• Manager , Medical Economics

    Molina Healthcare (Columbus, OH)
    …strategic analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical ... well as project work plans to meet reporting needs of the Medical Economics Team. Responsible for staff time keeping, performance coaching, development, and… more
    Molina Healthcare (01/21/25)
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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 (11/22/24)
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  • Mgr, Health Economics Reimbursement…

    Edwards Lifesciences (Irvine, CA)
    …raising awareness, our Marketing teams build lasting, trusted relationships with medical professionals and industry stakeholders to ensure patients can receive the ... is a great opportunity to join a Global Health Economics & Reimbursement (GHER) team that is playing a...Heart Valve (THV) business at Edwards Lifesciences. As a Manager of Coverage and Payment policy, you will assist… more
    Edwards Lifesciences (12/20/24)
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  • Senior Health Economics Analyst

    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
    ChenMed (12/06/24)
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  • Medicare Risk Adjustment Advanced Analyst…

    Elevance Health (Norfolk, VA)
    …in a quantitative discipline such as statistics, computer science, cognitive science, economics , or operations research, a minimum of 3 years direct experience ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
    Elevance Health (01/10/25)
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  • Electric Program Manager

    Silicon Valley Power (Santa Clara, CA)
    **Electric Program Manager ** Print (https://www.governmentjobs.com/careers/cityofsantaclaraca/jobs/newprint/4735840)  **Electric Program Manager ** Salary ... Positions: Silicon Valley Power is recruiting to fill various Electric Program Manager positions in the following specialties: - Customer Engagement - Distributed… more
    Silicon Valley Power (11/22/24)
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  • Finance Manager , Amazon One Medical

    Amazon (Seattle, WA)
    …mental health concerns have been delighting people for the past fifteen years. Amazon One Medical is hiring a Finance Manager (FM) for our Senior Health Value ... to be Earth's most Customer-centric company, and that now extends to Healthcare. One Medical is a primary care solution challenging the industry status quo by making… more
    Amazon (11/30/24)
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  • Manager , Business Intelligence

    Humana (Columbus, OH)
    …supporting Humana's Service Operations. The Data & Analytics team is seeking a Manager , Business Intelligence to solve complex business problems and issues for the ... Medicare organization using data from internal and external sources...and external sources to provide insight to decision-makers. The Manager , Business Intelligence works within specific guidelines and procedures;… more
    Humana (01/22/25)
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  • Corporate Strategy Analyst III-Lead

    Medical Mutual of Ohio (OH)
    …self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s status as a ... Founded in 1934, Medical Mutual is the oldest and one of...partners. The analyst's work assignments are directed by the Manager of Corporate Strategy. Work requires critical thinking, motivation… more
    Medical Mutual of Ohio (12/06/24)
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  • Senior Manager , Payer Contract Analytics…

    AbbVie (Mettawa, IL)
    …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... across multiple channels of pharmaceutical businesses such as the Commercial Insurance channel, Medicare and Medicaid Channels. The role is a meld of Analytics and… more
    AbbVie (01/17/25)
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  • Risk and Compliance - Healthcare - Senior…

    Robert Half (Boston, MA)
    JOB REQUISITION Risk and Compliance - Healthcare - Senior Manager LOCATION BOSTON ADDITIONAL LOCATION(S) NEW YORK CITY, SAN FRANCISCO, SEATTLE JOB DESCRIPTION You ... Protiviti is looking for a Risk and Compliance Senior Manager to join our growing Healthcare team. Protiviti's Financial...healthcare payer regulations and guidance with emphasis on the Medicare Managed Care Manual. + Expertise of core business… more
    Robert Half (01/20/25)
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  • Clinical Value Program Manager , HCS

    Molina Healthcare (WI)
    …with Molina enterprise Clinical Operations and Health Plan healthcare services leaders, and Medical Economics and Finance teams, drive, plan and manage a ... Clinical Vendor, Clinical Centers of Excellence, Clinical Analytics, Clinical Systems, Medical Economics , Market Engagement, etc. to ensure efficient and… more
    Molina Healthcare (12/15/24)
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  • Healthcare Actuary

    The Cigna Group (Houston, TX)
    This position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. The ... Drug or Part D bid development consulting experience preferred + Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager (PBM) / Healthcare /… more
    The Cigna Group (01/18/25)
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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...cycle operations. + Oversight of the team managing the Medicare and Medicaid RACs, government billed claims and inpatient… more
    Cedars-Sinai (12/25/24)
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  • Clinical Appeals Manager - RN (Hybrid)

    CareFirst (Baltimore, MD)
    …providers who appeal on behalf of members for Maryland Medicaid, Maryland Medicare including (EGWP, DSNP, MAPD). Ensures quality management of the clinical appeal ... based on the member's health benefit contract and CareFirst Medical Policy and are compliant with State, Federal and...Licensure Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred **Experience:** 5 years' Experience in… more
    CareFirst (11/09/24)
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  • OR Nurse Manager

    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 (01/03/25)
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  • Registered Nurse - Clinical Care Manager

    Trinity Health (Syracuse, NY)
    …liaison between emergency services, surgical services, nursing, finance, physicians, and medical records. In addition, they are responsible to coordinate safe and ... and ensure timely transition of care from admission to discharge. + Follows Medicare guidelines and industry standards to ensure the proper patient class is… more
    Trinity Health (01/23/25)
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  • Actuarial Analyst I

    CareOregon (Portland, OR)
    …Wisconsin. Position Title: Actuarial Analyst I Department: Finance Title of Manager : Actuarial Services Manager Supervises: Non-supervisory position Exemption ... cost and utilization trend analysis, return on investment evaluations, Medicare bid development, forecasting support, benchmarking, provider payment evaluation and… more
    CareOregon (01/21/25)
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  • Hospital Sales Representative, Neurology - North

    Grifols Shared Services North America, Inc (Houston, TX)
    …how to work regional/local systems, hospital/academic institutions (eg Pharmacy, infusion, medical offices, Attendees, Fellows, Residents, Grand Rounds) * Submit P&T ... requests to appropriate National Account Manager (NAM) Business Acumen * Understand the major fluctuations...major fluctuations a market can have and overall plasma economics of the system/institution, eg GPO, ADR, membership, specific… more
    Grifols Shared Services North America, Inc (10/28/24)
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