- 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
- Humana (Richmond, VA)
- …national medical leadership and strategic vision and direction for the Group Medicare business . Key responsibilities include: + Executive oversight of the ... put health first** The Chief Medical Officer (CMO), Group Medicare leads and is accountable for the clinical performance...that will impact long term strategy and ensure the business division exceeds outcomes related but not limited to… more
- Humana (Columbus, OH)
- …those customers at the center of everything it does. The Strategy Advancement Advisor provides data-based strategic direction to identify and address business ... business intelligence and strategic planning support for business segments or the company at large. The Strategy...segments or the company at large. The Strategy Advancement Advisor works on problems of diverse scope and complexity… 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
- Baylor Scott & White Health (Frankfort, KY)
- …actionable insights for stakeholders. The ideal candidate combines strong technical analytics capabilities with excellent healthcare business acumen and ... and reporting to stakeholders across all lines of business (Commercial, DTE, Medicare , and Medicaid). Candidate...FUNCTIONS OF THE ROLE** + Serves as a trusted advisor to clinical, financial, and operational business … 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 (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
- 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
- Howard University Hospital (Washington, DC)
- …with healthcare regulations and payer requirements. This role serves as a strategic advisor to the CEO, Board of Directors, and executive leadership team, supporting ... Provide strategic financial leadership and serve as a key advisor to the CEO and Board of Directors. Lead...reporting in compliance with GAAP and healthcare regulations. Oversee Medicare , Medicaid, and other regulatory cost reporting and external… 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
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