- 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
- Healthfirst (NY)
- …departments to enable critical decision making. + Develop savings analyses for Medical Economics cost trend reduction initiatives, applying financial modeling ... of provider reimbursement changes. + Keep abreast of New York Medicaid and Medicare reforms and their impact on Healthfirst and their owner hospital performance. +… more
- Olympus Corporation of the Americas (Westborough, MA)
- …internal HTA agency processes + Previous successful track record of working in Health Economics & Market Access, Reimbursement for medical devices + Domestic and ... likely not legitimate._ **Job Description** The Director, Global Health Economics & Market Access is part of Health ...Manager at 1-888-Olympus (###). Posting Notes: || United States (US) || Massachusetts (US-MA) || Westborough || Medical … more
- Edwards Lifesciences (Irvine, CA)
- …raising awareness, our Marketing teams build lasting, trusted relationships with medical professionals and industry stakeholders to ensure patients can receive the ... is a great opportunity to join a Global Health Economics & Reimbursement (GHER) team that is playing a...Heart Valve (THV) business at Edwards Lifesciences. As a Manager of Coverage and Payment policy, you will assist… more
- 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
- Silicon Valley Power (Santa Clara, CA)
- **Electric Program Manager ** Print (https://www.governmentjobs.com/careers/cityofsantaclaraca/jobs/newprint/4735840) **Electric Program Manager ** Salary ... Positions: Silicon Valley Power is recruiting to fill various Electric Program Manager positions in the following specialties: - Customer Engagement - Distributed… more
- VNS Health (Manhattan, NY)
- …rate build-up, MLR reporting, and member cohort analyses. + Provides financial and medical economics data support for care and utilization management, new ... boundaries and decision making that drives results. As the Manager , Actuary for Medicare Advantage (MA), you...Health insurance plan for you and your loved ones, Medical , Dental, Vision, Life and Disability + Employer-matched retirement… more
- Amazon (Seattle, WA)
- …mental health concerns have been delighting people for the past fifteen years. Amazon One Medical is hiring a Finance Manager (FM) for our Senior Health Value ... to be Earth's most Customer-centric company, and that now extends to Healthcare. One Medical is a primary care solution challenging the industry status quo by making… more
- Medical Mutual of Ohio (OH)
- …self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s status as a ... Founded in 1934, Medical Mutual is the oldest and one of...partners. The analyst's work assignments are directed by the Manager of Corporate Strategy. Work requires critical thinking, motivation… more
- Robert Half (Boston, MA)
- JOB REQUISITION Risk and Compliance - Healthcare - Senior Manager LOCATION BOSTON ADDITIONAL LOCATION(S) NEW YORK CITY, SAN FRANCISCO, SEATTLE JOB DESCRIPTION You ... Protiviti is looking for a Risk and Compliance Senior Manager to join our growing Healthcare team. Protiviti's Financial...healthcare payer regulations and guidance with emphasis on the Medicare Managed Care Manual. + Expertise of core business… more
- Molina Healthcare (WA)
- …with Molina enterprise Clinical Operations and Health Plan healthcare services leaders, and Medical Economics and Finance teams, drive, plan and manage a ... Clinical Vendor, Clinical Centers of Excellence, Clinical Analytics, Clinical Systems, Medical Economics , Market Engagement, etc. to ensure efficient and… more
- CVS Health (Houston, TX)
- … Medicare Operations, Network Management, Provider Contracting, and Health Economics , and external vendors on risk adjustment projects. Organize, prioritize, and ... affordable. **Position Summary** CVS Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role… more
- Humana (Columbus, OH)
- …**Required Qualifications** + Bachelor's degree in Accounting, Criminal Justice, Finance, Medical Professional, Economics , Operations Management or related field ... part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices.… more
- Cedars-Sinai (CA)
- …Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. Join us! Discover why US News & World Report ... Hospitals. **What you be doing in this role:** The Manager , Compliance and Revenue Integrity (CRI) manages one or...cycle operations. + Oversight of the team managing the Medicare and Medicaid RACs, government billed claims and inpatient… more
- CareFirst (Baltimore, MD)
- …providers who appeal on behalf of members for Maryland Medicaid, Maryland Medicare including (EGWP, DSNP, MAPD). Ensures quality management of the clinical appeal ... based on the member's health benefit contract and CareFirst Medical Policy and are compliant with State, Federal and...Licensure Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred **Experience:** 5 years' Experience in… more
- AdventHealth (Rome, GA)
- **_Description -External_** **OR Nurse Manager ** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off from Day ... + Developed a regional center for the fields of medical care and education + In addition to its...the staff. **2.** **Financial Management -** Understands health care economics , public policy and finance as it pertains to… more
- Trinity Health (Syracuse, NY)
- …liaison between emergency services, surgical services, nursing, finance, physicians, and medical records. In addition, they are responsible to coordinate safe and ... and ensure timely transition of care from admission to discharge. + Follows Medicare guidelines and industry standards to ensure the proper patient class is… more
- Mount Sinai Health System (New York, NY)
- …healthcare analytics required (with a Bachelors degree). ? Health plan experience in Medical Economics or Value Based Payments preferred. **Additional Skills and ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Humana (Atlanta, GA)
- …data from systems of record (eg, General Ledger, Resource Management, Asset Manager , CMDB) into the Apptio interface. + Collaborate with IT Leadership, Finance, ... + Advanced Degree in a quantitative discipline, such as Mathematics, Economics , Finance, Statistics, Computer Science, Engineering or related field + Advanced… more
- Grifols Shared Services North America, Inc (Houston, TX)
- …how to work regional/local systems, hospital/academic institutions (eg Pharmacy, infusion, medical offices, Attendees, Fellows, Residents, Grand Rounds) * Submit P&T ... requests to appropriate National Account Manager (NAM) Business Acumen * Understand the major fluctuations...major fluctuations a market can have and overall plasma economics of the system/institution, eg GPO, ADR, membership, specific… more