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. · Monitor medical cost and utilization trends, · ...

The Manager will monitor financial performance and provide analytic insights into all products offered within the Healthfirst portfolio. · Monitor medical cost and utilization trends, · Develop savings analyses for Medical Economics cost trend reduction initiatives, · ...

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

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, 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 ...

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... · ...

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 ...

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 ...

Summary · Work with other team leaders to improve operational efficiencies and resource allocations for improved performance of the EmblemHealth plans. · Responsible for running queries and providing required analysis to understand related drivers (such as medical cost and utiliz ...

Overview · Compiles, analyzes, and interprets overpayments through quarterly trend reporting for cost avoidance and recovery initiatives. Co-ordinate with business to align with payment recoveries disseminating findings for affordability initiatives. Conducts analysis of claims a ...

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 ...

Summary Of Position · Support the department's quality of care and cost containment. Provide utilization management as needed to ensure coordination of health care delivery. Conduct medical appropriateness evaluations of acute care hospital admissions, post-acute care requests, a ...

Travel RN Care Manager · We are seeking a travel nurse RN Case Management for our team. As a case manager, you will play a crucial role in facilitating patient care by assessing needs, evaluating treatment options, creating treatment plans, coordinating care, and gauging progress ...

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 ...

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 ...

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

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 provide essential outpatient inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. Our large health system consists of ambulatory centers acute care centers post-acute care/long-term care rehabilitation programs Home ...