• Technical Business Analyst

    TEKsystems (Omaha, NE)
    Position: Technical Business Analyst Duration: 12 month contract Location: Omaha, NE Work Environment: REMOTE Job Description M UST HAVE previous Medicare ... Previous experience working on enrollment and customer service within Medicare Advantage. + Experience working in advanced Excel, CMS,...map, and run a successful product implementation. Need a technical business analyst with experience… more
    TEKsystems (02/05/25)
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  • Medicare Products Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …as Medicare Advantage, Medicare Supplement, and individual plans. The Medicare Advantage Products Analyst plays an integral role in the product ... Medicare Advantage product strategy and corresponding benefits. The Analyst will be instrumental in the building of plan...analysis or data analysis. + 2 years in a Medicare Advantage organization preferred. ** Technical Skills and… more
    Medical Mutual of Ohio (01/29/25)
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  • Medicare Benefits Validation Analyst

    Kelsey-Seybold Clinic (Pearland, TX)
    …of benefits information and proactively resolving COB issues. **Job Title: Medicare Benefits Validation Analyst ** **Location: Pearland Administrative Office** ... experience, certifications, etc.)** **Qualifications** **Education** Required: Bachelor's degree in business or healthcare administration Preferred: N/A **Experience** Required: 5… more
    Kelsey-Seybold Clinic (01/25/25)
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  • Medicare Advantage EDI Analyst

    UCLA Health (Los Angeles, CA)
    …this and more at UCLA Health. As an important member of our Medicare Advantage Operations team, you will be instrumental in maintaining and running processes/jobs ... for claim encounter data submissions and the coordination of business transactions for all HIPPA/CMS standard sets. You will...more years of experience with CMS processes in a Medicare or managed care environment * Must have 3-5… more
    UCLA Health (01/15/25)
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  • Actuarial Analyst - Medicare Part D

    CVS Health (Atlanta, GA)
    …a high-performing actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage and Prescription Drug Plan business . This position will ... quantitative skills and analytical methods to support Part D business needs. + Foster strong technical skills...proficiency in Excel Preferred Qualifications + Prior Pharmacy or Medicare Part D experience + Experience with SQL, SAS,… more
    CVS Health (01/31/25)
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  • Sr Analyst , Business - Member…

    Molina Healthcare (AZ)
    …in Project Management + Experience working with complex, often highly technical teams **Preferred License, Certification, Association** Certified Business ... **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to… more
    Molina Healthcare (01/25/25)
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  • Business Systems Analyst II-IV

    Medical Mutual of Ohio (Brooklyn, OH)
    …Computer Science, business or related field. + 2 year's experience as a business analyst . Technical Skills and Knowledge: + Advanced understanding of ... or related field. + 5 year's experience as a business analyst . + 1 year of experience...analyst . + 2 year's experience in project management. Technical Skills and Knowledge: + Advanced understanding of system… more
    Medical Mutual of Ohio (11/19/24)
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  • Clinical Quality Data Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …improve care and health plan quality ratings across all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid).** **Collaborates with ... care and health plan quality ratings across all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid).** **Promotes collaboration… more
    Medical Mutual of Ohio (12/08/24)
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  • Business Workflow Analyst I, Quality…

    BeneLynk (Detroit, MI)
    …conjunction with BeneLynk's Manager of Business Analysis, Quality Assurance, the Sr. Business Analyst - Quality Assurance, and the Engineering (ENG) team to ... collaborative team structure, and in working with colleagues across technical , business , and operational departments. This cohort... Business Analysis, Quality Assurance and the Sr. Business Analyst - Quality Assurance regarding QA/UAT… more
    BeneLynk (12/11/24)
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  • Business Intelligence Programmer…

    Medical Mutual of Ohio (Brooklyn, OH)
    Medicare Advantage, Medicare Supplement, and individual plans. The Business Intelligence Programmer Analyst is responsible for transforming business ... Business Intelligence Programming Analyst II Independently transforms business requirements into BI technical solutions that efficiently enable analytics… more
    Medical Mutual of Ohio (12/04/24)
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