- CVS Health (Overland Park, KS)
- …and affordable. **Position Summary** The Executive Analytics & Corporate Insights team in the Medical Economics Unit is seeking a medical economics ... with the primary role of evaluating internal and external medical cost trend and trend drivers across all four...of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid ). This position will support a wide range of… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Medicaid Program Manager 1--B Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4730894) Apply Medicaid Program Manager 1--B Salary ... is located within the Louisiana Department of Health / Medical Vendor Administration / Medicaid Enterprise Systems...of Work: To administer small and less complex statewide Medicaid program(s). Level of Work: Manager . Supervision… more
- Healthfirst (NY)
- …departments to enable critical decision making. + Develop savings analyses for Medical Economics cost trend reduction initiatives, applying financial modeling ... the impact of provider reimbursement changes. + Keep abreast of New York Medicaid and Medicare reforms and their impact on Healthfirst and their owner hospital… more
- Olympus Corporation of the Americas (Westborough, MA)
- …internal HTA agency processes + Previous successful track record of working in Health Economics & Market Access, Reimbursement for medical devices + Domestic and ... likely not legitimate._ **Job Description** The Director, Global Health Economics & Market Access is part of Health ...Manager at 1-888-Olympus (###). Posting Notes: || United States (US) || Massachusetts (US-MA) || Westborough || Medical … more
- Novo Nordisk (Plainsboro, NJ)
- About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... and implementing regulatory strategies with the FDA to providing medical education and collecting data to support efficacy and...difference? The Position The HEOR Strategy and Evidence Synthesis Manager will be part of the HEOR Evidence Synthesis… more
- Bristol Myers Squibb (Nashua, NH)
- …insurance coverage and reimbursement, inclusive of private Commercial coverage, Medicare, and Medicaid + Knowledge of health economics + Thorough knowledge of ... . **Summary:** The CAR T (Cellular Therapy) Market Access Manager (CMAM) is responsible for executing access and reimbursement strategies… more
- CareFirst (Baltimore, MD)
- …for members and providers who appeal on behalf of members for Maryland Medicaid , Maryland Medicare including (EGWP, DSNP, MAPD). Ensures quality management of the ... based on the member's health benefit contract and CareFirst Medical Policy and are compliant with State, Federal and...Worker Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred or + LNCC - Legal… more
- LA Care Health Plan (Los Angeles, CA)
- …medical record systems. Analytics experience in management, actuarial/healthcare economics , risk adjustment and quality improvement programs. Analytics experience ... Manager , Analytics Job Category: Accounting/Finance Department: Risk Adjustment...of Risk Adjustment models (eg CMS Medicare Advantage, HHS-HCC, Medicaid DxCG) Extensive knowledge of healthcare industry, Medicare Advantage,… more
- City of New York (New York, NY)
- …(CA), Supplemental Nutrition Assistance Program (SNAP), IREA, HASA and MISCA - Medical Assistance (MA). Fair Hearing New Initiatives & Quality Analysis (FHNIQA) unit ... resources and guidance for all new initiatives related to FIA, Medicaid , Advocate Inquiry, Office of Administrative Hearing (OAH), Office Program Performance… more
- Cedars-Sinai (CA)
- …Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. Join us! Discover why US News & World Report ... Hospitals. **What you be doing in this role:** The Manager , Compliance and Revenue Integrity (CRI) manages one or...+ Oversight of the team managing the Medicare and Medicaid RACs, government billed claims and inpatient stay reviews,… more
- AdventHealth (Rome, GA)
- **_Description -External_** **OR Nurse Manager ** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off from Day ... + Developed a regional center for the fields of medical care and education + In addition to its...the staff. **2.** **Financial Management -** Understands health care economics , public policy and finance as it pertains to… more
- AdventHealth (Lake Wales, FL)
- …of innovative therapies, new research, leading-edge technology and an extensive team of medical specialists. + Lake Wales is located in Central Florida in between ... Bok Tower Gardens and Bird Sanctuary. **The role you'll contribute:** The Nurse Manager (NM) is a registered professional nurse who has the most direct impact… more
- Boehringer Ingelheim (Ridgefield, CT)
- …related to 340B and Manage the 340B dispute process for either State Medicaid Program, Covered Entities and/or PBMs. + Participate in the LTF Development and ... from an accredited institution required. + Advanced degree certification in marketing, economics , finance, or related field is strongly preferred. + Minimum of five… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of the Actuary (OACT). As a ECONOMIST, GS-0110-13, you ... health insurance coverage, health behaviors and health status, and medical expenditures. Requirements Conditions of Employment Qualifications ALL QUALIFICATION… more
- Kedrion Biopharma (Fort Lee, NJ)
- …delivering key finance objectives within his/her area, working alongside KBI FP&A Manager , Melville Plant Controller, Senior Accounting Manager , Senior ... through pricing changes, Early Pay Discounts, Chargebacks, Government pricing ( Medicaid , Medicare, Tricare programs), Distributor Fees, Rebates, Data Fees and… more
- Idaho Division of Human Resources (ID)
- …TO BE CONSIDERED.* Do you want to improve health outcomes and ensure all Medicaid members have access to quality care?The Bureau of Population Health in the Division ... of Medicaid is seeking aResearch Analyst Principalto oversee data analytics...reports.This position will report to the Division's Population Health Manager and will work closely with colleagues throughout the… more
- CVS Health (Houston, TX)
- …of our office locations. CVS Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role you will ... provide complex analytics and reporting to support Medicaid Risk Adjustment to address business questions regarding population health management, health and economic… more
- Westat (Rockville, MD)
- …with others in multidisciplinary teams and may serve as project director, project manager , task lead or as an advisor on projects. Demonstrated experience working on ... Federal agencies such as the Centers for Medicare & Medicaid Services (CMS) is required. This position is eligible...and tasks simultaneously **Basic Qualifications:** * A PhD in economics , health services, social sciences, policy, or a related… more
- Mount Sinai Health System (New York, NY)
- …healthcare analytics required (with a Bachelors degree). * Health plan experience in Medical Economics or Value Based Payments preferred. **Additional Skills and ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Humana (Columbus, OH)
- …skills to make an impact** **Required Qualifications** + Master's degree in economics , statistics, applied mathematics, or a related quantitative discipline. + Three ... to problem-solving. **Preferred Qualifications** + Experience with Pharmacy Benefit Manager , Pharmacy, Health Insurance, or Healthcare data + Experience with… more