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
- DescriptionAs a Health & Benefits Analyst you will contribute to a wide variety of projects involving the design, financing and ongoing management... ..., Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group...SuggestedTemporary workWork at officeLocal areaVisa sponsorshipWork visaFlexible hours
$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...SuggestedLocal areaVisa sponsorship$129.3k - $177.8k
...Become a part of our caring community The Actuary, Analytics/Forecasting analyzes and... ...following insurance areas: o Medicaid o Medicare Advantage o Commercial insurance ~... ...include physicians, nurses, behavioral health specialists and more, spend up to 50 percent...SuggestedFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$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...SuggestedWork at officeLocal 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...SuggestedWork at officeLocal areaVisa sponsorship- Public Health Program Analyst, Prospect Infosys Inc., Nashville, TN Job Title: Public Health Administrator Location: Nashville, TN | Duration: Long Term | Rate: $35/hr on 1099 Responsibilities Handles moderately complex activities for a regulatory board necessary for...Work at office
- ...Clinical Quality Data Analyst This role serves as the primary analytics... ..., and value-based care programs. The Clinical Quality... ...ensuring compliance with Centers for Medicare & Medicaid Services (CMS), The... ...quality data from electronic health records (EHR), quality...
$34.29 per hour
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job builds and maintains hospital, professional, and ASC... ...the payor. ESSENTIAL RESPONSIBILITIES Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic....Contract workFor contractorsWork at officeLocal area$110k - $135k
...more connected, sustainable world. As a NEPA Analyst based in Nashville, Tennessee, you'll... ...Build transportation projects.#TennT #LI-AW1Our health and welfare benefits are designed to invest in you, and in the things you care about. Your health. Your well-being. Your security...Full timeLocal areaRemote work- ...Sony family of global companies.As an A&R Analyst with Sony Music Nashville, you will have... ...protection and resources for pets, mental health and meditation resources, industry-... ...neurodiversity, subsidized back-up child and elder care, and reimbursement for adoption,...Local areaAfternoon shift
$60k - $84k
...company match, paid holidays and vacation time, a company‑sponsored wellness program, EAP, access to virtual primary care and virtual behavioral health at no cost for team members and their dependents. Premise is an equal opportunity employer; we value inclusion and do...Hourly payFull timeBank staffWork at officeLocal areaRemote work$60k
...Rennert & Feldman ("GRF") is seeking a Royalty Analyst, ideally with experience handling complex... ...00 yearly Full-time Americans access the care and coverage they need.Through employers,... ...Operations & Workforce Management.Ardent Health is a leading provider of healthcare in...Full timeContract workWork at officeWork from home$37.87 - $59.63 per hour
...procedures. The RCO Revenue Integrity Analyst II is responsible for appropriate charge... ...Healthcare Regulations Process improvement Health Insurance CMS Problem solving... ...upon experience. $37.87 - $59.63 We care about your well-being – mind, body, and spirit...Hourly payWork at officeRemote workFlexible hours- ...system problems. Coordinate, maintain and update all ACA (Affordable Care Act) data in collaboration with vendor partners and Benefits... ...fees for all group plans. Oversee experience reports for the health and welfare plans; assist with analysis of the effectiveness of...Full timePart timeWork at officeFlexible hours
$25.39 - $40 per hour
...manner. Verifies data abstracted and entered from the electronic health record (EHR). Ensures integrity of the database for internal and... ...institution. Education is verified. Demonstrated acute care facility coding experience which includes both ICD-10-CM & PCS coding...Hourly payShift work- ...Overview Become a part of our caring community The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst, also known as a Senior Business Systems Analysis Professional, is an integral member of the Pricer Business and System Support team. This role is responsible...
- ...TITLE: Actuarial Analyst, Underwriting REPORTS TO POSITION: VP, Actuarial... ...system isn't designed for health. We're designed to change that... ...our elevated value-based care programs, we're revitalizing an... ...participating in CMS ACO models and/or Medicare Advantage contracts. Major...Remote work
$105k - $130k
...Senior Analyst, Life Sciences Consulting Company: Dedham Group Location: Remote, United States Date Posted: Apr 25, 2025... ...ID: R-410 Description About Us We set out to develop a health care innovation organization that could separate the background “noise...Full timeTemporary workLocal areaRemote workFlexible hoursShift work$79.1k - $158.2k
...applicable requirements, such as immunization and occupational health mandates. Range and benefit information provided in this posting... .... Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter...Temporary workRemote workFlexible hours- ...Job Locations US-TN-NASHVILLE Our Company SpringHealth Behavioral Health and Integrated Care Overview Contract Board Certified Behavior Analyst (BCBA) Nashville, TN | SpringHealth Behavioral & Integrated Care Looking for the flexibility of contract work without sacrificing...Contract workFlexible hours
$22.3 - $32 per hour
...***What Transportation Analytics contributes to Cardinal Health*** The Transportation Analyst is responsible for supporting 3pl clients, Warehouse Operations... ..., and costs.* Partners with our national customer care team to determine root causes of service level defects and...Hourly payTemporary workWork experience placementWork at officeLocal areaImmediate startMonday to FridayFlexible hours- ...Disability Coalition Benefits Analyst WorkAble TN Program/Tennessee... ...Disability Insurance (SSDI), Medicare and Medicaid benefits, Section... ...one of three employer-sponsored health plans, a dental plan, basic life... ...savings account, health care flexible spending account and...Extra incomeFull timeTemporary workLocal areaFlexible hoursAfternoon shift
- ...delivering respectful, compassionate care, and where the unique and... ...below: Senior Collections Analyst Job Summary and Qualifications... ...including HMO, PPO, Medicaid, Medicare, Auto and Workers'... ...rewards package that supports the health, life, career and retirement of...Contract workTemporary workWork experience placementWork from homeFlexible hours
- ...worth a thousand words, and as a Geospatial Intelligence Imagery Analyst for the Army National Guard, those words protect the lives of... ...Repayment Program (up to $50,000, for existing loans) ~ Health care benefits available ~ VA home loans ~ Bonuses, if applicable...Part timeWeekend work
$78k - $92k
...implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives.... ...a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave. Compensation...For contractorsH1bLocal area$129.3k - $177.8k
...Become a part of our caring community The Actuary, Analytics/Forecasting analyzes and... ...of people we serve to achieve their best health - delivering the care and service they need... ...a better quality of life for people with Medicare and Medicaid, families, individuals,...Full timeTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome office$31.83 - $63.65 per hour
...-World Evidence (RWE),and other Oracle Life Sciences and Oracle Health domains on oncology relevant opportunities Contribute to proposal... ...# Supplemental life insurance (Employee/Spouse/Child) # Health care and dependent care Flexible Spending Accounts # Pre-tax...Hourly payTemporary workWorldwideFlexible hours- Overview Ardent Health is a leading provider of healthcare in growing mid‑size urban communities... ...its subsidiaries, Ardent delivers care through a system of 30 acute care hospitals... ...SUMMARY: The Access Optimization Analyst supports organizational Access Optimization...Work at office
$18 - $22 per hour
...Description: The Information Management Analyst is responsible for applying technical and... ...ensuring qualified members receive Medicare reimbursements. Participate in GS1’s conference... ...Development Industries Hospitals and Health Care, Health and Human Services, and Insurance...Full timeWork visa$85k - $105k
...Overview What You’ll Be Doing Cadmus is hiring a Business Analyst for an ongoing directorate-wide financial, project, and staff management... ...the globe. We offer competitive compensation, outstanding health care and retirement benefits, a vibrant and collaborative work...Permanent employmentWork experience placementLocal areaWorldwide
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