- AdventHealth (Maitland, FL)
- …Onsite** **T,F Remote - Altamonte Springs, FL** **The role you'll contribute:** A Medical Economics Analyst is responsible for supporting the Senior Medical ... care contracts, proposals, analyze fee schedules, and determine contract compliance. The Medical Economics analyst must have attention to detail and competencies… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** The Medical Economics Consultant is responsible for the development, coordination and ... management of medical economics analysis, models, health outcome studies and related forecasting and actual results analysis related to the portfolio of… more
- Gentiva (Mooresville, NC)
- …lasting difference in people's lives every day. **Overview** We are looking for a ** Medical Economics Analyst Senior** to join our team. This position will ... directly report to the Medical Economics Manager and is responsible for partnering with payers, providers and risk bearing entities to create a value based… more
- AdventHealth (Maitland, FL)
- …at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial ... proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in… more
- Fallon Health (Worcester, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Medical Economics Data/Financial Analyst will partner with Medical ... and analytical support for multiple regulatory filings. + Assist other Medical Economics team members on special projects or ad hoc requests. **Qualifications**… more
- CVS Health (Hartford, CT)
- …and affordable. **Position Summary** The Executive Analytics & Corporate Insights team in the Medical Economics Unit is seeking a medical economics ... professional with the primary role of evaluating internal and external medical cost trend and trend drivers across all four of Aetna's major lines of business… more
- CVS Health (Chicago, IL)
- …health care more personal, convenient and affordable. **Position Summary** As a Manager, Medical Economics , Medical Expense Review, you will define, develop ... to drive the decision making process for internal leadership related to Medical Economics - Medical Expense Review (MER) across assigned Medicaid Plans.… more
- Molina Healthcare (Richmond, KY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating… more
- Molina Healthcare (Florence, KY)
- **JOB DESCRIPTION** **Job Summary** Responsible for conducting analyses of insured medical populations with the goal of identifying opportunities to improve ... data sources to identify early signs of trends or other issues related to medical care costs + Draw actionable conclusions based on analyses performed + Work closely… more
- ChenMed (Miami, FL)
- …and prioritize opportunities, and spot trends + Extensive knowledge of healthcare/ medical economics data such as hospital/physician /ASC claims, utilization ... and we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights and analytical… more
- Healthfirst (NY)
- **Duties and Responsibilities** **Value new medical cost initiatives, applying financial modeling expertise and using independent judgement to determine the best ... of program savings.** **Provide data driven analysis to Finance, Claims, Medical Management, Network, and other departments to enable critical decision making.**… more
- Healthfirst (NY)
- …**Leverage leading analytical tools to generate insights that facilitate key decisions by department leadership.** **Create accurate reports or insightful and ... user-friendly dashboards that meet stakeholders needs and lead to business insights.** **Set delivery expectations accurately and communicate the status of high-priority items relentlessly.** **Identify and monitor cost and utilization trends and the root… more
- ChenMed (Detroit, MI)
- … Medical Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance + Sales and Growth The CMD ... Essentials + Medical Director Essentials and Center Operations + Medical Economics and Center Financial Performance + Driving Membership Growth + Spoken and… more
- AmeriHealth Caritas (Newark, DE)
- …resolution and negotiation. + Understanding of and expertise in quality improvement and medical economics . + Strong leadership skills. + Excellent analytical and ... ** Medical Director, LTSS (must reside in DE)** Location:...reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ID**: 34195 **Job Brief** Qualified candidates must… more
- CVS Health (Hartford, CT)
- …make health care more personal, convenient and affordable. **Position Summary** As a Medical Economics Senior Analyst you will support local market network teams ... on implementation and administration of Value Based Contracting (VBC) agreements. The Medical Economics Senior Analyst is essential for ensuring proactive… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …includes a variety of analytics to support various areas within the Actuarial, Medical Economics , and other financial reporting areas. Additionally, the leader ... in data trends, themes and findings, particularly cross the areas of medical economics , trend measurement, pricing, financial planning and informatics. +… more
- Molina Healthcare (Georgetown, KY)
- …Economics , Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + ... needed. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics , Computer Science **Required Experience** + 5-7 years increasingly… more
- The Cigna Group (Bloomfield, CT)
- …from our key matrix partners from Provider Contracting, Operations, Service Line, Medical Economics , etc. in developing and implementing the Contracting ... in support of administrative and accuracy objectives + Collaborates with Medical Economics , Operations, Provider Engagement, clients, and other functions… more
- The Cigna Group (Denver, CO)
- …communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics , Compliance, ... Cigna's competitive position. * Creates and manages initiatives that improve total medical cost and quality. * Drives change with external provider partners by… more
- The Cigna Group (Bloomfield, CT)
- …communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics , Compliance, ... Cigna's competitive position. + Creates and manages initiatives that improve total medical cost and quality. + Drives change with external provider partners by… more