- Evolent (Helena, MT)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst, Healthcare Analytics Consultant ** The Client Analytics team provides ... Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …right for you, we encourage you to apply! Job Description: Summary: The Pharmacy Analytics Consultant provides direct support for both Pharmacy and Medical Drug ... using a variety of analytic tools and applications. The Consultant will work with internal and external stakeholders and...data. Regularly review trends and best practices related to healthcare analytics + Compiles complex data sets… more
- Molina Healthcare (Orlando, FL)
- …analysis of markets and network initiatives. The Medical Economics Consultant manages conflicting priorities and multiple projects concurrently. Responsible for ... EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 5 - 7 years in healthcare /managed care industry with knowledge of provider contracting, provider reimbursement,… more
- CVS Health (Atlanta, GA)
- …Experience in healthcare fraud, waste and abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data ... skills in SQL and Python who can transform complex healthcare data into actionable insights to support fraud, waste,...investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate… more
- IQVIA (Boston, MA)
- …located._ ** Consultant - Commercial Solutions & Insights Hub (CSIH), Analytics Pillar** IQVIA CSIH is a market-leading, delivery-oriented division within IQVIA ... and biotechnology industry to meet the challenges of today's complex and evolving healthcare landscape. The Analytics department leverages the power of … more
- Two95 International Inc. (New York, NY)
- Job Title: Sr. Analytics Consultant Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Job Description: Primary ... (but not required) * 10+ years of experience in healthcare data analysis (including EMR/EHR, claims , eligibility and publicly available data such as CMS LDS)… more
- Health Care Service Corporation (Richardson, TX)
- …that will invest in your professional development. **Job Summary** The Principal Analytics Consultant role offers an exciting opportunity in Medical Economics ... Utilization Management data (eg authorizations, appeals, grievances) + Experience with DCMS healthcare data (eg MMR, Claims Eligibility, Provider) + Experience… more
- Amazon (Arlington, VA)
- …The Amazon Web Services Professional Services (ProServe) team is seeking a skilled Delivery Consultant to join our team at Amazon Web Services (AWS). In this role, ... Possessing a deep understanding of AWS products and services, as a Delivery Consultant you will be proficient in architecting complex, scalable, and secure solutions… more
- Huron Consulting Group (Van Buren, AR)
- …Join Huron and shape the future of consulting! As the Oracle Health Solution Consultant , you will: *Partner with healthcare clients and other stakeholders to ... Proven success in managing end-to-end billing processes, including generating and submitting claims , statements and invoices for healthcare services with a focus… more
- Norstella (Jefferson City, MO)
- …relational databases, ensuring data accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, ... Senior Analytic Consultant Company: MMIT Location: Remote, United States Date...technologies such as real-world data, machine learning and predictive analytics . As one of the largest global pharma intelligence… more
- Access Dubuque (Dubuque, IA)
- …Bailly Captive Consultant - Property & Casualty Cottingham & Butler/ SISCO Claims & Safety Captive Consultant Cottingham & Butler/ SISCO Benefits Service ... Benefits Captive Consultant **Cottingham & Butler/ SISCO** 1 Positions ID:...layers and reinsurance arrangements. + Monitor captive performance, analyze claims trends, and provide strategic recommendations to optimize funding… more
- Elevance Health (Indianapolis, IN)
- …background. **Preferred Skills, Capabilities and Experiences:** + Prior experience in healthcare claims , payment integrity, or consulting highly preferred. + ... **Business Consultant ** **Location** : This role requires associates to...preferred. + Experience with client/vendor relations, customer service, or healthcare analytics a plus. Please be advised… more
- Elevance Health (Richmond, VA)
- **Provider Contract/Cost of Care Consultant Senior** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... as required by law. The **Provider Contract/Cost of Care Consultant Senior** provides the highest level of analytical support...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Elevance Health (Las Vegas, NV)
- **Provider Contract Cost of Care Consultant - VBC** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... accommodation is granted as required by law. The **Provider Contract Cost of Care Consultant - VBC** is responsible for provides analytical support to the Cost of… more
- Highmark Health (Charleston, WV)
- …exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for collaborative work with other functions in the ... provider area, data analytics , and key internal/external stake holders to provide the...office based, hands-on assistance services (ie, chart reviews, mass claims adjustments, UDC processes, etc.) to PCPs enrolled in… more
- CareFirst (Baltimore, MD)
- …help design, launch, and execute programs that support initiatives in the changing healthcare environment. The Business Consultant will support the Cost of Care ... **Resp & Qualifications** **PURPOSE** : The Business Consultant provides expertise in tailored, strategic, and critical work to… more
- Prime Therapeutics (Bismarck, ND)
- …passion and drives every decision we make. **Job Posting Title** Senior Strategy Consultant - Remote **Job Description** The Senior Strategy Consultant is ... + Support Board document preparation processes by providing needed analytics and administrative tasks + Other duties as assigned...5 years of work experience in strategy, research or healthcare + Must be eligible to work in the… more
- Dragonfly Health (Mesa, AZ)
- …Built on a 20-year history, Dragonfly Health uses advanced technology and robust analytics to manage DME and pharmaceutical services as part of a single, efficient ... of a team that is transforming the future of hospice and post-acute healthcare . This is where innovation, collaboration and compassion thrive, allowing us to carry… more
- ChenMed (Miami Gardens, FL)
- …and business opportunities. + Consults with and directs stakeholders to appropriate healthcare analytics and value-added information. Works to build and ... project scope, conclusions, and recommendations. + Serves as subject matter expert and consultant for analytics within the scope of partner COEs. + Leads… more
- Dragonfly Health (LA)
- …Built on a 20-year history, Dragonfly Health uses advanced technology and robust analytics to manage DME and pharmaceutical services as part of a single, efficient ... of a team that is transforming the future of hospice and post-acute healthcare . This is where innovation, collaboration and compassion thrive, allowing us to carry… more