- The Cigna Group (Franklin, TN)
- …cost savings initiatives and policy changes within the commercial and/or Cigna Medicare population. + Work closely with teams of internal SME, project managers, ... cost trend reduction by data mining large datasets and using complex analytics and/or statistics to identify key drivers of medical trend and anomalous/outlier… more
- Cardinal Health (Hartford, CT)
- …and evaluating strategic opportunities for all lines of business including Medicare , Medicaid, and various commercial markets. The Advisor of Managed ... assessing customer needs, market conditions and competition to inform business strategy. Marketing implements the strategy through developing, commercializing and… more
- J&J Family of Companies (Titusville, NJ)
- …Access Insights and Analytics , GTN is responsible for being a trusted advisor across Commercial Excellence, Finance and Market Access. S/he will be focusing on ... business decisions. **Key Responsibilities:** Identify and build integrated analytics and models at the account and channel level....a focus on major channels such as MCO / Medicare Part D / Medicaid/ Chargebacks + Partner with… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The HR Business Partner serves as a strategic advisor and consultant to designated client groups, including Legal and Client Operations & ... mid-level role is critical in aligning people strategies with business objectives, fostering a high-performance culture, and driving organizational effectiveness.… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …for internal and external use. Designated staff may focus primarily on supporting the Medicare Advantage line of business . **NATURE AND SCOPE** + This role does ... will be required and any offer is contingent upon satisfactory drug testing results._ **JOB CATEGORY:** **Data Analytics /Warehousing, & Business Intelligence** more
- Highmark Health (Frankfort, KY)
- …effectiveness. This role works across Marketing, Digital, Sales, and Enterprise Analytics to translate business questions into analytical approaches, build ... :** Highmark Health **Job Description :** **JOB SUMMARY** The Senior Marketing Analytics Analyst plays a critical role in transforming customer, digital, and… more
- Humana (Tallahassee, FL)
- …decision-making, and cross-functional collaboration. The RVP acts as a key advisor , innovator, and relationship builder, ensuring alignment with Humana's mission and ... Medicare Advantage goals. **Primary Responsibilities:** Clinical Engagement & Provider...interventions, and ensure fiscal accountability. + Collaborate with finance, analytics , and market leadership to identify cost and quality… more
- Humana (Louisville, KY)
- …as a strategic advisor to the executive team, translating complex analytics into actionable business insights. **Execution & Impact:** + Drive execution ... care to Medicaid members. This role sits at the intersection of analytics , program effectiveness, and quality improvement for the Medicaid segment. Functions… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …planning for $1.3B health plan operations + Serve as principal financial advisor to President and governance committee on sustainability, benefit design, and ... captive insurance and risk retention strategies appropriate for $1B+ operations ** Analytics , Utilization & Value-Based Care** + Scale analytics infrastructure… more
- East Boston Neighborhood Health Center (Revere, MA)
- …reconciliation, risk adjustment, and cost allocation. + Serve as internal advisor on 340B/retail pharmacy strategy; oversee financial modeling, contracting, and ... agreements, value-based arrangements, and managed care contracts. Budgeting, Forecasting & Analytics + Lead development of the annual operating and capital budgets… more
- Humana (Baton Rouge, LA)
- …in a complex multi-cloud environment. This position serves as a strategic advisor and operational leader, collaborating with Application and Product Teams, Cloud ... infrastructure-enhancing system reliability, security, and compliance while enabling the business to deliver exceptional, patient-centered care. This leader will… more
- LA Care Health Plan (Los Angeles, CA)
- …Unit and Fraud, Waste and Abuse Job Category: Administrative, HR, Business Professionals Department: Special Investigations Unit Location: Los Angeles, CA, US, ... the Fraud, Waste, and Abuse (FWA) program, ensuring compliance with Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS), and… more
- Grifols Shared Services North America, Inc (New York, NY)
- …rep-enabled capability and an omnichannel approach to respond to customers, business and environmental needs of Marketing, Value Access, Operations, Analytics ... + Key Opinion Leader mapping and appropriate relationship with Grifols Medical Liaison. Business Acumen + Understand the major fluctuations a market can have and… more
- Community Hospital Corporation (Greenville, TX)
- …as a key advisor to the CEO and other executives on business development, operational efficiencies, and major strategic initiatives. + Assist in the development ... of the District. + Responsible for the financial evaluation of new business ventures, and/or capital and equipment acquisitions. + Direct the development,… more