• Manager , Medical Economics

    CVS Health (Hartford, CT)
    …supporting complex capitation analyses that support our strategic goals for Medicaid, Medicare and IFP, and working collaboratively with the Network to determine the ... analytical research, complex financial modeling and business decision support related to medical cost. Since data mining and "what-if" scenarios are the regular… more
    CVS Health (06/01/25)
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  • Senior Health Economics Analyst

    ChenMed (Miami, FL)
    …and prioritize opportunities, and spot trends + Extensive knowledge of healthcare/ medical economics data such as hospital/physician /ASC claims, utilization ... and we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights and analytical… more
    ChenMed (03/07/25)
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  • Actuary - Medicare Part D - Evernorth…

    The Cigna Group (Bloomfield, CT)
    This position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This ... Drug or Part D bid development consulting experience preferred + Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager (PBM) / Healthcare /… more
    The Cigna Group (05/31/25)
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  • Medicare Risk Adjustment Business…

    Elevance Health (Richmond, VA)
    …research and analysis to identify trends, areas for improvement, and opportunities within Medicare markets ad provider networks. + Gather and analyze data to develop ... projects **Required Qualifications:** + Requires a BA/BS degree in Statistics, Economics , or Business Administration and minimum of 8 years of relevant… more
    Elevance Health (05/28/25)
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  • Electric Program Manager

    Silicon Valley Power (Santa Clara, CA)
    **Electric Program Manager ** Print (https://www.governmentjobs.com/careers/cityofsantaclaraca/jobs/newprint/4735840)  **Electric Program Manager ** Salary ... Positions: Silicon Valley Power is recruiting to fill various Electric Program Manager positions in the following specialties: - Customer Engagement - Distributed… more
    Silicon Valley Power (05/22/25)
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  • Finance Manager , Amazon One Medical

    Amazon (Boston, MA)
    …mental health concerns have been delighting people for the past fifteen years. Amazon One Medical is hiring a Finance Manager (FM) for our Senior Health Value ... to be Earth's most Customer-centric company, and that now extends to Healthcare. One Medical is a primary care solution challenging the industry status quo by making… more
    Amazon (05/16/25)
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  • Principal Product Manager

    Lumeris (MA)
    …Advantage (MA) plan. We are looking for a visionary and innovative Senior Product Manager to drive our Medicare Advantage technology powered offering. The ideal ... its people and empowers you to make an impact. **Position:** Principal Product Manager **Position Summary:** Are you passionate about using your skills for the… more
    Lumeris (05/31/25)
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  • Principal Reimbursement Analyst - PVH

    Medtronic (Minneapolis, MN)
    economics and reimbursement + Knowledgeable in US hospital-based medical device reimbursement, including US healthcare coding (HCPCS/CPT, ICD-10), Medicare ... and impactful role as a member of the Peripheral Vascular Health business' Health Economics , Policy and Reimbursement (HEPR) team. This role will drive the US launch… more
    Medtronic (05/29/25)
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  • Manager Regulatory Affairs *Remote

    Providence (Beaverton, OR)
    **Description** ** Manager Regulatory Affairs** **_Remote_** This position is responsible for managing and developing a team tasked with performing timely tracking of ... guidance, and government contract requirements applicable to Providence Health Assurance's Medicare Advantage and Medicaid lines of business at the state and… more
    Providence (05/23/25)
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  • Market Access Manager

    Aston Carter (Valencia, CA)
    …+ Develop and execute strategies to secure coverage, reimbursement, and pricing for medical devices across Medicare , Medicaid, and private payers. + Build ... Job Title: Market Access Manager Job Description We are seeking a proven...efforts in securing coverage, reimbursement, and pricing for cutting-edge medical devices. This role demands extensive expertise in navigating… more
    Aston Carter (06/01/25)
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  • Manager of Clinical Payor & Policy…

    Caris Life Sciences (Austin, TX)
    …bigger than yourself, Caris is where your impact begins.** **Position Summary** The Manager of Clinical Payor & Policy Relations will be responsible for research and ... promotion of positive medical policy coverage for Caris Molecular Intelligence (CMI) testing...genetic counseling, life sciences, nursing, pharmacy, health policy, health economics , or relevant discipline, or a combination of a… more
    Caris Life Sciences (05/15/25)
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  • Key Account Manager - Cardiovascular

    Amgen (Denver, CO)
    …worldwide. It's time for a career you can be proud of. **Key Account Manager - Cardiovascular** **Live** **What you will do** The Cardiovascular Account Manager ... Committee, etc., that act as partners or decision-makers within the Health System Manager assigned accounts + Presents MAC approved data and CV product messaging for… more
    Amgen (05/30/25)
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  • Manager , Risk Adjustment (Central Region)

    CVS Health (Columbus, OH)
    …**Required Qualifications** + 2 to 5years Government Programs experience including Medicare , Commercial ACA, and/or Medicaid. + Risk adjustment working knowledge and ... Master's degree **Education** Bachelor's degree in Business Administration/Management, Finance, Economics , Statistics, Mathematics, Data Science, HIM, Information Systems, Computer… more
    CVS Health (05/23/25)
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  • Medical Director Utilization Management

    AmeriHealth Caritas (Newtown Square, PA)
    …resolution and negotiation. + Understanding of and expertise in quality improvement and medical economics . + Strong leadership skills. + Excellent analytical and ... all Enrollees by associates and Providers. + Serves as medical advisor and manager for all clinically...3 years of utilization management experience in a Medicaid, Medicare , dual eligible or commercial health plan. + Minimum… more
    AmeriHealth Caritas (05/27/25)
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  • Physician - Vice President of Medical

    Marshfield Clinic (Rice Lake, WI)
    …**EXPERIENCE** **Minimum Required:** Leadership experience. Demonstrated understanding of healthcare and medical economics in managed healthcare and evidence of ... the world!** **Job Title:** Physician - Vice President of Medical Affairs - Hospital Medical Director West...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
    Marshfield Clinic (04/26/25)
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  • Senior Resource Analyst

    Silicon Valley Power (Santa Clara, CA)
    …**Minimum Education Requirements:** + Bachelor's Degree in Engineering, Economics , Mathematics, Business, Accounting, Information Technology, or other related ... this summary and the applicable official plan documents, City Manager 's Directives (CMDs), Personnel and Salary Resolution, or Memorandum...formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20%… more
    Silicon Valley Power (04/30/25)
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  • Senior Contracting Analyst - Mount Sinai Health…

    Mount Sinai Health System (New York, NY)
    …healthcare analytics required (with a Bachelors degree). ? Health plan experience in Medical Economics or Value Based Payments preferred. **Additional Skills and ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
    Mount Sinai Health System (04/04/25)
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  • Associate Center Clinical Director

    ChenMed (St. Petersburg, FL)
    Medical Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance + Sales and Growth The CMD ... organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a...towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center… more
    ChenMed (05/09/25)
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  • Actuary

    CareOregon (Portland, OR)
    …Montana, or Wisconsin. Job Title Actuary Exemption Status Exempt Department Finance Manager Title Actuarial Services Manager Direct Reports n/a Requisition # ... cost and utilization trend analysis, return on investment evaluations, Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk… more
    CareOregon (05/22/25)
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  • Director Clinical Analytics

    Dignity Health (Bakersfield, CA)
    …Miner and Text Analytics, SAS/STAT, Enterprise Guide, Visual Analytics, Business Rues Manager , Model Manager , SQL and SAS coding. Previous experience with ... experience in all items stated in required. - Master's degree in Health Economics , Health Administration or a related field or experience commensurate with position… more
    Dignity Health (06/01/25)
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