- Evolent (Albany, NY)
- …on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** +...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Amazon (New York, NY)
- …past fifteen years. Amazon One Medical is hiring a Finance Manager (FM) for our Senior Health Value Based Care position. Finance is critical to the success in our ... are looking for leaders that have healthcare experience in Medicare or other government funded health insurance to support...and external partnerships, continue to build and enhance our Senior Health operations, or take on FP&A workstreams. Key… more
- Evolent (Albany, NY)
- …on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... for utilization management while working in conjunction with the Senior Medical Director. **Qualifications** + MD/DO/MBBS Degree + Current,...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Humana (Albany, NY)
- …team dedicated to advancing predictive modeling and analytics in support of our Medicare and Medicaid business. The HQRI team plays a pivotal role within Humana, ... In this position, the Research Scientist 2 will partner with a senior research scientist to apply advanced statistical methods to rigorously evaluate the… more
- Evolent (Albany, NY)
- …is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Highmark Health (Buffalo, NY)
- …the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide ... outcomes as a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each individual gain/risk share… more
- Pfizer (New York, NY)
- …for a high priority asset with extensive and frequent exposure to senior levels of management. **ROLE RESPONSIBILITIES** The USMA Access Marketer will: + ... the development of the Customer/Brand engagement strategy for top accounts within Medicare , Commercial and other channels as appropriate based on clinical and… more
- WTW (New York, NY)
- …health insurance, or financial industries. More specifically, knowledge of ERISA, Medicare , banking, insurance and/or privacy laws and regulations would be helpful. ... in-house experience a plus but not required. + Employee benefits, Medicare , health insurance, financial, privacy and/or regulatory background preferred. + Strong… more
- Humana (Albany, NY)
- …Primary Care & Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + ... and deliver real value. + **Executive Access & Networking:** Engage with senior leaders and peers through speaker series, fireside chats, and curated networking… more
- Evolent (Albany, NY)
- …is recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action… more
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