- Merck & Co. (North Wales, PA)
- …pipeline products. You will also play an important role in informing business development opportunities. This role is responsible for navigating complexity related ... as part of the Inflation Reduction Act, state Prescription Drug Affordability Boards, Medicare , Medicaid, and 340b, while planning for the loss of exclusivity of key… more
- The Cigna Group (Houston, TX)
- …Risk Adjustment Analytical Consulting team is searching for a highly motivated and collaborative business analytics advisor to identify key analytics ... decision-making. You will work closely with colleagues across the Risk Adjustment business , data science, and data engineering teams to develop research questions,… more
- The Cigna Group (Bloomfield, CT)
- …for the ongoing needs of CMS Medicare Risk Adjustment processes and systems. The ** Medicare Risk Adjustment Analytics Advisor ** would be a member of the ... team that provides support by leveraging multiple data domains to answer important business questions. This position is connected with multiple teams to ensure that… more
- The Cigna Group (Atlanta, GA)
- …All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: **Growing ... physician education, training and provision of reporting and using analytics resources to identify key opportunities for utilization and...the MA Business ** : The Provider Performance Senior Advisor … more
- The Cigna Group (Bloomfield, CT)
- The **Provider Contracting Senior Advisor ** serves as an integral member of the Network Development and Strategy Team and reports to the Provider Contracting Senior ... value-based reimbursements with hospitals and other providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large physician… more
- The Cigna Group (Atlanta, GA)
- …with other channels, meet brand standards and can positively impact Cigna's Medicare PDP growth goals. **Responsibilities** + Partner to provide the strategic ... are set and executed to advance the company's goals. + Utilize data analytics and performance tracking tools to monitor campaign performance, identify trends, and… more
- The Cigna Group (Birmingham, AL)
- The Financial Analysis and Modeling Advisor position within the Medicare Advantage Revenue Finance Team is an opportunity to support our quarterly financial ... set, and measured on a routine basis. This role requires independence, analytics , critical thinking, creativity, business acumen, and relentless problem solving… more
- The Cigna Group (Philadelphia, PA)
- The FP&A Data Advisor - Medicare Advantage role will support the unique data, modeling, and analysis needs of the FP&A team. They will have stewardship of ... documentation and working with the more general data and analytics teams to ensure alignment and interoperability. They will...dive root cause analysis on emerging financial results. The advisor will work with various teams including, but not… more
- Humana (Columbus, OH)
- …and address business issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer ... us put health first** The Strategy Advancement Advisor provides data-backed strategic direction to identify...key stakeholders from across the enterprise (clinical, quality, operations, analytics , and business ) and leading the end-to-end… more
- General Dynamics Information Technology (Fairfax, VA)
- …Required:** NACI (T1) **Job Family:** Data Analysis **Skills:** Business Intelligence Tools,Data Analysis,Microsoft Excel,Salesforce Analytics ,Tableau (Software) ... + years of related experience **Job Description:** Data Analyst Advisor We are GDIT. We take pride in providing...5+ years of hands-on experience with **Tableau** , **Salesforce Analytics ** , and/or other Business Intelligence tools… more
- Humana (Columbus, OH)
- …and safe data use practices. Facilitate valuable relationships across the data and analytics teams and business leaders, driving to the right questions that ... individual will collaborate with senior stakeholders across Technology and all business units to influence enterprise-wide change while building and coaching her/his… more
- Sanford Health (Fargo, ND)
- …and Health Maintenance Organization's (HMO) serving as a healthcare consultant and trusted business advisor to consultants, brokers and clients. In addition to ... assigned broker and employer clients, along with individual and Medicare lines of business . Dedication to high...Dedication to high customer satisfaction and retention of profitable business through formal reports, data analytics and… more
- HealthEdge Software Inc (Columbus, OH)
- …them: NCQA (National Committee for Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC (Utilization Review Accreditation Commission) and other ... maintain compliance for our customers. + Act as the subject matter expert and advisor on relevant legislation and regulations that apply to compliance and how this… more
- Merck (North Wales, PA)
- …pipeline products. You will also play an important role in informing business development opportunities. This role is responsible for navigating complexity related ... as part of the Inflation Reduction Act, state Prescription Drug Affordability Boards, Medicare , Medicaid, and 340b, while planning for the loss of exclusivity of key… more
- Cardinal Health (Columbus, OH)
- …regarding managed care contracts. This includes coordination of commercial, Medicare Advantage, Managed Medicaid and other third-party managed care contracts ... contracts and operations. This position is responsible for administrative, strategic, business development, and contracting activities related to the Managed Care… more
