Telecommute Jobs

Click here for details... Data Reporting Analyst UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards. Primary Responsibilities: Provide data analytics support for the migration of provider demographics and contracts from the legacy claim processing system of an acquired company or alliance to NDB. Be familiar with the legacy system and mapping its data fields to the appropriate NDB data fields. Use this knowledge, a suite of reconciliation reports will be written. These reports will identify the various data discrepancies between NDB and the l...

Click here for details... Medical Economics Sr Analyst JOB MISSION SUMMARY The dedication of talented and caring health care professionals drives the delivery of high quality, cost effective products and services. They make it possible for members to get the right health care treatment for their needs and for Aetna to keep its competitive edge. RESPONSIBILITIES/REQUIRED SKILLS/EXPERIENCE Job Responsibilities: As a member of the North Central Compensation Development team, you will have a key role in analyzing and financial modeling of provider reimbursements. Responsibilities include: Comparison intent of reimbursement v. actual reimbursement to assist in contract audit and identify opportunities for process improvement. Develop and maintain monthly financial reporting for claims and capitation payments, including monthly variance analysis. Financial analysis of physician reimbursement proposals Assist with Primary and Specialty Capitation payment operations. Research issues related to...