Senior Analyst, Total Cost of Care - New York

The Manager Total Cost of Care will monitor financial performance and provide analytic insights into all products offered within the Healthfirst portfolio. · ...

The Manager, Total Cost of Care will monitor financial performance and provide analytic insights into all products offered within the Healthfirst portfolio. · Monitor medical cost and utilization trends, · ...

The Manager will monitor financial performance and provide analytic insights into all products offered within the Healthfirst portfolio. · This leader will serve as healthcare economics and analytics subject matter expert, · across all areas of medical trend, medical cost savings ...

The Senior Analyst will develop analyses and tools to help monitor financial performance and provide analytic insights into all products offered within the Healthfirst portfolio. · Develop actionable analytic tools to help monitor medical cost and utilization trends, · Prioritiza ...

The Senior Analyst will develop analyses and tools to monitor financial performance and provide insights into Healthfirst portfolio products. · Bachelor's Degree from an accredited institution. · At least three (3) years of healthcare analytics experience... · ...

The Senior Analyst, Total Cost of Care, will develop analyses and tools to help monitor financial performance and provide analytic insights into all products offered within the Healthfirst portfolio. · Develop actionable analytic tools to help monitor medical cost and utilization ...

We are seeking an experienced Clinical Review RN to complete utilization and quality reviews. The ideal candidate will have acute care/medical surgical experience and be licensed as a Registered Professional Nurse in New York State. · Conduct utilization reviews up to and includi ...

This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. · Conduct utilization reviews up to and including the appeal level. · Act as a resource for administrative staff in training and problem solving. · ...

Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. · Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in accordance with healthcare policies ...

This role acts as a researcher, liaison, matchmaker and publicist to reach out to the celebrities through their publicists and directly. · VIPs Celebrities and influencers MUST build their fan club email lists,No cost to them, no cost to the fan, no cost to the nonprofit that get ...

Join our enthusiastic team in the Decision Support department at New York-Presbyterian hospital and collaborate with a finance team to design and present profit loss analyses. · ...

The Sr. Analyst, Network Strategy and Pricing guides the investment of network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. · Strengthens access to quality care with improved outcomes ...

Job Overview: · The challenges of affordable healthcare create new opportunities. · The MJHS Medicare and Medicaid managed care health plans are designed to help people stay independent. · We provide quality, cost-effective care through direct supervision of staff responsible for ...

NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. · ...

The Senior Director of Medical Economics will help drive overall surplus performance in Stellar's ACO and Payor Risk Contracts.They will utilize standardized medical economics tools and analyses to determine performance needs in major functional areas. · This role is critical to ...

Job summaryPosition Overview · Master's Degree in Business, Health Care Administration, or related field required. · Minimum of 7-10 years senior management experience in Contracting including a minimum of 5 years managed care contract leadership experience in New York State. · ...

· We aim to be a game-changer for New Yorkers who are unhoused or at risk of homelessness. · ...

Primary Care workweek includes days of direct patient care and administrative time with ambulatory medicine practice. · ...

The Senior Director of Medical Economics will help drive overall surplus performance in Stellar's ACO and Payor Risk Contracts by utilizing standardized medical economics tools and analyses to determine performance needs in major functional areas (contract performance, trends, sp ...