- Highmark Health (Trenton, NJ)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** The ** Medical Economics Consultant ** role leverages advanced medical cost analytics to ... Sciences or other related area **EXPERIENCE** **Required** + 5 years of Medical Economics , Healthcare Analytics, Informatics and/or Actuarial Services in the… more
- CVS Health (Trenton, NJ)
- …strategic analysis, business planning, and, or risk management consulting. The Business Consultant will be involved in new Network team projects, in addition to ... projects based on resource requirements. Among other things, the Business Consultant will be involved in Network template design/enhancements, new reporting, support… more
- The Cigna Group (Philadelphia, PA)
- …case level strategies, and market discussions + Assist Sales as financial consultant on case-specific issues. Possesses an in depth understanding of manual rating ... years related experience, with at least 3 years of medical underwriting + All or part of the 5+...and/or minors are preferred, but not required: Risk Management, Economics , Finance, Accounting, Management, Mathematics, and/or Business + Strong… more
- ChenMed (Philadelphia, PA)
- …and PCP Essentials * Medical Director Essentials and Center Operations * Medical Economics and Center Financial Performance * Driving Membership Growth The ... of our care model - the center. The Senior Medical Director (SMD) will partner with the Center Director/Center...Act as a health coach, rather than just a consultant for sickness, by helping patients set short and… more
- CVS Health (Blue Bell, PA)
- …following key attributes: + 15+ years of healthcare network & contracting experience. Medical Economics experience will be valued. + Experience leading and ... and clients. + Ownership of local market specific unit cost targets, medical cost strategies, negotiation, and administration of VBC contracts, risk adjustment and… more
- Highmark Health (Trenton, NJ)
- …premium and pricing development, claim trend analysis, experience studies, medical economics , profitability analysis, wellness studies, predictive modeling, ... + Prior pharmacy experience with a pharmacy benefit manager (PBM), consultant , pharmacy provider, or another organization specializing in pharmacy **LICENSES AND… more
- Highmark Health (Trenton, NJ)
- …premium and pricing development, claim trend analysis, experience studies, medical economics , profitability analysis, wellness studies, predictive modeling, ... + Prior pharmacy experience with a pharmacy benefit manager (PBM), consultant , pharmacy provider, or another organization specializing in pharmacy **LICENSES AND… more