• Associate Actuary - Medicaid Trend

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Associate Actuary, Analytics /Forecasting ensures data integrity by developing and ... as independent initiatives aimed at reducing cost, improving member health outcomes, or otherwise producing value within Humana's Medicaid...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
    Humana (10/01/25)
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  • Staff VP - Engineering, Medical Cost Mgmt & Cost…

    Elevance Health (Norfolk, VA)
    …Management & Cost of Care **Location:** May be located in any Elevance Health PulsePoint office preferably in Indianapolis, IN, Atlanta, GA, Mason, OH, Richmond, VA, ... executive will oversee engineering teams responsible for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and… more
    Elevance Health (10/02/25)
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  • Provider Contract/Cost of Care Consultant (US)

    Elevance Health (Norfolk, VA)
    …**How you will make an Impact:** + Uses analytic tools to track both health risks and compliance, as well as supporting the contract negotiation process. + Types ... of analyses include performing sophisticated retrospective data analytics ; building new and modifying existing complex models to create predictive impact decision… more
    Elevance Health (09/27/25)
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  • Pharmacy Reporting Analyst (Business Information…

    Elevance Health (Richmond, VA)
    …ensure the implementation and execution of deliverables related to pharmacy reporting and analytics , up to and through delivery. **How you will make an impact:** + ... Capabilities, and Experiences:** + Degree in Information Management, Data Analytics , or other analytics /software development related educational background… more
    Elevance Health (08/23/25)
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  • Director Data Science, Research & Development

    Highmark Health (Richmond, VA)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Solve complex healthcare challenges at the forefront of innovation. Highmark Health is ... strategies aligned with the Quintuple Aim. Join our dynamic Advanced Analytics group and unlock your potential to revolutionize healthcare through innovative… more
    Highmark Health (09/17/25)
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  • Principal Engineer - Cloud FinOps

    Elevance Health (Richmond, VA)
    …cloud investments across AWS and Azure. This role blends deep engineering expertise, analytics , and financial acumen, enabling Elevance Health to scale cloud ... is not eligible for current or future visa sponsorship._ At Elevance Health , we are transforming how cloud technology supports healthcare delivery and innovation.… more
    Elevance Health (10/02/25)
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  • Provider Contract/Cost of Care Consultant

    Elevance Health (Norfolk, VA)
    …**How you will make an impact:** + Uses analytic tools to track both health risks and compliance, as well as supporting the contract negotiation process. + Performs ... sophisticated retrospective data analytics . + Builds new and modifies existing complex models...+ Medicare experience preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
    Elevance Health (08/23/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Richmond, VA)
    …project, to include elements of project leadership, problem-solving, data analytics , team development, communication, implementation, and project management. The ... met or exceeded. The position collaborates with various teams within data analytics and infrastructure to support the creation, optimization, and maintenance of… more
    Highmark Health (08/20/25)
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  • Clinical Transformation Director

    Highmark Health (Richmond, VA)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians ... three primary Workstreams: leadership over the execution of the Population Health Performance strategy roadmap, support physician executives to identify ownership,… more
    Highmark Health (08/21/25)
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  • Informatics Manager - Healthcare

    CVS Health (VA)
    At CVS Health , we're building a world of health ...for a Project Manager to join our Risk Adjustment Analytics team! In this role you will serve as a ... and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we… more
    CVS Health (09/30/25)
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