- Guidehouse (Arlington, VA)
- …including resolution practices and audit strategies. + Experience applying advanced data analytics to healthcare claims , including anomaly detection, trend ... (eg, MPH, MHA, MBA, JD, or related). + 5 to 7+ years of experience in healthcare data analytics , consulting, or claims operations, preferably with a focus on… more
- Molina Healthcare (Lexington, KY)
- …DESCRIPTION** **Job Summary** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job ... data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and...assess business impacts, and make recommendations through use of healthcare analytics , predictive modeling, etc. + Analysis… more
- Centene Corporation (Austin, TX)
- …must live in Eastern or Central Time Zone. **Position Purpose:** The Manager, Healthcare Analytics drives the execution of analytics strategy through ... or related field. Master's degree preferred. 4+ years of experience in healthcare analytics , large databases, data verification, data management, table creation… more
- Centene Corporation (Tallahassee, FL)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Manager, Healthcare Analytics drives the execution of analytics strategy ... or related field. Master's degree preferred. 4+ years of experience in healthcare analytics , large databases, data verification, data management, table creation… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... based on State and Federal requirements, host meetings, and managing projects to completion + Define business requests received,...and experience in Healhcare Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims … more
- The Cigna Group (Bloomfield, CT)
- …Science, or Data Science + At least 5+ years of experience in related healthcare analytics or value-based care research + Experience technical skills required to ... manage annual reconciliation for pilot programs. + Derive actionable insights from healthcare data ( claims , clinical, pharmacy, externally sourced) to engage and… more
- Evolent (Carson City, NV)
- …research, mathematics, economics) + At least 3-5 years of professional experience in claims -based healthcare analytics with a payer, provider, clinical ... and cooperation + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data regarding...vendor, managed care, or related healthcare consulting entity + Experience with managing … more
- Genentech (Los Angeles, CA)
- …Data Science, Statistics, or a related field. + 12+ years experience in healthcare analytics , population health measurement, or related sectors. + 8+ years ... Health. + Experience with data governance, privacy, and compliance considerations in healthcare analytics . + Strong financial acumen and the skillset to… more
- The Cigna Group (Denver, CO)
- …program expertise required to support Pay-for-performance strategy; * Experience conducting healthcare analytics or value-based care research; * Experience ... manage annual reconciliation for pilot programs; * Derive actionable insights from healthcare data ( claims , clinical, pharmacy, externally sourced) to engage and… more