• Senior Clinical Pharmacist

    CareOregon (Portland, OR)
    …Title Senior Clinical Pharmacist Exemption Status Exempt Department Pharmacy Manager Title Director of Pharmacy - Clinical Services Direct Reports n/a ... diversity, and inclusion when framing thoughts and ideas. Job Summary The Senior Pharmacy Clinical Coordinator is responsible for coordinating with staff and… more
    CareOregon (05/18/24)
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  • Senior Clinical Data Analyst

    Hackensack Meridian Health (Edison, NJ)
    …to transform healthcare and serve as a leader of positive change. The ** Senior Clinical Data Analyst** is responsible for managing the collection, organization and ... and external to HMH. **Responsibilities** The day in the life of the ** Senior Clinical Data Analyst** at Hackensack Meridian Health includes: + Subject Matter Expert… more
    Hackensack Meridian Health (05/07/24)
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  • Senior Product Owner

    Humana (Raleigh, NC)
    **Become a part of our caring community and help us put health first** The Senior Product Owner is responsible for conveying product vision and roadmap to an Agile ... delivery team by defining user stories and prioritizing product backlog. The Senior Product Owner work assignments involve moderately complex to complex issues where… more
    Humana (05/30/24)
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  • Senior Payer Analyst / Managed Care…

    Hartford HealthCare (Wethersfield, CT)
    …common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling ... and protections to minimize payer policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops modeling process to benchmark reimbursement… more
    Hartford HealthCare (05/09/24)
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  • Senior Actuarial Analyst *Remote

    Providence (Portland, OR)
    …** Senior Actuarial Analyst \*Remote Reporting to the Actuarial Manager VBC, Sr. Actuarial Analyst, leads and/or assists in developing, operationalizing, ... in SQL or another programming language. + Demonstrated experience applying project management skills in data-related and financial analysis projects. **Preferred… more
    Providence (04/10/24)
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  • Manager , PACE Operations Support

    Fallon Health (Worcester, MA)
    …for compiling reports and analyzing data and making program level recommendations. The Manager supports the Senior Director, PACE Operations to manage program ... to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Brief summary of purpose:** The… more
    Fallon Health (04/24/24)
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  • Audits and Investigations Operations…

    Public Consulting Group (Cedar Rapids, IA)
    project budget and invoicing. + Provides ongoing communication with the project oversight panel, including senior staff from government agencies and other ... audit and investigations of Fee-for-Service and Managed Care Oversight audits. The manager shall support the Agency with its collaboration with CMS Program Integrity… more
    Public Consulting Group (05/14/24)
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  • Sales and Enrollment Manager

    Trinity Health (Gaithersburg, MD)
    …Type:** Full time **Shift:** Day Shift **Description:** **Sales and Enrollment Manager ** **Location: PACE Montgomery County MD** **Status:** Full time **Shift:** ... & Enrollment & Leadership of requested information, data & project requests. + Lead the Sales & Enrollment teams...individual territory tactical fiscal year sales plan with quarterly manager reviews to ensure growth targets are being achieved.… more
    Trinity Health (03/21/24)
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  • Program Manager IV - Value Based…

    Cleveland Clinic (Cleveland, OH)
    …As part of the CCHS Value Based Performance team, the Program Manager will help support value based contracting, implementation, program management, and performance ... value based contracts and programs with commercial payors. The Value Based Performance Program Manager IV serves as a key member of Value Based Performance Team for… more
    Cleveland Clinic (04/25/24)
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  • Manager , Regulatory Audits

    LA Care Health Plan (Los Angeles, CA)
    …training activities for upcoming audits to peers and LA Care business units. The Manager advises and supports the senior management on other duties as assigned ... Manager , Regulatory Audits Job Category: Administrative, HR, Business...findings, recommendations, and corrective actions, and present them to senior management and regulatory authorities as required. Implement quality… more
    LA Care Health Plan (05/09/24)
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