- The Cigna Group (Philadelphia, PA)
- …internal and external partners to improve Cigna's Medicare Star Ratings. The Business Analytics Advisor will analyze data including healthcare claims, ... **Summary** The Stars Business Analytics Advisor will...HEDIS Stars measures. This position is located within the Medicare Stars Analytics team, who's function is… more
- The Cigna Group (Philadelphia, PA)
- …will be accountable for the financial results and medical cost savings of Medicare Advantage payment integrity programs. Work with business partners to identify ... with Contracting, Coverage Policy Unit, Commercial Payment Integrity, Compliance, Network Analytics , Claim, and other business areas to accomplish goals… more
- The Cigna Group (Philadelphia, PA)
- …to internal and external partners to improve Cigna's Medicare Star Ratings. The Business Analytics Senior Advisor will lead development of data analyses ... **Summary** The Part D Stars Business Analytics Senior Advisor ... Advisor will be responsible for leading the analytics strategy for Cigna Healthcare within the Medicare… more
- Humana (Trenton, NJ)
- …customer needs resulting in successful customer adoption for achieving positive business outcome. The AVP, Product Management requires an in-depth understanding of ... Once products are launched, monitors efficacy of products and uses customer and business partner feedback to ensure products are meeting customer needs across each… more
- Intermountain Health (Trenton, NJ)
- …and Physician Advisor Services MDs. This position supports higher level analytics for CDI initiatives. It also works to improve coding software workflows for ... and Official Coding Guidelines as determined by Centers for Medicare and Medicaid Services (CMS), National Center for Health...position provides advanced training to CDI RNs and Physician Advisor Services MDs on ICD-10 and DRG code assignment… more
- Humana (Trenton, NJ)
- …tools, and digital in CenterWell Pharmacy marketing efforts + Serves as an advisor of the Technology, Measurement, & Optimization Leader in crafting the technology ... and data strategies for the organization + Ensuring alignment with business objectives and compliance with legal and regulatory requirements such as GDPR and CCPA +… more
- Merck (North Wales, PA)
- …US payers and health care systems. Responsibilities in understanding Centers for Medicare & Medicaid Services (CMS)and US policies, Food and Drug Administration ... area); Preferred: Master's Degree or doctoral degree (MD, PhD, JD, Engineering, business ) + Minimum 10 years of combined access, commercial, payer, HEOR or… more