• Medicaid Program Manager 1--A

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    Medicaid Program Manager 1--A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4670594) Apply  Medicaid Program Manager 1--A Salary ... within the Bureau of Health Services Financing (BHSF) that reports directly to the Medicaid Program Manager 1 B. This section is responsible for oversight of… more
    Louisiana Department of State Civil Service (09/25/24)
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  • Manager , Medical Economics

    CVS Health (Hartford, CT)
    …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
    CVS Health (09/18/24)
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  • Medicaid Program Manager 2

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    Medicaid Program Manager 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4672063) Apply  Medicaid Program Manager 2 Salary ... Function of Work: To administer medium size and moderately complex statewide Medicaid program(s). Level of Work: Manager . Supervision Received: Broad from… more
    Louisiana Department of State Civil Service (09/27/24)
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  • Director, Global Health Economics & Market…

    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
    Olympus Corporation of the Americas (08/23/24)
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  • Sr Mgr, Medical Economics

    CVS Health (Chicago, IL)
    …to make health care more personal, convenient and affordable. **Position Summary** As a Manager , Medical Economics , Medical Expense Review, you will ... drive the decision making process for internal leadership related to Medical Economics - Medical Expense Review (MER) across assigned Medicaid Plans. The… more
    CVS Health (09/15/24)
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  • CVICU Assistant Nurse Manager Days

    AdventHealth (Tavares, FL)
    …32778** **The role you'll contribute:** **GENERAL SUMMARY** **:** **The Assistant Nurse Manager is a registered professional nurse who supports the Nurse Manager ... positive employee relations, and compliance with hospital guidelines. The Assistant Nurse Manager is skilled in coaching, mentoring, and leading a professional and… more
    AdventHealth (09/24/24)
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  • CVICU Assistant Nurse Manager Nights

    AdventHealth (Tavares, FL)
    …WATERMAN WAY, Tavares, 32778** **The role you'll contribute:** The Assistant Nurse Manager is a registered professional nurse who supports the Nurse Manager ... relations, and compliance with hospital guidelines. The Assistant Nurse Manager is skilled in coaching, mentoring, and leading a...Delivery** - Utilizes a working knowledge of health care economics and healthcare public policy as it applies to… more
    AdventHealth (09/24/24)
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  • Manager , Compliance & Revenue Integrity

    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
    Cedars-Sinai (09/25/24)
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  • Sr. Financial Planning & Analysis Manager

    New York eHealth Collaborative (Albany, NY)
    Sr. Financial Planning & Analysis Manager Job Details Job Location Albany Office - Albany, NY Salary Range $115,000.00 - $130,000.00 Description New York eHealth ... Collaborative: Sr. Financial Planning & Analysis Manager (Albany, NY) New York eHealth Collaborative (NYeC) is...provides services to support the State's public health and Medicaid efforts. Position Summary: NYeC is seeking a Sr.… more
    New York eHealth Collaborative (08/22/24)
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  • Senior Manager , Network & Provider…

    Point32Health (FL)
    …degree required; master's degree in business administration, health policy, health economics , health services research, management science, medical sociology, or ... of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations,...health status risk adjustment. + Knowledge of Medicare and Medicaid reimbursement is a plus + Must have the… more
    Point32Health (09/11/24)
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  • Manager Business Intelligence

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Manager , Business Intelligence for Membership and Plan Services will support the account services, ... business decision makers within the business and drive results. The ** Manager , Business Intelligence** will utilize various tools, technologies, applications and… more
    Humana (09/27/24)
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  • Senior Nurse Manager PCU

    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
    AdventHealth (09/10/24)
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  • Operations Analyst and Manager

    Mount Sinai Health System (New York, NY)
    …Experience working in a health plan or consulting actuarial, financial reporting or medical economics departments highly valuable. + Experience as a nurse ... such as IDX, Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR,… more
    Mount Sinai Health System (07/26/24)
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  • Manager , Contracts Compliance

    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
    Boehringer Ingelheim (08/15/24)
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  • Medical Director, LTSS (must reside in DE)

    AmeriHealth Caritas (Newark, DE)
    …resolution and negotiation. + Understanding of and expertise in quality improvement and medical economics . + Strong leadership skills. + Excellent analytical and ... clinically sound services to all Enrollees by associates and Providers. + Serves as medical advisor and manager for all clinically related activities. + Assures… more
    AmeriHealth Caritas (08/08/24)
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  • Audit Evaluation & Review Analyst

    MyFlorida (Tallahassee, FL)
    …the background screening of facility owners, administrators, personnel, and Medicaid providers, and other personnel working with Florida's vulnerable population; ... Work You'll Do: The incumbent in this position will report directly to the manager of the Financial Analysis Unit and performs the following duties: PFA - Perform… more
    MyFlorida (09/29/24)
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  • Senior Contracting Analyst

    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
    Mount Sinai Health System (09/06/24)
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  • Director/Senior Director, US Policy and Global…

    ConvaTec (Bridgewater, NJ)
    Pioneering trusted medical solutions to improve the lives we touch: Convatec is a global medical products and technologies company, focused on solutions for the ... The role will also include working closely with our Medical and Clinical Affairs (MACA) team to recommend clinical...Access and Reimbursement Leadership:** + Work with AWC General Manager and leadership team to lead to predict and… more
    ConvaTec (08/28/24)
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  • Reporting Analyst

    HCA Healthcare (Earth City, MO)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
    HCA Healthcare (09/26/24)
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  • Senior Economist

    Humana (Columbus, OH)
    …(when experienced enough to do so). **Required Qualifications** + PhD in Economics , Econometrics, or related OR Statistics, Applied Mathematics, or a related ... iterate on models. **Preferred Qualifications** + Experience with Pharmacy Benefit Manager , Pharmacy, or Healthcare data, in particular drug utilization, claims,… more
    Humana (09/21/24)
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