• Manager , Medical Economics (Medicaid)…

    Molina Healthcare (Scottsdale, AZ)
    …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...(APC's), and other payment mechanisms. * Understanding of value-based risk arrangements + Experience in quantifying, measuring, and analyzing… more
    Molina Healthcare (08/27/25)
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  • Senior Manager , Technical Lead / Solution…

    Bristol Myers Squibb (Princeton, NJ)
    …lives. Read more: careers.bms.com/working-with-us . **Position Summary:** The Senior Manager , Technical Lead / Solution Architect combines strategic solution design ... integrates enterprise platforms (eg, Veeva Vault PromoMats and Adobe Experience Manager ), and incubates Generative AI capabilities to transform compliant content… more
    Bristol Myers Squibb (10/13/25)
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  • Manager - Tax Accounting

    Independent Health (Buffalo, NY)
    …a culture that fosters growth, innovation and collaboration. **Overview** The Manager , Tax Accounting, shall assist with the development, execution, and supervision ... to notices, and coordinating and reviewing externally prepared tax returns. The Manager , Tax Accounting, will also provide support to affiliate leadership and senior… more
    Independent Health (10/13/25)
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  • Clinical Manager

    BronxCare Health System (Bronx, NY)
    …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... of the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence reporting, (c) Infection Control Policies and… more
    BronxCare Health System (10/10/25)
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  • Infrastructure Technical Program Manager…

    Amazon (Denver, CO)
    …them to completion. Amazon Web Services is looking for an Infrastructure Technical Program Manager to support and deploy one of the world's largest and most complex ... systems are required. Key Responsibilities Include: . Reports to the GCID-FD Deployment Manager , and updates regularly with Global Senior management. . Serve as a… more
    Amazon (08/08/25)
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  • Biostatistician

    Elevance Health (Atlanta, GA)
    …claims databases + Experience with industry standard clinical code sets, predictive modeling risk adjustment tools and episode groupers and measures, such as ... RWE and HEOR studies. + Conducts competitive analysis of risk stratification models and makes recommendations to clients. +...in the development of predictive models; + 3 years coding experience with SAS; + 3 years experience manipulating… more
    Elevance Health (10/11/25)
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  • Fraud Investigator

    Blue KC (Kansas City, MO)
    …limited oversight. **Job Description** + Assist in performing ongoing FWA risk assessments, leveraging data analytics to identify trends, patterns, outliers relative ... to peers and clinical standards, etc. In conjunction with the Manager and/or Senior Investigator, evaluate FWA risks and prioritize for further review, based upon… more
    Blue KC (10/16/25)
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  • Security Engineer Internship - 2026 (US)

    Amazon (Seattle, WA)
    …8am-5pm. Specific team norms around working hours will be communicated by your manager . Interns should not have conflicts such as classes or other employment during ... time of job offer. Would you like to assess risk and help deliver countermeasures that protect customer data...in a real-world setting. Basic Qualifications - Experience with coding /scripting in one or more languages (eg, Python, C,… more
    Amazon (08/19/25)
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  • Senior Network & Provider Analytics

    Point32Health (CT)
    …claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment . In-depth health care reimbursement and managed care business ... Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will be part...and Reserving to ensure open communication relating to provider risk deals. + In-depth knowledge and understanding of managed… more
    Point32Health (10/10/25)
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  • PFS Financial Counselor

    Tidelands Health (Murrells Inlet, SC)
    …repetitive issues to Assistant Director of PFS.** Remaining in communication with manager regarding high- risk accounts and workflow trends and fluctuations. + ... of department head and/or patient advocate review process appropriate rebill or adjustment necessary and contact patient to offer timely and effective resolution of… more
    Tidelands Health (09/02/25)
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