- Highmark Health (Tallahassee, FL)
- …Business Solutions leadership in strategic activities to expand IT capabilities for Medicaid growth in the dental market by: Applying SME knowledge to analytical ... to identify business needs for growing and sustaining the Medicaid business. Apply SME knowledge and oversee multiple teams'...own the outcome + Lead medium to large sized strategy work streams with the help of internal or… more
- Public Consulting Group (Sacramento, CA)
- …program needs that enhance the lives of their user base. Services: + Strategy , Architecture, Planning, and Procurement + Business Enablement + Business Solutions + ... required + 3 + years of relevant industry experience + Public sector experience + Medicaid experience + Must be located in the western region of the US - Sacramento… more
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy , Pricing & Analytics guides the investment of our network partners through contract valuation ... and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes,… more
- CommonSpirit Health (Phoenix, AZ)
- …commercial, Medicare, Medicaid , Health Insurance Exchange plans, and more. The Analyst leverages analytical tools such as PIC and EPIC, and manages their ... of termination or alternative payment strategies. The position works closely with senior management, Payer Strategy negotiating teams, and cross-functional teams… more
- Humana (Louisville, KY)
- …Leadership Team and Board of Directors. We are seeking a highly motivated Corporate Strategy Analyst to join our team. The ideal candidate will blend strong ... community and help us put health first** Humana's Corporate Strategy team is a small, high-performing group that works...is a small, high-performing group that works closely with senior leadership to establish the future course for the… more
- Fair Haven Community Health Care (New Haven, CT)
- …medical and dental care, regardless of ability to pay. Job purpose The Senior Data Analyst turns clinical, operational, and financial data into insights ... Quality, Operations, Finance, and IT in support of the strategy and mission of Fair Haven Community Health Care...and responsibilities Reporting to the Director of Data, the Senior Data Analyst will effectively prioritize and… more
- CommonSpirit Health (Rancho Cordova, CA)
- **Job Summary and Responsibilities** This is a remote position. The Senior Analyst , Payer Analytics & Economics performs managed care financial analysis, ... senior management, physicians, hospital staff, and managed care/payer strategy leaders. The position must handle adverse and politically difficult situations,… more
- Molina Healthcare (AZ)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... to use reports related to Risk and Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. Assists with research, development, and...users on how to use reports + Builds intervention strategy reporting for the Risk and Quality interventions and… more
- CVS Health (FL)
- …every day. **Position Summary** Designs and implements a quality management strategy that meets internal and external constituent expectations for demonstrating ... Committee for Quality Assurance (NCQA) and state regulators for Medicaid and CHIP. Links the quality management activities to...experience in managed care quality and/or 3 years in Medicaid managed care - Must be analytical and able… more
- AbbVie (Mettawa, IL)
- …businesses such as the Commercial Insurance channel, Medicare and Medicaid Channels. This role requires collaboration with stakeholders including Finance, ... Payer Economics during deal negotiations to ensure that AbbVie's proposed contract strategy meets internal financial benchmarks and that payer views are also… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …Range: $122,610.00 - $170,000.00 Security Clearance: TS/SCI Level of Experience: Senior HI This opportunity resides with All-Domain Operations (ADO), a business ... of Health and Human Services Centers for Medicare and Medicaid Services (CMS) effort under HII's Decisive Mission Actions...+ Oversee the development of a marketing and branding strategy to develop, deliver, and maintain outreach and a… more
- City of New York (New York, NY)
- …promote health and wellbeing of New Yorkers. The Bureau of Data Technology and Strategy (BDTS) is dedicated to the development of the new data ecosystem and ... and administration of New York State Department of Health (NYSDOH) Medicaid and hospital discharge data and NYS-Statewide Health Information Network-New York… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The Department of ... Analytics & Verification is recruiting for (1) Administrative Staff Analyst NM III to function as an Executive Director,...systems to meet identified goals and mandates. - Direct senior staff in the management of the evaluation, design,… more