. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored... of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical...
on performing medical economics analysis in support of complex risk-based contract development and will partner with stakeholders...-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity...
malfunctions and issues using appropriate analysis steps for the duties assigned. Project Management Involved in laboratory... projects with a focused scope and low to moderate degree of organizational scope, impact, and risk. Projects are independent...
on distilling medical economics insights from product strategy analyses and translating them to complex risk-based contract... value-based care pursuits. Support the development of capitated risk partnerships, focusing on cost and use trends...
as needed. Experience in risk management, data analysis, or healthcare compliance is a plus Experience with platforms such as Tableau..., Company second" culture based on Core Values that really matter. Clinical outcomes consistently ranked above the national...
based on factors including, but not limited to, experience, skills, education, certifications, and location... effectively, and interact in a professional manner with management, coworkers, and sponsors. Able to quickly learn and utilize...
related issues. About ARUP: ARUP Laboratories is a national clinical and anatomic pathology reference laboratory... and an enterprise of the University of Utah and its Department of Pathology. Based in Salt Lake City, Utah. ARUP proudly hires top...
evaluation preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment... of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical...
. Ability to convince others and persuade to timely action based on regulations, risk exposure level, compliance deficiencies... knowledge of the principles, practices and tools relating to accounting, financial management, reimbursement, and general...
with our risk-based partnerships and will partner closely with executives across finance and account management.... We are advocates for creating patient value and demonstrate this by ensuring that our risk-based financial arrangements are equitable...
skills, achieve personal goals, and foster growth through play-based interventions and engaging activities. The BCBA... charging) Participates in collaborative staffing(s) with psychologist, clinical staff, and supervisees Oversee quality...
to build essential skills, achieve personal goals, and foster growth through play-based interventions and engaging activities... planning, and appropriate charging) Participates in collaborative staffing(s) with psychologist, clinical staff...
managed care experience, insurance, insurance marketing, and/or clinical services. Skills: Extensive knowledge of managed... risk sharing payment models, contracting and credentialing for GBMC and GBHA. . Facilitates all aspects of RFP process...
) and eliminate it as a public health problem in New York City. This cross-cutting role will support a range of non-clinical functions... and implement evaluations of programs and contribute to operational improvements across areas such as case management for drug...
will also work with other areas of the company, including Underwriting, Clinical Management and Client & Provider Engagement... clinical and financial data. Demonstrated project and client management expertise. Expert at presenting complex analytic...
will also work with other areas of the company, including Underwriting, Clinical Management and Client & Provider Engagement... clinical and financial data. Demonstrated project and client management expertise. Expert at presenting complex analytic...
of clinical data management and healthcare interoperability standards (HL7, FHIR, DICOM) to ensure seamless data exchange... project scope, plans, reports, and status updates. Risk Management: Help identify risks, create risk mitigation plans...
of clinical data management and healthcare interoperability standards (HL7, FHIR, DICOM) to ensure seamless data exchange... project scope, plans, reports, and status updates. Risk Management: Help identify risks, create risk mitigation plans...
-based primary care. Experience working with claims, EMR, and clinical data, especially in risk-bearing organizations... and other value-based contracts, including cost of care, utilization, quality metrics (e.g., STARs, HEDIS), and risk adjustment...
of clinical data management and healthcare interoperability standards (HL7, FHIR, DICOM) to ensure seamless data exchange... project scope, plans, reports, and status updates. Risk Management: Help identify risks, create risk mitigation plans...