- The Joint Commission (Oakbrook Terrace, IL)
- **Overview** Joint Commission seeks a highly skilled and motivated Sr Healthcare Data Analyst to support a growing portfolio of research and analytics ... initiatives that inform quality improvement, accreditation strategy , certification programs, and system-level learning. Working directly with the Vice President and… more
- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. **Position Summary** **Position Summary** The Senior Manager Health Care Quality Management will be responsible for managing the ... plan. This involves oversight and execution of contractually required Medicare and Medicaid regulatory deliverables, HEDIS activities, quality improvement activities… more
- Molina Healthcare (Spokane, WA)
- **Job Description** **Job Summary** Sr . Analyst , Network Strategy , Pricing & Analytics guides the investment of our network partners through contract ... rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult… more
- Molina Healthcare (Scottsdale, AZ)
- **Job Description** **Job Summary** Sr . Analyst , Network Strategy , Pricing & Analytics guides the investment of our network partners through contract ... rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and ... and identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with...Group is an integral part of Houston Methodist's overall strategy to become one of the nation's leading academic… more
- Mount Sinai Health System (New York, NY)
- …for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy ... contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team...across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst Lead** to analyze and… more
- CVS Health (Nashville, TN)
- …And we do it all with heart, each and every day. **Position Summary** A Sr . Analyst , Project Management (IC) role, reporting to the AVP of Medical and ... reports, ensuring all messaging is consistent and aligned with the overall strategy supporting the Medical Pre-Payment Policy Solutions (MPPS) + Use a centralized… more
- Molina Healthcare (Rio Rancho, NM)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along with corresponding tracking of progress and impact of such… more
- AbbVie (Mettawa, IL)
- …channels of pharmaceutical businesses such as the Commercial Insurance channel, Medicare and Medicaid Channels. This role requires collaboration with stakeholders ... Payer Economics during deal negotiations to ensure that AbbVie's proposed contract strategy meets internal financial benchmarks and that payer views are also… more
- HCA Healthcare (Nashville, TN)
- …integrity. We care like family! Jump-start your career as a Benefits Operations Analyst today with HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- Medtronic (FL)
- …and Reimbursement (HEPR) team is currently looking for a Reimbursement Analyst who will partner with healthcare providers/decision makers, payers, and internal ... Business. You will work independently with the Health Economics Managers, Sr . Manager, healthcare providers, other internal stakeholders, to help ensure patient… more
- Independent Health (Buffalo, NY)
- …trends, product changes and financial metrics to recommend pricing or pricing strategy . + Effectively handle shifting assignment and priorities to meet deadlines. + ... Responsible for rebate data metrics, rebate summary reporting, and presentation for senior management. + Create and maintain contract and pricing databases for… more
- Humana (Louisville, KY)
- …scorecards), Clinical Insights (population health, SDOH, behavioral health, pharmacy strategy , care management strategy ), and Quality (withhold management, ... HEDIS management, value-based payment strategy , audits, and NCQA accreditations). The leader may be...accreditations). The leader may be a data scientist, financial analyst , economist, or other analytical professional; though experience in… more
- ChenMed (Miami, FL)
- …Director, Revenue Cycle Management (RCM) Optimization manages and organizes revenue strategy activities to maximize cash flow through the creation of effective, ... and tools to address these gaps. + Partners with senior business stakeholders to identify, analyze, and prioritize RCM...business acumen and acuity + In depth knowledge of Medicare , Medicaid, and commercial billing rules and regulations, coding,… more
- Independent Health (Buffalo, NY)
- …trends, product changes and financial metrics to recommend pricing or pricing strategy . + Effectively handle shifting assignment and priorities to meet deadlines. + ... Responsible for rebate data metrics, rebate summary reporting and presentation for senior management. + Assist with negotiations on contracts with manufacturers on… more
