- Highmark Health (Boston, MA)
- …to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently ... per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider...and internal and external audiences, and the ability to lead through influence + Healthcare industry expertise… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …have hands on experience in setting and managing large complex projects in Healthcare Insurance across business, operational, and IT teams, spanning one or more work ... + 7+ years of implementation experience (with 2+ years in Healthcare Insurance preferably) in planning, development, implementation, and maintenance of process… more
- Trinity Health (Livonia, MI)
- …knowledge of Trinity Health policies, practices & processes to ensure quality , confidentiality & safety are prioritized. Demonstrates knowledge of departmental ... or charge errors. Performs charge entry/capture functions, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers, and… more
- The Cigna Group (Franklin, TN)
- …functions and business areas, while developing a broad understanding of the healthcare industry. You'll be supported by a collaborative actuarial community and ... The Cigna Group, your work will contribute to improving access, affordability, and quality of care for** **the** **millions** **of people we serve** **-** **making a… more
- Banner Health (AZ)
- …to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of ... a high-level individual contributor with expertise in selected business or healthcare processes and participates in formulating system scope and objectives relative… more
- Evolent (Helena, MT)
- …cost and use trends, and estimate Evolent's ability to reduce costs and improve quality . + Develop models to quantify and articulate value of new and existing ... audiences. + Synthesize complex analyses into succinct presentations. + Lead customer interactions fostering trust, expertise and cooperation. + Extract,… more
- Centene Corporation (Austin, TX)
- …plans. + Participate in internal and external Business Planning and Core Team meetings + Lead all clinical/ quality discussions on behalf of the PDT. + Assist in ... Provider Group partners. Candidate Education: Required A Bachelor's Degree in Healthcare , Public Health, Nursing, Psychology, Health Administration, Social Work or… more
- Queen's Health System (Honolulu, HI)
- …preferred. B. EXPERIENCE: * Three (3) years progressive experience in finance, preferably in healthcare . * Experience in a lead or supervisory role. * Experience ... RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Lead role in the development, preparation and monitoring...financial analysis and business development projects while providing high quality , responsive customer service. * Serves as a financial… more
- IQVIA (Durham, NC)
- …that the product deliverable meets the customer's specifications, including timeliness and quality . + Partners with the account manager and clients to derive optimum ... including reports and presentation. . + May mentor and lead other client service reps and represent the manager...global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- Ready to help us transform healthcare ? Bring your true colors to blue. Blue Cross Blue Shield of Massachusetts (BCBSMA) seeks an Actuarial Consultant to join our ... data visualizations and assist with analytics aiming to lower cost and improve the quality of care provided to our members, making a clear recommendation on path… more