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impactful business recommendations
proficiency in SQL and MS Excel
Sr Healthcare Analyst - Medical Economics
Comp not disclosed
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Summary
The Senior Medical Economics Analyst role within the Medical Cost team involves mapping out detailed analyses, interfacing with stakeholders, and delivering impactful business recommendations. The ideal candidate should have analytical work experience in healthcare, proficiency in SQL and MS Excel, ...
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maximization of operational efficiency
strong communication skills
Hospital Claims Specialist
Comp not disclosed
Summary
The Hospital Specialist role at Healthfirst involves managing day-to-day operational issues with hospital partners, educating on company-wide initiatives, and advocating for hospital providers. The position requires direct experience in managed care operations, claims experience, strong communicatio...
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fast-paced and challenging environment
support in various tasks related to achieving business objectives
Healthcare Financial Analyst | Hybrid NY
Comp not disclosed
Summary
The Healthcare Analyst role involves supporting the Network and Risk Model department, collaborating with various divisions, and contributing to multiple projects. Key responsibilities include providing support for performance improvement work groups, monitoring costs and revenue trends, analyzing i...
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Actuarial Analyst for Medicare
team of actuaries
Actuarial Analyst
Comp not disclosed
Summary
The Actuarial Analyst for Medicare position involves working with a team of actuaries to handle various tasks related to Healthfirst's Medicare products. Duties include managing data for government and regulatory entities, performing risk score and pricing analytics, assisting in the bid process, mo...
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oversight of defined claims-related
new standard configurations and new systems
Sr Program Mgr Claims and Provider Payment Modernization
Comp not disclosed
Summary
The Senior Manager, Claims and Provider Payment Modernization at Healthfirst Operations is responsible for overseeing claims-related and provider payment modernization efforts. This role involves transitioning from legacy models and systems into new standard configurations and systems, generating ne...
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