- Medical Mutual of Ohio (Brooklyn, OH)
- …Medicare Supplement, and individual plans. The Medicare Advantage Products Analyst plays an integral role in the product development of the ... the development and execution of Medicare Advantage product strategy and corresponding benefits. The Analyst ...the annual CMS Bid development in partnership with the Product Managers, ensuring the products are competitive,… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Medicare Appeals Analyst Supervisor is responsible for managing, supporting, and oversight of the Appeals and Grievance team; this includes ... upon the operational and strategic plans to achieve expected performance. The Medicare Appeals Analyst Supervisor provide leadership to direct reports and… more
- Providence (CA)
- …people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:** + Be responsible for developing and ... as well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare... product design impacts on financial performance for Medicare Advantage plans to optimize performance + Analyzing and… more
- Zelis (TX)
- Position Overview: The Medicare Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product team to further the company's goals by ... communicating rules, regulations, and procedures pertaining to public and private Medicare / Medicare Advantage payment systems. This position requires an in-depth… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …of benefits information and proactively resolving COB issues. **Job Title: Medicare Benefits Validation Analyst ** **Location: Pearland Administrative Office** ... benefits, customer service, and third-party coverage Preferred: Prior experience with Medicare Advantage including knowledge of regulations, products , and… more
- TEKsystems (Omaha, NE)
- …able to gather requirements, build out the road map, and run a successful product implementation. Need a technical business analyst with experience working in ... Position: Technical Business Analyst Duration: 12 month contract Location: Omaha, NE...Work Environment: REMOTE Job Description M UST HAVE previous Medicare Advantage or Affordable Care Act (ACA) and knowledge… more
- Wolters Kluwer (Riverwoods, IL)
- …teams in agile ceremonies and story grooming. **Qualifications:** + 3+ years as a Medicare /Medicaid Compliance Analyst - Revenue Cycle + 1+ years of EHR or ... the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims...and use cases. As a key member of the Product Management team, you will manage functional requirements and… more
- R1 RCM (Houston, TX)
- …systems to deliver quality work products to R1' s clients. The Medicare Advantage Analyst is primarily responsible for researching underpayments as they ... you will leverage your experience and expertise in complex Medicare Advantage payor methodology, payment screenings and experience maneuvering...relate to Medicare Advantage payor population and researching processing issues, examining… more
- Molina Healthcare (AZ)
- …design, programming, testing and implementation to ensures the released product meets the intended functional and operational requirements. **JOB QUALIFICATIONS** ... **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts,… more
- Prime Therapeutics (Eagan, MN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Product Analyst **Job Description** The Product Analyst is ... in Agile and working in an Agile environment across interdependent teams, the Product Analyst clearly communicates with cross functional teams, collaborating to… more