- Providence (WA)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:** + Be responsible ... bid pricing strategies as well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare Advantage plans to… more
- Mount Sinai Health System (New York, NY)
- …for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy ... and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst ** to analyze and report the financial performance… more
- Mount Sinai Health System (New York, NY)
- …and Medicare Contracts with Mount Sinai. The Contract Performance Analyst will be a liaison between Contracting, Population Health, Clinical Documentation and ... 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise. MSHP is a fast growing business unit within… more
- Convey Health Solutions (Fort Lauderdale, FL)
- Job Title: Senior Data Analyst Summary: The Senior Data Analyst will develop and maintain production-ready, client-facing visualizations to derive ... data visualizations from structured and unstructured data. * Collaborate with the Lead Analyst and Product team to support analytical architecture for optimal… more
- Point32Health (Canton, MA)
- …who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Senior Actuarial Analyst will support the financial Forecasting and ... Pricing needs for Medicare Supplement Products as well as the Forecasting and...include rate reviews, financial planning and projections, trend analysis, product development, provider reimbursement analysis, fee schedule development, provider… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Senior Pharmacy Analyst supports the operations the Pharmacy Care Management Dept. by working on a variety of assigned projects, reports, ... vendors. May be dedicated to primarily supporting a specific product line such as Medicare or Commercial. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Collects and… more
- CVS Health (Hartford, CT)
- …care more personal, convenient and affordable. **Position Summary:** The Dental Network Relations Senior Analyst , is the liaison between Aetna and an assigned ... as a resource for all dental products (DHMO, PPO, Medicare ) to DSO leadership and staff, providers, sales, and...understanding of Aetna's Dental Products and market position. The Senior Analyst negotiates provider contract language and… more
- Convey Health Solutions (Fort Lauderdale, FL)
- The Product Configuration Analyst is responsible for the implementation of system configuration and ongoing support to ensure successful delivery of technology ... system configuration that will result in optimum user experience and maximized product value * Assist the client management team with investigation and resolution… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... their best possible health and quality of life. **Sr. Competitive Intelligence Analyst ** **Plays a pivotal role in driving our competitive strategy by providing… more
- Prime Healthcare (Ontario, CA)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/164877/corporate- senior -government-reimbursement- analyst ... or Government Reimbursement experience with hospital system.3. Experience reviewing Medicare deductibles, coinsurance, and cost sharing.4. Strong analytical skills… more
- Henry Ford Health System (Troy, MI)
- …measures, Global RVUs, MARA risk scores, ACA markets, provider regions and product segments. Create dashboards, report packages and visualizations for HAP leadership ... implementation of strategic medical management and/or network management initiatives, product offerings or other strategic business programs through extraction,… more
- Point32Health (Boston, MA)
- …Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** This Senior Actuarial Analyst will support the Medicare Part C Pricing work. The ... key responsibilities for this role are pricing, rate filing ( Medicare Advantage Bid) development, strategic analysis, and other ad hoc projects. This role will also… more
- Evolent Health (Columbus, OH)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a ... Senior Analyst , Performance Analytics to join our...challenges in healthcare. By working closely with Data Science, Product , and Operations, you'll help identify opportunities to further… more
- Point32Health (Canton, MA)
- …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the oversight of the Senior Manager of Consulting and Operations, this individual will support the ... of risk adjustment strategy across Point32Health business lines. The Data Analyst will assist in managing vendor relationships, monitoring risk adjustment program… more
- Evolent Health (Columbus, OH)
- …mission. Stay for the culture. **What You'll Be Doing:** Evolent is seeking a Senior Analyst , Primary Care Performance Analytics to join our Primary Care ... significant challenges in healthcare. By working closely with Data Science, Product , and Operations, you'll help identify opportunities to further Evolent's mission… more
- Highmark Health (Columbus, OH)
- …industry. The work will support strategic initiatives and priorities for product development and implementation and/or market and competitive intelligence. Gather ... virtual health, industry trends), and lines of business (ex. ACA, commercial, Medicare Advantage, Medicaid). The work can include new research and updating existing… more
- CVS Health (Overland Park, KS)
- …all four of Aetna's major lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid). This position will support a wide range of ... all four major lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid); this suite of reporting includes Executive Dashboards… more