Senior Risk Adjustment Medicare Analyst - Harrisburg

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

+Job SummaryThe Medicare Executive Resolution Analyst is responsible for reviewing and responding to Medicare executive member complaints/appeals that are sent to the CEO, President, one of their direct reports as well as Better Business Bureau (BBB) and Congressional inquiries. ...

This position partners with the Risk Adjustment leadership team to support risk revenue management initiatives for Medicare and ACA programs. This role contributes to the strategic development and execution of risk adjustment submission analytics program management activities wit ...

This position partners with the Risk Adjustment leadership team to support risk revenue management initiatives for Medicare and ACA programs. · Analyze large datasets to identify trends, patterns, and insights related to coding output · Take ownership of complex data workflows by ...

This position acts as an operations and systems advisor, consultant, liaison and problem-solver for Government Programs Department. · The analyst uses knowledge of existing business practices, systems, procedures, policies, · and their inter-relationships to provide and ensure in ...

· Position Description · Base pay is influenced by several factors including a candidate's qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary range disp ...

Participate in business requirements gathering sessions and assist in providing inputs to define business requirements. · ...

This is a Healthcare Business Analyst position that will participate in business requirements gathering sessions and assist in providing inputs to define the business requirements. · ...

We are seeking a detail-oriented Benefits Support Analyst to support benefit-related data management, compliance processes, and operational activities. · Data Management & Auditing · Manage and audit benefits-related data in Workday to ensure accuracy and compliance · ...

This position acts as an operations and systems advisor for Government Programs Department.The analyst uses knowledge of existing business practices · ...

The CS Client Services Support Analyst is responsible to conduct research and provide problem-solving support to the Customer Service Department, Brokers and Sales serving the Small, Large and Major Market Groups as well as our Individual Account plans. · ...

The CS Client Services Pharmacy Support Analyst are part of the front-line team at Capital BlueCross( ...

We are seeking a detail-oriented Benefits Support Analyst to support benefit-related data management, compliance processes, and operational activities. · ...

Facets Solution Architect responsible for providing customer with application domain expertise related to Facets Medicare/Medicaid functionality. · Conduct requirements discovery sessions and lead design sessions with the objective of determining how best to architect solutions w ...

The Network Contract Analyst performs contract administration activities for Capital Blue Cross. This includes preparing contract settlements and ensuring that claims are paid in accordance with the provisions of the contracts. The analyst will also perform research and analytic ...

The CS Client Services Support Analyst is responsible to conduct research and provide problem-solving support to the Customer Service Department,Brokers and Sales serving the Small,Large and Major Market Groups as well as our Individual Account plans.This position is responsible ...

The CS Client Services Pharmacy Support Analyst are part of the front-line team at Capital BlueCross( ...

The Network Contract Analyst performs contract administration activities encompassing among other tasks the preparation of contract settlements to ensure that claims are ultimately paid in accordance with the provisions of the contracts and that the Plan payment levels are reason ...

This position involves analyzing data related to multiple business metrics. · The Healthcare Business Intelligence Analyst II will create and maintain databases to track business performance. · ...

The Healthcare Business Intelligence Analyst II will analyze data related to multiple business metrics, create databases, and develop recommendations.This role requires associates to work at an Elevance Health location at least once per week. · ...