- LA Care Health Plan (Los Angeles, CA)
- …able to apply them when best suited. Preferred: At least 5 years experience in Health Care , Managed Care Skills Required: Proven ability to work closely and ... Risk Adjustment Strategies and Initiatives Analytics Program Manager II Job Category:...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- J&J Family of Companies (Titusville, NJ)
- …United States of America **Job Description:** ** Manager , Contract Strategy & Analytics ** Johnson & Johnson Health Care Systems Inc. (Strategic Customer ... Group) is recruiting for a Manager , Contract Strategy & Analytics , located in...across all pharmaceutical business units and contracted channels including Managed Care , Hospital, Physician, ITP, LTC and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required + Part D Coverage ... and coding to be submitted to the Pharmacy Benefit Manager , New Contract Year formulary evaluation, and rebate strategy...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… more
- Amgen (Chicago, IL)
- …and transform the lives of patients while transforming your career. **CD&A - Customer Analytics ** **& Reporting** **- Senior Manager ** **What you will do** Let's ... secondary and primary data sources and engaging several Customer Data and Analytics (CD&A) colleagues to develop a comprehensive understanding of brand performance… more
- AscellaHealth (Berwyn, PA)
- Manager , Financial Analytics ( Manager , Financial Planning & Analysis) What we are looking for AscellaHealth is looking for a Manager of Financial ... Financial Planning & Analysis, will support all departments to provide key analytics to drive the day-to-day operations. The candidate should have experience working… more
- J&J Family of Companies (Titusville, NJ)
- … Systems Inc. Strategic Customer Group is searching for the best talent for a ** Manager , Contract Strategy & Analytics ** **.** This role is based in Titusville, ... NJ. **Role Overview** The Manager , Contract Strategy & Analytics , will be...performance and KPI reporting is preferred. * Knowledge of managed markets, acute care and specialty channels… more
- ChenMed (Miami Gardens, FL)
- … providers. We're rapidly expanding and we need great people to join our team. The Analytics Product Manager is a key member of the Analytics organization ... + Defines strategy and processes for one or more Analytics product areas. + Owns the product roadmap and...+ Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Professional-level business… more
- TD Bank (SC)
- …Business:** Analytics , Insights, & Artificial Intelligence **Job Description:** The Senior Manager , Analytics & Insights manages a team of Business Insights ... & Analytics specialists and works closely with various internal stakeholders/partners...functions, while ensuring key controls and processes are effectively managed + Oversees or leads the facilitation and/or implementation… more
- Point32Health (VT)
- …Policy, etc. + Utilizing in-depth understanding of reimbursement methodologies and trends in managed care finance, lead the development and analysis of new ... Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will be part...professional experience. + Preferred: 5-7 years of experience in managed care or provider environment. New England… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, ... with SAS Enterprise Miner and Text Analytics , SAS/STAT, Enterprise Guide, Visual Analytics , Business Rues Manager , Model Manager , SQL and SAS coding.… more
- Covenant Health Inc. (Knoxville, TN)
- …limited to changes in governmental reimbursement, fee schedule and rate updates for managed care payors, costing updates, and changes in productivity data ... Overview Financial Planning & Analytics Analyst, Financial Analytics Full Time,...revenue analyses, and analyzing budget exception requests. Coordinate with Managed Care and Reimbursement to aggregate reimbursement… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …: Incidental travel required **Scope of Responsibilities:** Oversight responsibility for the managed care department of the company. Responsible for training, ... to minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14515/third-party-contracting- analytics - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-East Syracuse_… more
- Elevance Health (Richmond, VA)
- …or Operations Research and a minimum of 5 years experience in related health care analytics ; or any combination of education and experience which would provide ... **Advanced Analytics Consultant - Medical Economics** **Location:** Chicago, IL...extraction/manipulation techniques. + Strong understanding of actuarial principles and managed care operations. + Cost of … more
- CVS Health (Providence, RI)
- …a large impact in your next role? Join CVS Health as the Trade Operations Analytics Manager , where you will create and facilitate the flow of information between ... Commercial Programs and the greater Trade business unit. The Manager understands key negotiations, annual and mid-year processes, and...**Required Qualifications** : - 5 years of experience in managed care which may include PBM, Pharma,… more
- Capgemini (Boston, MA)
- …**:** Seeking experienced Account Executive with consulting and delivery background, data analytics experience, and knowledge of the energy & utilities industry to ... Solutions, Electric Data Management, smart grid, smart substation, etc) + Successfully managed and grew large accounts or portfolio of accounts in the range… more
- UNC Health Care (Raleigh, NC)
- …closed-loop handoffs with external care teams + Provide warm handoffs to managed care partners or community navigators **4. Complex Case Rounds (Weekly)** + ... support to a network of 6 owned and 10 managed hospitals.** **This position is a 40 hour per...of case management, utilization review and discharge planning. The Care Manager must be highly organized professional… more
- FlexStaff (New York, NY)
- …Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs. Experience in working independently without significant oversight and ... **Req Number** 156311 FlexStaff is seeking a qualified Clinical Manager - Integrated Care Perm position for...review, quality assurance, or discharge planning (preferably within a managed care , home care , or… more
- CenterLight Health System (Ridgewood, NY)
- …+ Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs. + Experience in working independently without significant oversight and ... medication review, and post-hospital discharge evaluation. The Clinical Assessment Manager - Care Delivery will follow all...review, quality assurance, or discharge planning (preferably within a managed care , home care , or… more
- Elevance Health (Cerritos, CA)
- …autism and depression, and insightful analytics to improve the delivery of care . **Title:** Behavioral Health Care Manager II **Location:** Woodland ... and ensures essential face-to-face onboarding and skill development. The **Behavioral Health Care Manager II** is responsible for managing psychiatric and… more
- CenterWell (Houston, TX)
- …degree in nursing or business health field + Previous experience working in a managed care field + 5 or more years of previous management/supervisor level ... and help us put health first** **The Role** The Care Integration Team Manager is responsible for...market leader/key stakeholders to design market specific strategies, data analytics , and create action plans that will reduce acute… more