- Molina Healthcare (Des Moines, IA)
- …Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing ... * Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend… more
- Molina Healthcare (Spokane, WA)
- **Job Summary** The Manager, Medical Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business ... and opportunities. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical… more
- AdventHealth (Maitland, FL)
- …on site) **Job Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation ... care contracts, proposals, analyze fee schedules, and determine contract compliance. The Medical Economics Manager must have attention to detail and competencies… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …+ Balance sense of urgency and competing priorities across all key customers of Medical Economics and Pharmacy Analytics + Enhance and Develop flexible analytic ... care delivery system and health plan operations, including knowledge of Medical Economics , Trend Management, Pricing, Forecasting, Provider Payment… more
- CVS Health (Providence, RI)
- …it all with heart, each and every day. **Position Summary** It's an exciting time for our Medical Economics team at CVS Health. As a growing team in a Fortune 5 ... and consultative skills to positively impact our patients' health. As a Medical Economics Analyst, you will provide consultative support and medical … more
- Humana (Louisville, KY)
- …leadership for clinical effectiveness within the Medicaid segment. This function integrates Medical Economics , Clinical Insights, and Quality to deliver improved ... for the Medicaid segment. Functions reporting to this leader include Medical Economics ( medical cost analysis, premium analytics, program effectiveness and… more
- CVS Health (Harrisburg, PA)
- …analytical research, complex financial modeling and business decision support related to medical cost. Since data mining and "what-if" scenarios are the regular ... business objectives. **Education** Bachelor's degree in Math, Actuarial Science, Economics or another related degree preferred/specialized training/relevant professional qualification… more
- Centene Corporation (Lansing, MI)
- …policies and standards **Education/Experience:** Bachelor's degree in business, economics , statistics, mathematics, actuarial science, public health, health ... informatics, healthcare administration, finance or related field or equivalent experience. Master's degree preferred. 5+ years of experience working with large databases, data verification, and data management or 3+ years IT experience. Healthcare analytics… more
- Centene Corporation (Tallahassee, FL)
- …policies and standards **Education/Experience:** Bachelor's degree in business, economics , statistics, mathematics, actuarial science, public health, health ... informatics, healthcare administration, finance or related field or equivalent experience. 2+ years of experience working with large databases, data verification, and data management, or 1+ years IT experience. Healthcare analytics experience preferred.… more
- UPMC (Pittsburgh, PA)
- …understanding of medical and pharmacy claims, broad-based business and health economics acumen, a strategic mindset, and an ability to influence and leverage ... The Department of Health Economics is seeking a Managing Actuary! This credentialed...analysis and would be responsible for developing and driving medical cost improvement strategies for UPMC Health Plan in… more
- Edwards Lifesciences (Raleigh, NC)
- …or related field plus 12 years of experience in health policy, health economics , medical device reimbursement and technology assessment or master's degree plus ... us and be part of our inspiring journey. The Director, Global Health Economics and Reimbursement is a field-based role responsible for working directly with hospital… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …even bigger advances in cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves a great leader. People ... external vendors and experts + Interfaces with cross-functional partners in Medical Affairs, Value & Access, Clinical Development, Regulatory, Legal/Compliance, and… more
- Amazon (San Francisco, CA)
- …-Analysis of Medicare Advantage and Accountable Care Organization data primarily - Medical economics reporting and ad-hoc analysis relating to cost ... or Medicare Advantage products -Strong knowledge of actuarial reserving, forecasting and medical economics -Expertise in working with medical claims data and… more
- Nestle (Bridgewater, NJ)
- …or Data Science preferred. + Experience: Minimum 6 years of experience in medical affairs, health economics outcomes research, clinical development, or related ... of health and nutrition for patients and consumers. **Position Overview** The Medical Affairs Director, Real-World Evidence (RWE) Lead serves as a clinical and… more
- Baylor Scott & White Health (Dallas, TX)
- …for team events and meetings **ESSENTIAL FUNCTIONS OF THE ROLE** The medical economics analytics developer is primarily responsible for extracting, analyzing, ... and interpreting data to identify areas of opportunity and help guide cost saving initiatives. + Collect and analyze data from a variety of sources, including electronic health records, and claims data (50%). + Provide observations and recommendations based on… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …deployment. This work includes a variety of modeling and analytics to support medical economics , payment integrity, and various other areas of finance. ... in data trends, themes and findings, particularly across the areas of medical economics , trend measurement, pricing, financial planning and informatics. +… more
- Molina Healthcare (Miami, FL)
- …Education** Master's Degree **Preferred Experience** * Preferred experience in healthcare medical economics and/or strong financial analytics background * ... research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, actionable financial and even… more
- Molina Healthcare (Scottsdale, AZ)
- …Education** Master's Degree **Preferred Experience** + Preferred experience in healthcare medical economics and/or strong financial analytics background + ... research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, actionable financial and even… more
- Molina Healthcare (Racine, WI)
- … Economics , Math, Accounting or related fields Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively ... team. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics , Computer Science **Required Experience** + 6+ years of progressive… more
- CVS Health (Springfield, IL)
- …value, and communicate areas of opportunity. + Strong understanding of Medical Economics concepts like: Value Based Care arrangements, monitoring/mitigating ... into meaningful and actionable information. This role is responsible for medical claims and economics reporting and analytics for a book of Middle Market and… more