• Manager, Medical Economics

    Molina Healthcare (MI)
    …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 (12/14/24)
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  • Manager Medical Economics

    Highmark Health (Pittsburgh, PA)
    …Description :** **JOB SUMMARY** This position will provide leadership and direction to the medical economics team. The incumbent will lead the development of ... medical cost analytics across the medical economics team, focusing on providing meaning insights on emerging medical cost trends. Will focus on analytics… more
    Highmark Health (12/19/24)
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  • Senior Medical Economics Analyst…

    Henry Ford Health System (Troy, MI)
    GENERAL SUMMARY: As a Senior Medical Economics Analyst, your primary objective will be to identify, analyze, and explain emerging medical trends. You will ... medical cost trends and variances. + Demonstrate proficiency in healthcare/ medical economics data and an understanding of healthcare industry coding… more
    Henry Ford Health System (12/16/24)
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  • Medical Economics Consultant

    Highmark Health (Columbus, OH)
    **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** The ** Medical Economics Consultant** role leverages advanced medical cost analytics to ... Sciences or other related area **EXPERIENCE** **Required** + 5 years of Medical Economics , Healthcare Analytics, Informatics and/or Actuarial Services in the… more
    Highmark Health (12/04/24)
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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 (12/12/24)
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  • Medical Economics Consultant…

    Molina Healthcare (Columbus, OH)
    medical cost-based analysis of markets and network initiatives. The Medical Economics Consultant manages conflicting priorities and multiple projects ... Master's Degree in Business Administration, Finance, Mathematics, Statistics, or Economics **PREFERRED EXPERIENCE:** Experience working with medical and… more
    Molina Healthcare (01/09/25)
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  • Medical Economics Analyst

    Highmark Health (Columbus, OH)
    …None **Preferred** + None **EXPERIENCE** ​ **Required** + 3 years in Medical Economics , Healthcare Analytics, Informatics, Underwriting and/or Actuarial Services ... :** Highmark Inc. **Job Description :** **JOB SUMMARY** This role leverages medical cost analytics to provide data-driven insights into emerging trends and the… more
    Highmark Health (12/13/24)
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  • Sr Analyst, Medical Economics (NY…

    Molina Healthcare (TX)
    **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 (12/29/24)
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  • Senior Director of Medical Economics

    The Cigna Group (St. Louis, MO)
    The Senior Director of Medical Economics , Evernorth Medical Network Solutions will lead the economic design of a new, multipurpose, flexible, and ... patients they serve. **Duties and Responsibilities:** The Senior Director of Medical Economics oversees an organization of 8+ actuarial and business analytics… more
    The Cigna Group (12/07/24)
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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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  • Analyst- Medical Economics

    Baptist Memorial (Memphis, TN)
    …education + Employee referral program Job Summary: Position: 20294 - Analyst- Medical Economics Facility: BMHCC Corporate Office Department: HS Corporate ... Summary The Medical Health Economics Analyst conducts and interprets complex healthcare data analysis, including financial modeling and risk assessment. Supports… more
    Baptist Memorial (12/29/24)
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  • Sr Medical Economics Cost Analyst

    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 (01/04/25)
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  • Senior Analyst, Medical Economics

    CVS Health (Harrisburg, PA)
    …care more personal, convenient and affordable. **Position Summary** As a Senior Medical Economics Analyst, you would retrieve, organize and perform analysis ... fee-for-service provider contracts and present results against budgets and benchmarks, perform medical cost analysis and produce complex ad hoc reports to satisfy… more
    CVS Health (12/17/24)
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  • Manager, Medical Economics

    CVS Health (Harrisburg, PA)
    …workflow processes, and financial controls to increase overall productivity of the medical economics function. **Required Qualifications** * Bachelor's degree or ... consults with Actuarial, Network, Patient Management and Segment teams to provide medical cost analysis to assess effectiveness of managing costs creating and… more
    CVS Health (11/28/24)
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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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  • 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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  • Manager, Medical Economics

    CVS Health (Hartford, CT)
    …to ensure unit cost controls meet or exceed corporate objectives for medical cost containment. Provides analytical support critical in positioning system or network ... share.** * Provides complex programming and analytical support for medical cost trend analysis and strategic planning (such as...cost trend analysis and strategic planning (such as identifying medical cost trend drivers and being a subject matter… more
    CVS Health (12/18/24)
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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 (01/03/25)
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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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