- Centene Corporation (Jefferson City, MO)
- …to reduce overall cost of care for members and improve their clinical outcomes. Statistical analysis in healthcare involves the application of statistical methods ... for improving patient care, optimizing healthcare operations, and advancing medical research . Here are some key aspects of statistical analysis in healthcare:… more
- CVS Health (Harrisburg, PA)
- …committed by insured's, providers, claimants, etc. - Researches and prepares cases for clinical and legal review. - Documents all appropriate case activity in case ... Outlook products, Database search tools, and use in the Intranet/Internet to research information. * Strong communication and customer service skills. * Ability to… more
- CareFirst (Baltimore, MD)
- …Medicare and Medicaid plans as needed. This may also include assistance with financial analyses used in the development of reimbursement policy, strategies, cost of ... competitive analyses to include industry, regional, and internal benchmarks as needed. Research Federal, state and local reimbursement trends and mandates to prepare… more
- CVS Health (Lansing, MI)
- …candidate will coordinate the identification of potential claim editing & clinical program enhancements to ensure compliance with Federal and State Legislation. ... policy space. They will use DRG coding knowledge to provide Prepay DRG clinical coding consultations. **Skill in:** + Effective Verbal and Written Communication +… more
- Centene Corporation (Jefferson City, MO)
- …health, social determinants of health, data science, social science, or geospatial/ROI/ financial analysis preferred. Experience in risk adjustment, clinical ... insights to reduce overall cost of care for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including healthcare… more
- CVS Health (Albany, NY)
- …by insured's, providers, claimants and customers. + Researches and prepares cases for clinical and legal review. + Documents all appropriate case activity in case ... open source database search tools, social media and internet research . + Ability to Travel for Business purposes. **Preferred...and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to… more
- CVS Health (Miami, FL)
- …for serving their community. **Primary Job Duties & Responsibilities** + ** Research and Resolve:** Handle member inquiries and escalations related to benefits, ... Escalation & Follow-up:** Collaborate cross-functionally with internal teams (Eligibility, Claims, Clinical ) to track and resolve complex or repeated issues and… more
- Centene Corporation (Trenton, NJ)
- …management as to course of action that best meets the organization's goals. + Research , evaluate and assess the financial impact of issues identified in ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Huron Consulting Group (Van Buren, AR)
- …team as the expert you are now and create your future. Your passion and expertise in clinical research will make you a key member of Huron's Research Office ... study calendars, charge segregation, and other trial documentation required for clinical research studies, including industry, federally sponsored, and locally… more
- TD Bank (New York, NY)
- …and making oral presentations. The successful candidate will support a Senior Research Analyst in analyzing individual biotech companies and market trends; ... composing company-specific and thematic research reports; building and maintaining financial and market models; interviewing physicians and company executives;… more