• Manager of Clinical Payor & Policy…

    Caris Life Sciences (Austin, TX)
    …bigger than yourself, Caris is where your impact begins.** **Position Summary** The Manager of Clinical Payor & Policy Relations will be responsible for research and ... promotion of positive medical policy coverage for Caris Molecular Intelligence (CMI) testing...genetic counseling, life sciences, nursing, pharmacy, health policy, health economics , or relevant discipline, or a combination of a… more
    Caris Life Sciences (05/15/25)
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  • Key Account Manager - Cardiovascular

    Amgen (Denver, CO)
    …worldwide. It's time for a career you can be proud of. **Key Account Manager - Cardiovascular** **Live** **What you will do** The Cardiovascular Account Manager ... Committee, etc., that act as partners or decision-makers within the Health System Manager assigned accounts + Presents MAC approved data and CV product messaging for… more
    Amgen (05/30/25)
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  • Senior Program Manager Provider Incentives

    Banner Health (AZ)
    …Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs ... by including remote and hybrid opportunities. As a Program Senior Program Manager Provider Incentives, you will call upon your experience working with physician… more
    Banner Health (05/31/25)
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  • Manager , Risk Adjustment (Central Region)

    CVS Health (Columbus, OH)
    …**Required Qualifications** + 2 to 5years Government Programs experience including Medicare , Commercial ACA, and/or Medicaid. + Risk adjustment working knowledge and ... Master's degree **Education** Bachelor's degree in Business Administration/Management, Finance, Economics , Statistics, Mathematics, Data Science, HIM, Information Systems, Computer… more
    CVS Health (05/23/25)
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  • Medical Director Utilization Management

    AmeriHealth Caritas (Newtown Square, PA)
    …resolution and negotiation. + Understanding of and expertise in quality improvement and medical economics . + Strong leadership skills. + Excellent analytical and ... all Enrollees by associates and Providers. + Serves as medical advisor and manager for all clinically...3 years of utilization management experience in a Medicaid, Medicare , dual eligible or commercial health plan. + Minimum… more
    AmeriHealth Caritas (05/27/25)
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  • Physician - Vice President of Medical

    Marshfield Clinic (Rice Lake, WI)
    …**EXPERIENCE** **Minimum Required:** Leadership experience. Demonstrated understanding of healthcare and medical economics in managed healthcare and evidence of ... the world!** **Job Title:** Physician - Vice President of Medical Affairs - Hospital Medical Director West...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
    Marshfield Clinic (04/26/25)
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  • Senior Resource Analyst

    Silicon Valley Power (Santa Clara, CA)
    …**Minimum Education Requirements:** + Bachelor's Degree in Engineering, Economics , Mathematics, Business, Accounting, Information Technology, or other related ... this summary and the applicable official plan documents, City Manager 's Directives (CMDs), Personnel and Salary Resolution, or Memorandum...formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20%… more
    Silicon Valley Power (04/30/25)
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  • Senior Contracting Analyst - Mount Sinai Health…

    Mount Sinai Health System (New York, NY)
    …healthcare analytics required (with a Bachelors degree). ? Health plan experience in Medical Economics or Value Based Payments preferred. **Additional Skills and ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
    Mount Sinai Health System (04/04/25)
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  • Associate Center Clinical Director

    ChenMed (St. Petersburg, FL)
    Medical Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance + Sales and Growth The CMD ... organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a...towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center… more
    ChenMed (05/09/25)
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  • Actuary

    CareOregon (Portland, OR)
    …Montana, or Wisconsin. Job Title Actuary Exemption Status Exempt Department Finance Manager Title Actuarial Services Manager Direct Reports n/a Requisition # ... cost and utilization trend analysis, return on investment evaluations, Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk… more
    CareOregon (05/22/25)
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