- Mathematica (Columbus, OH)
- …in multidisciplinary teams, drawing on your knowledge and past experience with Medicaid programs * Help conduct research and technical assistance projects ... to the growth, expertise, and institutional knowledge of staff working in the Medicaid area Position Requirements: * Researcher candidates should have 5/+ years… more
- American Institutes for Research (Washington, DC)
- …how to avoid scams at ftc.gov/scams . \#LI-DC1 #LI- Remote Submit an interest application (https://jobs-airdc.icims.com/jobs/13189/ researcher ... **Overview** AIR is currently seeking a ** Researcher ** **- Alternative Payment Models** to join our Health Division (https://www.air.org/our-work/health) . AIR's… more
- American Institutes for Research (Chapel Hill, NC)
- …to avoid scams at ftc.gov/scams . \#LI-DC1 #LI- Remote Submit an interest application (https://jobs-airdc.icims.com/jobs/13170/ researcher ... **Overview** Join AIR as a ** Researcher - Quality Measures** with ourHealth (https://www.air.org/our-work/health) team.AIR's Health Division specializes in … more
- Molina Healthcare (Richmond, KY)
- **Job Description** **Job Summary** The Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. ... to suport Molina's Prospective and Retrospective Interventions. Assist with research , development,and completion of special projects. **Knowledge/Skills/Abilities** + Assist… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** Manages the activities of the Data Analytics and Reporting team. Performs research and analysis of complex healthcare claims ... preparation of regularly produced reports to support executive decision-making. + Research and analyze report results identifying opportunities and trends. + Works… more
- Humana (Frankfort, KY)
- …interoperability efforts. You'll work closely with leaders in operations, finance, analytics , and actuarial to solve tricky problems through collaboration. The HQRI ... Healthcare Quality Reporting and Improvement business area, part of the Medicare and Medicaid business. With over 9 million medical members and $67B in '20 revenue,… more
- Providence (Renton, WA)
- **Description** **THE ROLE** The Director Reimbursement, Regulatory Analytics (Reimbursement, Regulatory Analytics ) is responsible for overseeing analytics ... reimbursement strategies, and any reimbursement methodology related to Medicare and Medicaid that have reimbursement implications. The Director also oversees data… more
- Staffing Solutions Organization (Albany, NY)
- …reflection of our clients and the people they serve. **Data Scientist-Healthcare Analytics : Item 1292 Remote position** **Summary:** This individual will assist ... Data Scientist-Healthcare Analytics Corning Tower, Albany, 100 S Mall Arterial,...the NYSDOH (Quality Reporting Requirements, VBP Reporting Requirements, and Medicaid claims and encounters) and other state and federal… more
- Mathematica (Columbus, OH)
- …and delivery of data-driven applications, data warehouses, interactive dashboards, data analytics , and visualization products; and research and advisory. * ... programs, refine strategies, and enhance understanding using technology and advanced analytics . Our work yields actionable information to guide decisions in… more
- Trinity Health (Livonia, MI)
- …skills. Considerable knowledge and experience supporting and developing reporting and analytics for research , process improvement support and specific revenue ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Remote work based position** **POSITION PURPOSE** Performs revenue management functions… more
- Prime Therapeutics (Columbus, OH)
- …identification opportunities for improved management of Medical benefit drugs through clinical research and analytics that improve medical cost savings and ... **Job Posting Title** Director, Specialty Clinical Solutions -RPH/PharmD required- REMOTE **Job Description Summary** Responsible for support and development of… more
- Prime Therapeutics (Columbus, OH)
- …drives every decision we make. **Job Posting Title** Clinical Program Manager Remote **Job Description** **This Clinical Program Manager opening is presenting a ... member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the client regarding… more
- SSM Health (MO)
- **It's more than a career, it's a calling** MO- REMOTE **Worker Type:** Regular **Job Highlights:** **_Named 150 Top Places to Work in Healthcare 2023 - Becker's ... fellow colleague, please contact: Jon Dirksen Executive Talent Partner ###@ssmhealth.com \#LI- Remote SSM Health is committed to equal employment opportunity based on… more
- Healthfirst (NY)
- …of our members + Collaborate internally with Marketing, IT, and Enterprise Analytics to assist with the creation of strategic digital communication channels for ... criteria is in compliance with Center of Medicare and Medicaid Services (CMS) and the New York State Department...the New York State Department of Health (NYSDOH) + Research drug information to maintain drug knowledge and disease… more
- The MITRE Corporation (Bedford, MA)
- …support to the Health Policy department, supporting the Centers for Medicare & Medicaid Services (CMS), the National Institute of Health (NIH), Centers for Disease ... Quality Reporting project where MITRE assists CMS in rule writing and regulatory research for eleven quality reporting and incentive programs in their Medicare FFS… more
- Molina Healthcare (CA)
- …analysis, modeling, and predicting to enable informed business decisions _within Medicaid (Medi-Cal), Medicare and Covered California lines of business_ . Gains ... analysis. + Works with internal, external and enterprise clients as needed to research , develop, and document new standard reports or processes. + Implements and… more
- Commonwealth Care Alliance (Boston, MA)
- …that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and ... research , as necessary on all new and revised coding...necessary on all new and revised coding logic, related Medicare/ Medicaid policies for review/approval through the Payment Integrity governance… more
- Takeda Pharmaceuticals (Boston, MA)
- …current landscape knowledge. + Develop an evidence-based plan, informed by market research and advisory boards to identify core customer needs, optimize patient ... the US, including but not limited to: Medicare national (Centers for Medicare & Medicaid Services [CMS]), Medicaid (state and managed), Medicare Part B regional… more
- CVS Health (Columbus, OH)
- …Double Board Certified Oncologist/Internal Medicine for this opportunity. This is a remote based from from home role. The Medical Affairs department provides ... departments (eg, specialty pharmacy services, clinical product development, Enterprise Analytics , Compliance, Legal, Accreditation) and clients. The Medical Director… more
- American Institutes for Research (Washington, DC)
- …is a nonpartisan, not-for-profit institution that conducts behavioral and social science research and delivers technical assistance to solve some of the most urgent ... position include: + Apply quantitative methods and techniques to manage and analyze research data + Construct, clean, and document large datasets for both internal… more