- Highmark Health (Pittsburgh, PA)
- …estimate capabilities to enable more accurate and deeper projections. + Leverage medical economics experience and knowledge to drive independent medical ... + None **Preferred** + None **EXPERIENCE** **Required** + 7 years in Medical Economics , Healthcare Analytics, Informatics and/or Actuarial Services in the… more
- AdventHealth (Maitland, FL)
- …at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial ... proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in… more
- 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 ... professional with the primary role of evaluating internal and external medical cost trend and trend drivers across all four of Aetna's major lines of business… more
- CVS Health (Hartford, CT)
- …successful candidate will join the Aetna Reporting Solutions team, a part of the Medical Economics Unit. As a member of this team, their primary responsibilities ... projects, assist with tool onboarding, and contribute to miscellaneous projects across Medical Economics . The ideal candidate will possess an analytical mindset… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating… more
- CVS Health (Hartford, CT)
- …Aetna and CVS Health members while improving quality and access. As part of the Medical Economics National team, you will have the opportunity to present key ... differentiated non-participating (Out-Of-Network) provider determinations, and evaluate changes to medical policy to support the overarching Medical Economic… more
- CVS Health (Springfield, IL)
- …and administrative support. CVS Accountable Care is seeking an Executive Director, Payor Medical Economics to join our growing organization. In this leadership ... we have worked together with diverse partner types including Academic Medical Centers, Federally Qualified Health Centers, Clinically Integrated Networks, and… more
- Healthfirst (NY)
- …departments to enable critical decision making. + Develop savings analyses for Medical Economics cost trend reduction initiatives, applying financial modeling ... expertise and using independent judgement to determine best valuation methods. + Create financial models to evaluate the impact of provider reimbursement changes. + Keep abreast of New York Medicaid and Medicare reforms and their impact on Healthfirst and… more
- Healthfirst (NY)
- **Duties and Responsibilities** **Value new medical cost initiatives, applying financial modeling expertise and using independent judgement to determine the best ... of program savings.** **Provide data driven analysis to Finance, Claims, Medical Management, Network, and other departments to enable critical decision making.**… more
- Healthfirst (NY)
- …+ Leverage leading analytical tools to generate insights that facilitate key decisions by department leadership. + Create accurate reports or insightful and ... user-friendly dashboards that meet stakeholders needs and lead to business insights. + Set delivery expectations accurately and communicate the status of high-priority items relentlessly. + Identify and monitor cost and utilization trends and the root causes… more
- Abbott (Pleasanton, CA)
- …(eg, coverage, coding, and payment). + Experience in health policy, health economics , medical device reimbursement, technology assessment, or health care ... spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues… more
- ChenMed (Detroit, MI)
- … Medical Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance + Sales and Growth The CMD ... Essentials + Medical Director Essentials and Center Operations + Medical Economics and Center Financial Performance + Driving Membership Growth + Spoken and… more
- The Cigna Group (Denver, CO)
- …in calculating fee-for-service (FFS) liabilities. + Collaborate with Contracting/ Medical Economics /Clinical/etc. teams to improve the operational/clinical ... The Medical Claims FP&A Senior Manager will manage projection...in Finance, Analytics, Health Information Management, Management Information Systems, Economics , or related field strongly preferred + 5+ years… more
- Healthfirst (NY)
- …Product, Sales, Technology, Actuarial, Medical Management, Financial Analytics and Medical Economics teams, as well as external hospital and physician ... process for all major contract renegotiations. + Work with Analytics and Medical Economics teams to develop actionable reporting dashboard to proactively… more
- Molina Healthcare (OH)
- …Math, or Computer Science, Data Science **Preferred Experience** + Preferred experience in Medical Economics , and Strong Knowledge of Performance Indicators: + ... tools. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics , Computer Science **Required Experience** + 5-7 years increasingly… more
- Molina Healthcare (UT)
- …Economics , Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + ... needed. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics , Computer Science **Required Experience** + 5-7 years increasingly… more
- Molina Healthcare (AZ)
- …Education** Master's Degree **Preferred Experience** + Preferred experience in healthcare medical economics and/or strong financial analytics background + ... research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, actionable financial and even… more
- The Cigna Group (Glendale, CA)
- …communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics , Compliance, ... Cigna's competitive position. + Creates and manages initiatives that improve total medical cost and quality. + Drives change with external provider partners by… more
- The Cigna Group (Jackson, MS)
- …communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics , Compliance, ... and maintain Cigna's competitive position. + Supports initiatives that improve total medical cost and quality. + Drives change with external provider partners by… more
- The Cigna Group (Little Rock, AR)
- …communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics , Compliance, ... Cigna's competitive position. + Creates and manages initiatives that improve total medical cost and quality. + Drives change with external provider partners by… more
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