• Senior Medical Economics Consultant

    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
    Highmark Health (10/17/24)
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  • Senior Medical Economics Analyst…

    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
    AdventHealth (09/12/24)
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  • Manager, Medical Economics

    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 (11/07/24)
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  • Sr Analyst, Medical Economics

    Molina Healthcare (MI)
    **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
    Molina Healthcare (11/16/24)
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  • Senior Analyst, Medical Economics

    CVS Health (Irving, TX)
    …care more personal, convenient and affordable. CVS Health is seeking a Sr. Analyst, Medical Economics to join our team! The Sr. Analyst participates on complex ... schedules. + Responsible for the development and implementation of key medical economics business efforts eg medical cost initiatives, policies/programs and… more
    CVS Health (11/22/24)
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  • Manager, Medical Economics

    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 (11/22/24)
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  • Manager Product Analytics, Medical

    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 (11/09/24)
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  • Sr Healthcare Analyst - Medical

    Healthfirst (NY)
    **Duties & 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 (11/13/24)
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  • Senior Data Analyst, Medical

    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 (10/04/24)
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  • Senior Data Analyst, Medical

    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
    Healthfirst (09/19/24)
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  • Manager, Health Economics & Reimbursement…

    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
    Abbott (11/01/24)
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  • Medical Claims FP&A Senior Manager

    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
    The Cigna Group (10/22/24)
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  • Senior Hospital Optimization Analyst

    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
    Healthfirst (10/12/24)
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  • Sr Analyst, Healthcare - Remote

    Molina Healthcare (KY)
    …in Finance, Economics , Math, or Computer Science Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively ... Experience** 3-5 years **Preferred Education** Bachelor's Degree in Finance, Economics , Computer Science **Preferred Experience** + 5-7 years increasingly complex… more
    Molina Healthcare (11/23/24)
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  • Sr Analyst, Healthcare Analytics - REMOTE

    Molina Healthcare (WA)
    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 (11/21/24)
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  • Sr Analyst, HEDIS Quality Performance

    Molina Healthcare (WI)
    …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 (11/10/24)
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  • Analyst, Network Strategy, Pricing & Analytics…

    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
    Molina Healthcare (11/07/24)
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  • Medical Writer - HEOR

    HTC Global Services Inc (Whippany, NJ)
    …& Long Term Disability Insurance, and a variety of other perks. Job Title: Medical Writer - Health Economics and Outcomes Research (HEOR) Position Overview: HTC ... is seeking an experienced and detail-oriented Medical Writer specializing in Health Economics and Outcomes Research (HEOR). The ideal candidate will have a… more
    HTC Global Services Inc (11/19/24)
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  • Senior Healthcare Analytics Analyst - Health…

    Henry Ford Health System (Troy, MI)
    …and/or leads cross-functional corporate business teams and meetings in the development of medical economics programs, targets, and results as they relate to ... regularly. PRINCIPLE DUTIES AND RESPONSIBILITIES: + Conducts analysis associated with medical cost saving initiatives, leading indicators, rate model and pricing… more
    Henry Ford Health System (11/23/24)
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  • Manager, Provider Contracting Network Management…

    The Cigna Group (Hartford, CT)
    …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 (11/23/24)
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