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Actuarial Analyst (Value Based Care) -Understanding of value-based arrangements for enrolled populations. After finishing his MBA at the John Welch College of Business, Rory joined Smith Hanley in 2015 to recruit in the actuarial and analytics space.
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Familiarity with value-based care models, accountable care organizations (ACOs), and alternative payment arrangements. Collaborate with interdisciplinary teams to develop and implement care plans, leveraging clinical best practices and evidence-based guidelines to optimize patient outcomes and satisfaction.
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We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.
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The role requires expertise in areas that include performance management/analytics, data exchanges, electronic medical record systems, provider workflow and processes, health information management, risk adjustment operations (particularly on the prospective side), value-based care, ICD-10, CPT and HCPCS coding principles and guidelines, and population health management.
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Oversee fee-for-service and value-based contracting activities for RI, oversight of managed care team, and manage payer contracts and relationships for all network hospitals, physicians, IPA and ancillary providers.
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Supporting Value Based Care contracting and analytics for payers, providers, and health services organizations; Writing medical cost and risk adjustment analytics using SAS to help clients identify sources of value.
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As a Senior Consulting Analyst, your principal purpose is to generate business value for Vytalize by combining your deep expertise in actuarial analytics and value-based care to work closely with business stakeholders to create competitively differentiated insights, that are actionable to drive shared healthcare cost savings for Vytalize and its provider and payer customers.
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As a technology-forward MGU (managing general underwriter), we use modern data science techniques to help health plan architects design novel health plans and leverage value-based care.
$140,000 - $175,000 a yearFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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We continue to focus on the future of transforming behavioral health through data science, analytics, and enabling value-based care. RethinkFirst was founded in 2007 with a mission to provide scalable, evidence-based autism treatment training tools and caregiver supports to an underserved population.
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As a subsidiary of HF Management Services, LLC, and an affiliate of Healthfirst, Hyphen was built with deep experience in value-based care, a focus on health equity, and a steadfast commitment to ensuring value flows in ways that benefit the whole healthcare system.
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These laws and regulations require Pfizer to provide government agencies with information such as a health care provider's name, address and the type of payments or other value received, generally for public disclosure.
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Engage with cross-functional teams to support value-based care payment models and special projects. Preferred majors include: Business Administration, Business Analytics, Healthcare Administration, Public Health, Health Informatics, or related field of study.
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The ability to be adaptable and flexible based on the needs of the business is preferred. Paid Summer Internship. The Elevance Health Summer Internship Program is a 12-week immersive experience designed to provide students with real-life, challenging project work, improve business acumen, provide exposure to senior and executive leadership, and the opportunity to learn more about the healthcare industry.
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