Senior Medicare/Medicaid Encounter Data Lead
Humana
Humana Inc is seeking a Senior Encounter Data Management Professional in Providence, RI. This position drives quality and compliance in encounter data operations, leading a team to enhance data accuracy and operational performance. The ideal candidate will improve processes, analyze trends, and support strategic initiatives aimed at increasing submission acceptance rates. Responsibilities include acting as a subject matter expert on Medicare and Medicaid, coaching team members, and presenting performance results to stakeholders. #J-18808-Ljbffr Humana
$94.9k - $130.5k
...Become a part of our caring community The Encounter Data Management Lead is responsible for leading AI-driven reconciliation and automation... ...leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel,...SuggestedFull timeTemporary workFor contractorsApprenticeshipRemote workWork from homeHome office$90k - $105k
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...Federal Reporting Understand Medicare data, data design, and... ...analytic designs for Medicare and Medicaid solutions Partner with data... ...financial, provider, and encounter data ~ Knowledge of CMS requirements... ...your potential at a company leading the way in AI and cloud...SuggestedTemporary workWork experience placementFlexible hours- ...firm is looking for an experienced professional to join their team in Cranston, Rhode Island. The role requires a strong background in Data Warehouse/Business Intelligence, specifically with Data Stage and Oracle PL/SQL (11g). Candidates must have at least 7 years of...SeniorFull time
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- ...a part of our caring community The Senior Encounter Data Management Professional drives encounter... ...and acceptance rates. The position leads complex initiatives, solves... ...team of 2-5 associates and oversees Medicare and Medicaid encounter data operations. This role...SeniorBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome office
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Citizens Bank is looking for a Data Lead to oversee the end-to-end delivery of data architecture and modeling. The role involves shaping data solutions for analytics and operational use cases while maintaining data governance. Applicants should have strong experience in...Work at officeRemote work$169.58k - $232.05k
HDR is seeking a Power Generation Data Center Lead to be part of our Power Generation Practice. The person will work with our national Power, Power Generation and Technology practice leaders to serve existing clients and develop new clients globally. The ideal candidate...Full timeTemporary workPart timeWork at office- Lifespan in Providence, Rhode Island is searching for an expert in pharmacy data science to lead strategic development and systems integration. This role requires a Bachelor's degree and five or more years of relevant experience. The successful candidate will oversee data...
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$143k - $243k
...the future of pharmacy with us. Senior Principal Actuary - REMOTE Job Description... ...on pricing initiatives, data analyses, and the RFP process. Lead, manage and review ad hoc complex... ...Previous experience pricing Commercial, Medicare or Medicaid lines of businesses. Previous...SeniorRemote jobWork experience placementLocal areaVisa sponsorshipWork visa- Humana Inc is seeking a Data Product & Strategy Lead to enhance automation across healthcare segments. In this pivotal role, you will utilize data analysis to identify automation opportunities that deliver measurable value. The position involves collaboration with various...Remote jobFull time
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A leading pharmacy benefit manager is seeking a Senior Principal Actuary to provide actuarial direction and thought leadership. This remote role requires a bachelor's degree in a relevant field and 10 years of experience in actuarial work, along with an ASA or FSA designation...SeniorRemote work$98.57k - $165.95k
The Hispanic Alliance for Career Enhancement is looking for a Sr. Manager in Business Analysis to drive data science solutions for internal clients. You will work on transforming data into actionable insights and collaborating with business partners to develop statistical...SeniorFull time$152.07k - $202.76k
...the trusted network for the AI‑powered world, connecting people, data, and applications through our expansive fiber network and... ...communicated through official company email addresses. If you encounter any job offers that request payment in exchange for employment...Temporary workRemote 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...Senior
$112k - $140k
Datavant is seeking a Customer Security Assurance Specialist to join our Information Security Governance, Risk, and Compliance team in Providence, RI. This role involves coordinating responses to customer inquiries, conducting technical assessments, and developing security...- Kids II Inc. is looking for a Sr. Principal Industrial Designer to shape future products that delight parents and babies. You will create innovative designs using consumer insights, ensuring excellence in form and function. The role involves collaboration across teams and...Senior
$78.4k - $107.8k
...our caring community The Senior Provider Contracting Professional... ...analysis of situations or data requires an in-depth... ...Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through... ...quality of life for people with Medicare and Medicaid, families, individuals,...SeniorFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$184.8k - $254.1k
...Claims Analytics & Analysis will lead a high‑impact analytics... ...warning signals from claims data and operational metrics before... ...actions. Deliver effective senior executive level... ...quality of life for people with Medicare and Medicaid, families, individuals, military...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- CVS Health is looking for a Project Manager in Rhode Island to lead IT projects focused on data engineering and analytics. The role involves collaborating with various teams to enhance patient outcomes and improve efficiencies while ensuring all projects are completed...SeniorRemote job
$130.4k - $163k
.... This position reports to the Executive Director, Clinical Data Management, Oncology and is part of the Oncology Data Management... ...(written, verbal, electronic, etc.) that an employee encounters is considered confidential, in accordance with applicable law....Work at officeRemote workWorldwideFlexible hours- Humana Inc in Providence, Rhode Island, is seeking a Sr. Medicare Provider Hospital Reimbursement Analyst. This integral role involves administering complex Medicare provider reimbursement methodologies and collaborating with various business teams. The ideal candidate...Senior
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