- CGI Technologies and Solutions, Inc. (Canton, MA)
- ** Senior Payer Process Assessment & BPM Lead** **Category:** Business Analysis (functional and technical) **Main location:** United States, ... 1. Process Discovery & Assessment . Conduct current-state process assessments across payer operations. . Facilitate process discovery… more
- Wolters Kluwer (Austin, TX)
- …other equivalent experience + Experience in the healthcare technology space either in payer , vendor, or risk assessment . + Experience working with risk ... | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language/risk-adjustment)** **What We Offer: ** The Senior Field Sales Executive role offers growth potential opportunities,… more
- Ankura (NC)
- …Healthcare practice is seeking an experienced Managing Director for our payer government programs compliance & operations consulting services. This exciting position ... at a public accounting firm or large to mid-size consulting firm in the payer and government programs (Medicare Advantage and Part D, ACA, Medicaid, etc.) with… more
- Amgen (Washington, DC)
- …**Responsibilities** This role is global, with tactical execution. The HEOR Senior Manager must have experience in developing payer -relevant evidence ... patients while transforming your career. **Health Economics & Outcomes Research (HEOR) Senior Manager, Oncology** **What you will do** Reporting to the HEOR… more
- Tetrad Digital Integrity LLC (Washington, DC)
- …threats and vulnerabilities in this digital age. We are looking for a Senior Systems Architect to support a non-profit organization based in Boston, MA who ... to them and their families. The organization operates a complex payer technology ecosystem supporting government-aligned and commercial health programs. The Sr… more
- Pfizer (New York, NY)
- …is to ensure patients have access to these medicines. The Health Technology Assessment (HTA), Value & Evidence (HV&E) team is responsible for ensuring patients have ... advancing innovative value and evidence solutions to inform healthcare decision-making. The ** Senior Director, HTA, Value & Evidence (HV&E) - Lung Cancer & Precision… more
- Ankura (New York, NY)
- …solutions to complex litigation, enforcement, and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's ... gathering activities, document review, and quality control of data assessment . + Work with Senior Managing Directors...of client engagements and be active in the sales process with Managing Directors and Senior Managing… more
- Pfizer (New York, NY)
- **ROLE SUMMARY** Pfizer's Strategy & Consulting (S&C) team works with Pfizer senior leadership to lead the development of holistic business strategies across ... strategic priorities, or adjust priorities when necessary. **ROLE RESPONSIBILITIES** As a Senior Director, reporting to the VP, Strategy & Consulting US Commercial,… more
- Mount Sinai Health System (New York, NY)
- …work environments * Seek to improve the status quo Mount Sinai Solutions seeks a Senior Manager who will support the development of these new models. The Product ... Senior Manager will "productize" our specialty care, population health,...is not limited to the following: 1) Strategic Market assessment , 2) Health care data analytics 3) Product pricing… more
- UPMC (Pittsburgh, PA)
- **Purpose:** The Senior Discharge Plan Manager functions as the coordinator and is accountable for all post-discharge needs and acts as financial steward for the ... care for positive patient outcomes outside of the inpatient setting. The Senior Discharge Plan Manager provides training and mentorship to less experienced staff.… more
- UPMC (Jamestown, NY)
- …Care Coordination and Discharge Planning?** UPMC Chautauqua is looking for a Senior Discharge Plan Manager to support their Clinical Care Coordination Department! ... for patients throughout their UPMC treatment journey. _ The Senior Discharge Plan Manager is a valued step in...financial, cultural, and spiritual needs that guide the planning process with the patient to attain optimal outcomes. Take… more
- UPMC (Mckeesport, PA)
- UPMC Community Medicine Incorporated is hiring a Full-Time Senior Social Worker to help support Latterman Family Health Center. Hours: Monday-Friday, daylight ... and teaching that allows for growth and creativity. **Purpose:** The Senior Social Worker is responsible for providing complete psychosocial assessments, crisis… more
- Gilead Sciences, Inc. (Washington, DC)
- …(RWD) to help transform innovations to life-changing medicines for patients. The Senior Director, RWE Inflammation Product Lead reports to the Executive Director, ... and use of RWE at the global level. The Senior Director, RWE Product Lead will oversee a team...well as advise on methodological approaches in support of payer and provider interactions. Success in this role requires… more
- Pfizer (New York, NY)
- …(pre-POC) across priority tumor areas for the Pfizer. Reporting to the Senior Director, Global Access Strategy & Pricing within GAV's (Global Access and ... asset development team, this colleague will: conduct/design and synthesize global payer insights to provide early access and pricing recommendations, propose… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …positions. **POSITION PURPOSE** Guided by BCBSLA Reference Architecture & Standards, Senior Solution Architect is responsible for leading development of Architecture ... to demonstrate increasing maturity and value.Project portfolio level review and assessment report for enterprise-level opportunities to maximize shared services and… more
- City of New York (New York, NY)
- …The Bureau of Equitable Health Systems seeks to hire an entrepreneurial Senior Policy Advisor with demonstrated experience in healthcare policies. DUTIES WILL ... care - Value-based care and Alternative Payment Models - Price transparency, All- Payer Claims Databases, and other employer-led strategies promote high-value care -… more
- ChenMed (Miami, FL)
- …aids decision making capability for business planning, process improvement, solution assessment , etc. + Analyzes and validates payer claims data. Assists ... need great people to join our team. Working with limited guidance, the Senior Analyst VBC (Value Based Care) Performance is responsible for proactively tracking the… more
- R1 RCM (Boise, ID)
- …and issues from end users, including root cause analysis and impact assessment . + Collaborate with product management and data engineering teams to validate ... accommodation to complete any part of the job application process , please contact us at ### for assistance. CA...100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight… more
- UNC Health Care (Morrisville, NC)
- …Management, and UNC Health ambulatory services. The director collaborates with senior -level staff accountable for daily operations, finance, payer contracts, ... goals, and internal customer service. This individual collaborates with UNCHA senior executives in setting strategy and developing business plans, organizational… more
- J&J Family of Companies (Santa Clara, CA)
- …Health Economics, Health Intelligence, Market Knowledge, Market Opportunity Assessment , Pricing Strategies, Process Improvements, Regulatory Compliance, ... including regional trends and developments, to support quarterly updates to Senior Leadership. **2. Reimbursement and Access Support** + Develop and implement… more