- Point32Health (Canton, MA)
- …and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network . + Summarize findings of ... Summary** Working under the direction of the Director or Senior Manager, the Senior Network ...various internal stakeholders. Be able to share appropriate competitive analytics with providers to support provider negotiation… more
- Molina Healthcare (Boston, MA)
- …plans on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through financial ... **Job Description** **Job Summary** Sr. Analyst, Network Strategy, Pricing & Analytics guides...to present analytical results and findings to health plans' senior management team and key stakeholder meetings (PowerPoint) +… more
- CVS Health (Boston, MA)
- …a consultative manner. The Senior Manager Analytic Consultant will: + Provide day-to-day oversight of customer-facing, analytics work and correspondence. Set ... concepts like: Value Based Care arrangements, monitoring/mitigating medical cost, basic provider / network concepts, partnering with PSL on operational claim… more
- BioLife Plasma Services (Boston, MA)
- …team within the Plasma-Derived Therapies (PDT) business unit at Takeda is seeking a Senior Manager of Pricing Strategy & Analytics . This role is critical for ... with Takeda will commence and that the information I provide in my application will be processed in line...teams to refine models (Supervised Learning, Time Series, Neural Network , etc.). Cross-functional Leadership** - Collaborate with senior… more
- Merck (Boston, MA)
- **Job Description** **As a Senior Platform Engineer you will design, deploy, and maintain data platforms, predominantly concentrating on Databricks.** **This role ... hands-on experience working with IaC Terraform, SQL and databases, Analytics platforms, DevOps tools and REST API.** **Expertise in...knowledge of Databricks as a user and architect, incl. network patters of how it is deployed as SaaS… more
- CVS Health (Boston, MA)
- …Data Interchange (EDI), practice management software, etc. + Prior experience with Provider Network functions / processes and market dynamics. + Working ... Provider Operations organization provides foundational operational / enabling support for provider partners and the Network teams that directly interact with… more
- Takeda Pharmaceuticals (Boston, MA)
- …employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ... Better Health and a Brighter Future to people around the world. The Takeda Analytics team plays a critical role in uncovering deep insights into patient, healthcare… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Facilitate Communications Team in content creation as the subject matter expert for provider network + Maintain inventory of all provider communications ... all letters, emails and newsletters are compliant, uniform to CCA brand standards, and provider -friendly + Work with provider network and data management to… more
- Commonwealth Care Alliance (Boston, MA)
- …partnerships, provider services, contracting, quality, compliance, medical management, and analytics teams to advance provider network operations, ... monitor network performance against internal and regulatory benchmarks. * Ensure provider network compliance with CMS, state Medicaid agency, and NCQA… more
- Fresenius Medical Center (Boston, MA)
- …revenue per treatment templates and charts. + Performs quarterly analysis of network data for growth. + Performs and maintains competitive insurance analysis of ... individual markets and competitive provider activity. + Maintains database on health plan membership...as a Manager; or 3+ years' experience in a senior managerial role. + Demonstrated experience managing one or… more
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