- Hawaii Pacific Health (Honolulu, HI)
- …internal peer equity. Starting Hourly Rate: 30.47 **Position** Analyst - Analytics Managed Care **Category** Administrative **Employment Type** Employee ... The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage,… more
- Hartford HealthCare (Wethersfield, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** ... Summary:_* Reporting directly to the Manager of Payer Contract Analytics , the Sr. Payer Analyst develops a...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- Comcast (Philadelphia, PA)
- …to manage their services online or gain support through self-serve capabilities. The Marketing Analytics team is looking for a Senior Analyst who can provide ... analytics , and a proven track record of shaping digital strategy with data. Sr. Analyst , Web Strategy Analytics will be responsible for using data and … more
- The Cigna Group (Bloomfield, CT)
- … Healthcare experience environment required** + **4+ years Financial Analysis experience in Managed Care required** + **Ability to analyze and interpret both ... operational costs, always focusing on results. + In-depth understanding of managed care business processes, data, systems, reimbursement methodology, case-mix… more
- Ally (Austin, TX)
- …**The Opportunity** We are looking for a dynamic Sr. Business Intelligence analyst with excellent communication skills and a background in technology, business ... intelligence, and strong logic and problem solving. This Senior Analyst will utilize analytical and technical skills to innovate, build, and maintain well- managed… more
- CVS Health (Phoenix, AZ)
- …Qualifications - 2+ years' experience with PBM- Knowledge of health insurance, managed care , or pharmaceutical industry preferred- Analytical expertise and ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Healthfirst (NY)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong project management ... multiple projects in a fast-paced environment. + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Hartford HealthCare (Wethersfield, CT)
- …Structure Query Language (MSSQL) Database skills to lead/execute the development of the complex Managed Care / Payer Analytics platform. The Payer ... programs and other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed,… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Senior Health Care Management System Analyst - 61327, 61331 (NY HELPS) Occupational Category Financial, Accounting, ... with permanent or contingent-permanent status as a Senior Health Care Management System Analyst , Grade 18 OR:...Capitation, Medicaid Advantage Plus (MAP) and Program of All-inclusive Care for the Elderly (PACE) Managed Long… more
- AdventHealth (Maitland, FL)
- …ethic, trainability, communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both ... preferred + Working knowledge of population health, utilization measurement, and claims analytics strongly preferred. + Managed Care , Patient Financial… more
- LA Care Health Plan (Los Angeles, CA)
- …in designing, developing, generating and analyzing ad hoc/production reports in Healthcare/ Managed Care setting. Preferred: Experience as a Clinical Data ... Clinical Data Analyst III Job Category: Clinical Department: Quality Improvement...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- LA Care Health Plan (Los Angeles, CA)
- …of experience in contract and/or regulatory and/or accreditation requirements analysis in managed care or other related industry; or, experience in external ... Operational Assurance Business Analyst III Job Category: Administrative, HR, Business Professionals...complex business setting, local, State, or Federal government entity, managed care , or other related industry. Skills… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …of insurance concepts, plan administration, planning, principles, and managed care delivery systems. **Provider Network Performance Analyst III** **Education ... knowledge of health care operations or health care delivery systems. **Provider Network Performance Analyst ...knowledge of insurance concepts, plan administration, planning, principles, and managed care delivery systems. + Knowledge of… more
- HCA Healthcare (Austin, TX)
- …you want to join an organization that invests in you as a Consulting Product Analyst ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...difference. We are looking for a dedicated Consulting Product Analyst like you to be a part of our… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …the position is to identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with the Teva Market Access ... (PDL) to validate product placement complies with all terms and conditions of the managed care contract. Using critical thinking skills and data analytics ,… more
- Molina Healthcare (Florence, KY)
- …Target/Ranking Engine for all line of businesses. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and related financial ... **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics ...cleaning of data. + 3-5 Years of experience in Managed Care Organization executing similar techno functional… more
- Guidehouse (New York, NY)
- …sizing/ segmentation, provider profiling/targeting, provider affiliation mapping, epidemiology studies, managed care analytics , pull-through modeling / ... Science advisory teams, data teams, and our firmwide Advanced Analytics and Intelligent Automation team to shape the growth...medical and pharmacy claims (open and closed), formulary and managed care data, and EMR data. +… more
- AmeriHealth Caritas (Manchester, NH)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... **Provider Network Operations Claims Analyst Sr (hybrid)** Location: Manchester, NH Primary Job...with Medicaid preferred. + Experience with Microsoft Excel. + Managed Care experience required. \#HM **Diversity, Equity,… more
- Cisco (Chicago, IL)
- …work in the US Position does not provide sponsorship* As the leader in cloud- managed IT, Cisco Meraki connects passionate people to their mission by simplifying the ... guiding principles are rooted in our four core values: ' care deeply,' 'everybody in,' 'simplify everything,' and 'be brave.'...These pillars have propelled us to the forefront of cloud- managed We are seeking a skilled Business & Data… more
- Ally (Lansing, MI)
- …**The Opportunity** As part of the Data Solutions Support team, this Senior Analyst will be responsible to leverage Snowflake, AWS and Cloudera Hadoop systems to ... Management and Analytical pipelines for Ally's Auto Asset Management team. The Senior Analyst at Ally will utilize analytic and technical skills to innovate, build,… more