As a Healthcare Analyst at Gimme Credit, you will be part of a team focused on producing written research and data sheets on a coverage universe of major healthcare issuers. This role involves conducting in-depth analysis of the healthcare industry, writing concise analytical reports, providing buy or sell recommendations, and responding to client and press inquiries. The position offers the ability to work remotely, competitive compensation, full benefits, and the opportunity for intellectual satisfaction.

Healthcare Analyst - Remote

Healthcare Analyst

We are seeking a detail-oriented and analytical Medical Policy Analyst to join our healthcare team. This role is crucial in developing, maintaining, and implementing medical policies that ensure high-quality patient care and regulatory compliance. The position involves developing and maintaining a comprehensive repository of medical policies, collaborating with the Medical Director, conducting research on medical technologies, and ensuring policies align with CMS National Coverage Determinations and Local Coverage Determinations.

Medical Policy Analyst

Responsible for conducting analyses of insured medical populations to identify opportunities to improve financial performance. The role involves extracting, analyzing, and synthesizing data from various sources to identify risks and opportunities, and working closely with clinical, provider network, and other personnel to design and perform studies related to medical cost improvements.

Medical Economics Analyst - REMOTE

Medical Economics Analyst

The Senior Analyst, Medical Economics at Molina Healthcare provides support and consultation to the Health Plan and Finance team by analyzing key business issues related to cost, utilization, and revenue for various Molina Healthcare products. This role involves designing and developing reports to monitor health plan performance, identifying root causes of medical cost trends, and driving innovation by creating tools to monitor trend drivers and provide recommendations for affordability opportunities. The position requires conducting complex analyses of insured medical populations to improve financial performance, extracting and analyzing data from various sources, and serving as a subject matter expert on financial models.

Sr Analyst, Medical Economics - REMOTE

Senior Analyst, Medical Economics

The Senior Manager Data Analytics, Medical Economics at Providence Health & Services is responsible for leading the Medical Economics team, developing and managing medical economics analysis and models to support strategic decision-making, cost management, and value-based care initiatives. This role involves leading the monthly Medical Expense Review process, working with clinical and operational teams to enhance healthcare delivery, and providing mentorship to team members. The position is remote and requires a bachelor's degree or equivalent experience in a related field, along with 7+ years of healthcare experience, 5+ years of leadership experience, and 2+ years of project management experience.

SENIOR MANAGER DATA ANALYTICS, MEDICAL ECONOMICS *REMOTE*

Senior Manager Data Analytics, Medical Economics

One Medical is seeking a highly skilled Senior Manager of Medical Economics to lead the team's overall Value-based Care data, analytics, and evaluation strategy. This role involves driving strategic initiatives focused on improving clinical outcomes, total cost of care, and financial performance for the nationally scaled, global risk Medicare Advantage and ACO Reach business. The position requires collaboration with analytics, data engineering, and financial actuarial teams to leverage data-driven insights and value-based care strategies.

Senior Manager, Medical Economics (Remote)

Senior Manager, Medical Economics

WPS Health Solutions is seeking a highly capable Health Insurance Financial Analyst to join their team. This role involves designing and developing analytical support to senior management, health plan performance reporting and analysis, strategic forecasting and planning, financial modeling, and partnering with leaders to manage and improve the performance of the health plan business. The position offers the opportunity to gain skills and experience in finance and analysis within a challenging yet supportive environment, and to be a trusted strategic partner in coordination with the WPS Health Plan leadership team.

Health Insurance Financial Analyst

The Clinical Policy Analyst at Molina Healthcare reviews and evaluates existing clinical policies, proposes improvements, and researches new policies. This role involves creating reports, analyzing market trends, and improving department processes. The position requires proficiency in clinical policy, working knowledge of clinical policies, and an understanding of the managed care industry.

Clinical Policy Analyst/Writer (Remote)

Clinical Policy Analyst

Gentiva is seeking a Medical Economics Analyst Senior to join their team, focusing on partnering with payers, providers, and risk-bearing entities to create a value-based palliative care offering for patients approaching end of life. This role involves collaborating with business partners to create and monitor standard reporting packages, utilizing various tools to define, extract, validate, shape, and interpret data, and writing SQL queries among other responsibilities. The position offers a great opportunity for growth within the organization.

Medical Economics Analyst Senior - WFH

Medical Economics Analyst Senior

The Medical Economics Consultant at Highmark Health is responsible for the development, coordination, and management of medical economics analysis, models, health outcome studies, and related forecasting and actual results analysis. This role serves as a key link between Finance/Consultative work and business segment and functional area partners, focusing on operating margin improvements through medical spend. The consultant will analyze market trends, develop executive presentations, and leverage analytical tools to drive independent medical cost analytics.

Medical Economics Consultant

The Medicare Encounter Data Analyst leads the end-to-end Encounter Data Processing System (EDPS) data flow and ensures accuracy and completeness of data submissions to CMS. This role involves using SQL and SAS programs to monitor submissions, reconcile against CMS response files, and influence leadership decisions on potential improvements to Encounter Data submissions. The position is fully remote but requires candidates to reside in specific states within the US.

Medicare Encounter Data Analyst

The Medicare Claims Analyst at Kelsey-Seybold Clinic is responsible for the adjudication of complex facility claims including hospital, durable medical equipment, home health services, skilled nursing facilities, and associated professional claims. This role involves applying knowledge of Centers for Medicare & Medicaid Services (CMS) rules, utilizing pricing tools, conducting pre/post analysis of high dollar claims, and presenting summaries to management.

Medicare Claims Analyst

The Healthcare Financial Analytics Business Analyst at Zions Bancorporation will be responsible for delivering insights and solving challenges through the analysis of healthcare data. This role involves evaluating current customer performance statistics, market dynamics, and data exchanged with external trading partners, ensuring the accuracy and completeness of data, and creating interpretive analyses using various tools. The position is remote and requires some experience in business intelligence tools and SQL.

Healthcare Financial Analytics Business Analyst - Remote

Healthcare Financial Analytics Business Analyst

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Medical Economics Analyst Jobs in Lawrenceburg, KY Hiring Now