- CVS Health (Tallahassee, FL)
- …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
- The Cigna Group (Tampa, FL)
- …communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics , Compliance, ... Cigna's competitive position. + Creates and manages initiatives that improve total medical cost and quality. + Drives change with external provider partners by… more
- Elevance Health (FL)
- …background highly preferred. + Utilization Management experience preferred. + Medical economics , provider finance, healthcare analytics, and/or financial ... in a quantitative discipline such as statistics, computer science, cognitive science, economics , or operations research, a minimum of 3 years direct experience… more
- ChenMed (Miami, FL)
- …process. The incumbent also serves as a subject matter expert on risk-adjustment and medical economics to aid in the development of revenue related products and ... cost-saving methods and techniques demonstrating strategic impact + Expertise in Medical Economics and clinical informatics + Expertise with risk-adjustment… more
- Highmark Health (Tallahassee, FL)
- …premium and pricing development, claim trend analysis, experience studies, medical economics , profitability analysis, wellness studies, predictive modeling, ... premium and pricing development, claim trend analysis, experience studies, medical economics , profitability analysis, wellness studies, predictive modeling,… more
- Evolent (Tallahassee, FL)
- …+ 10+ years of analytics & reporting experience in healthcare, including medical economics , cost/utilization analysis, and membership trend reporting. + 5+ ... Bachelor's degree in a quantitative field (eg, Data Science, Statistics, Mathematics, Economics , Public Health, or a related discipline). Master's degree in an… more
- Evolent (Tallahassee, FL)
- …Analytics team at Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them ... a quantitative major (eg actuarial, statistics, operations research, mathematics, economics ) or healthcare focus (health administration, epidemiology, public health,… more
- ChenMed (Lakeland, FL)
- … Medical Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance + Sales and Growth The CMD ... a transitional position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical … more
- Evolent (Tallahassee, FL)
- …credentials **(Required)** + 10+ years of experience working in a medical economics -related field **(Required)** + Exceptionally strong analytical abilities, ... You'll Be Doing:** + Serve as the lead for medical cost and revenue projections for Performance Suite business...and size impact of innovative care models + Oversee Medical Cost Action Planning work to identify, size, and… more
- Molina Healthcare (St. Petersburg, FL)
- …reserves for appropriateness monthly + Work collaboratively with Actuarial and Medical Economics partners to evaluate correlation among various parameters ... impacting IBNR, including bed days and admits per 1,000, prescription drug utilization, billed dollars of inventory, and other measurable factors that may be leading indicators of the level of reserve required for a particular cell (eg, a particular product… more