- AmeriHealth Caritas (Philadelphia, PA)
- …resolution and negotiation. + Understanding of and expertise in quality improvement and medical economics . + Strong leadership skills. + Excellent analytical and ... ; **Responsibilities:** The Medical Director, Utilization Management provides organizational leadership in...policy and practice initiatives in collaboration with the Corporate Medical Director(s), Utilization Management and the Vice President, … more
- Ankura (Chicago, IL)
- …experts with backgrounds in compliance, regulatory, legal, audit, operations, nursing, pharmacy, medical science, economics , accounting, and data science. As a ... of excellence founded on innovation and growth. Ankura's Global Disputes and Economics Healthcare and Life Sciences Practice is searching for a talented individual… more
- Evolent (Helena, MT)
- …and patient health. This role supports capitated risk and value-based strategy development, medical cost management activity, medical economics activity, and ... computer science, engineering, public health) + Previous experience in a medical economics related position within Utilization Management/Clinical Vendor… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …deployment. This work includes a variety of modeling and analytics to support medical economics , payment integrity, and various other areas of finance. ... in data trends, themes and findings, particularly across the areas of medical economics , trend measurement, pricing, financial planning and informatics. +… more
- Molina Healthcare (MI)
- … Economics , Math, Accounting or related fields Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively ... team. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics , Computer Science **Required Experience** + 6+ years of progressive… more
- Molina Healthcare (Columbus, OH)
- …Economics , Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + ... needed. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics , Computer Science **Required Experience** + 5-7 years increasingly… more
- Molina Healthcare (Grand Island, NE)
- …Economics , Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + ... results. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics , Computer Science **Required Experience** + 5-7 years increasingly… more
- Commonwealth Care Alliance (Boston, MA)
- …development for that variation. The role works collaboratively with Finance, Actuarial, Medical Economics , and Clinical Operations to ensure that monitoring of ... capability and capacity. + Maintain a collaborative relationship with Finance, Medical Economics , and Actuarial to ensure proper medical expense and… more
- The Cigna Group (Bloomfield, CT)
- …Insights, as well as matrix partners in Contracting, Sales, Network Analytics/ Medical Economics , Underwriting and Pricing to accurately understand and ... data. + Experience working with Contracting, Sales, Network Analytics ( Medical Economics ), Pricing, Underwriting, Financial Analysis, Competitive Intelligence,… more
- The Cigna Group (Baltimore, MD)
- …communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics , Compliance, ... Cigna's competitive position. + Creates and manages initiatives that improve total medical cost and quality. + Drives change with external provider partners by… more