- UPMC (Pittsburgh, PA)
- UPMC Health Plan is seeking a full-time Strategy Consultant to support the Medicare & SNP Product Department within the UPMC Insurance Services Division! The ... Strategy Consultant will work a hybrid work structure, with a combination of work-from-home days and in-office days at the US Steel Tower in Downtown… more
- Sedgwick (San Diego, CA)
- …& Insurance Workers Compensation Claims Examiner | Roseville or San Diego, CA ( Hybrid ) **PRIMARY PURPOSE** : To address and handle high end cases with serious ... complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution. **ESSENTIAL FUNCTIONS and… more
- Elevance Health (Richmond, VA)
- …and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy . Unless specified as primarily virtual by the hiring ... **Business Information Consultant Senior - Health System Reimbursement** **Location:** This...preferred. + Experience benchmarking hospital or physician rates against Medicare reimbursement highly preferred. + Excel, SQL, and SAS… more
- Elevance Health (Atlanta, GA)
- …and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy . Unless specified as primarily virtual by the hiring ... Pharmacy Care Center (CPCC) is a clinical pharmacy call center that services Medicare , Medicaid, and the Commercial member populations. The members we reach out to… more
- Humana (New York, NY)
- …for the company's future. Transformation is critical to our core strategy : delivering great healthcare to seniors, providing a differentiated healthcare experience, ... the complex and coordinated effort required to execute the enterprise strategy : accelerating our long-term vision by identifying opportunities, designing solutions,… more
- Takeda Pharmaceuticals (Boston, MA)
- …of the US Oncology BU's (US OBU's) commercial and government pricing strategy and commercial contracting management, oversee advanced market access analytics, and ... marketing, finance and legal) that is responsible forthe pricing and contracting strategy across all US oncology customersegments. As the leader of this team,… more
- Takeda Pharmaceuticals (Lexington, MA)
- …& reimbursement pathways to therapy as prescribed. + **Market Analysis and Strategy Development:** Evaluate market access trends and brand performance and develop ... strategies and marketing tactics across the access ecosystem. + **Data-driven Strategy :** Ensure clear performance metrics are in place and leverage data… more
- ChenMed (Miami, FL)
- …Clinical, Operations, and Specialty Care leadership and will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. ... of four (4) years of related experience + Experience in a Medicare Advantage, Hospital Systems and/or risk-based healthcare organization, preferred We're ChenMed and… more
- Humana (Lansing, MI)
- …operational issues, and advise on network composition, and value-based payment strategy . This is a collaborative role requiring critical thinking and problem-solving ... 6+ years' experience working with a managed care organization or as a consultant in a network/contract management role, such as contracting, provider services, etc.… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …communication. This position is located in our Fairfax, VA office; however, a hybrid working model is acceptable **Your future duties and responsibilities:** * Work ... * Minimum Salesforce certified: * Administrator * Sales Cloud Consultant * Service Cloud Consultant * Platform...Federal Government and Healthcare sectors, specifically the Centers for Medicare and Medicaid Services (CMS) CGI is required by… more