlexible hoursShift work
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