Lead Payer Analytics Consultant
3 weeks ago
We are seeking a highly skilled Payer Reimbursement Strategist to join our team at Central California Alliance for Health (Remote). As a key member of our Payment Strategy Department, you will play a critical role in developing and implementing reimbursement strategies that drive business growth and improve patient outcomes.
Key Responsibilities:
- Develop and maintain complex financial models to evaluate payer reimbursement methodologies
- Provide strategic consulting services to executive leadership on organizational decision-making
- Collaborate with internal and external stakeholders to achieve payer reimbursement objectives
- Lead and mentor subordinate staff to ensure successful project outcomes
Requirements:
- Bachelor's degree in Business Administration, Accounting, Finance, Healthcare, or a related field
- Minimum of eight years of experience performing financial healthcare reimbursement analysis
- Strong analytical, critical thinking, and research skills
- Ability to collect, interpret, and evaluate data to inform business decisions
What We Offer:
- Competitive compensation package
- Ample paid time off and 12 paid holidays per year
- 401(a) Retirement Plan and 457 Deferred Compensation Plan
- Robust Health and Wellness Program and Onsite EV Charging Stations
About Us:
Central California Alliance for Health (Remote) is a group of over 500 dedicated employees committed to providing accessible, quality healthcare that is guided by local innovation. We are an equal employment opportunity employer and welcome applications from qualified candidates.
-
Scrum Master
4 weeks ago
Los Angeles, California, United States ShiftCode Analytics Full timeJob SummaryThe Scrum Master III will provide functional coordination for the PMO and IT Project Managers to deliver technical solutions in the context of an Agile SDLC environment. The Scrum Master III will conduct daily scrum sessions, sprint planning, sprint grooming, product demonstrations, and retrospective reviews as needed.Key...
-
Supervisor, Analytics Lead
4 weeks ago
Los Angeles, California, United States Canvas Worldwide Full timeJob Summary: Canvas Worldwide is seeking a highly skilled Supervisor, Analytics to lead our analytics team and drive business growth through data-driven insights. As a key member of our team, you will be responsible for enforcing a rigorous analytics process, managing a team of analysts, and delivering high-quality analytics deliverables. About the Role: ...
-
Clinical Transformation Consultant
4 weeks ago
Los Angeles, California, United States College of Charleston Full timeJob SummaryWe are seeking a highly skilled Senior Consultant, Clinical Transformation to join our team at Cedars-Sinai Medical Center. As a key member of our Clinical Transformation team, you will play a critical role in enhancing clinical efficiencies, promoting high-value care, and preparing our organization for success in value-based contracts and other...
-
Los Angeles, California, United States CEDARS-SINAI Full timeJob OverviewCedars-Sinai Medical Center is seeking a highly skilled Senior Consultant, Clinical Transformation to join our team. This role will play a critical part in enhancing clinical efficiencies, promoting high-value care, and preparing the organization for value-based contracts and other payer initiatives.The ideal candidate will have a strong...
-
Strategic Payer Growth Leader
4 weeks ago
Los Angeles, California, United States Maserati of San Diego Full timeAbout UsMaserati of San Diego is a leading organization in the mental healthcare industry, dedicated to making a positive impact on the lives of those struggling with mental health issues.Job DescriptionWe are seeking a highly skilled and experienced Strategic Payer Growth Leader to join our team. This individual will play a critical role in shaping our...
-
Los Angeles, California, United States Cedars-Sinai Full timeJob SummaryCedars-Sinai seeks a seasoned marketing professional to lead the development and implementation of strategic marketing initiatives aimed at growing revenue through payer partnerships. The Associate Director, B2B Marketing will collaborate with cross-functional teams to drive business growth and ensure seamless utilization of clinical and financial...
-
Senior Commercial Analytics Specialist
4 weeks ago
Los Angeles, California, United States PharmaACE Full timeJob Title: Consultant / Senior Consultant – Commercial AnalyticsPharmaACE is seeking a highly motivated and experienced Consultant / Senior Consultant to join our Commercial Analytics team. As a key member of our team, you will be responsible for leading and managing projects and clients onshore, leveraging patient-level data and claims data to generate...
-
Payments Fraud Analytics Lead
3 weeks ago
Los Angeles, California, United States City National Bank Full timeJob DescriptionOverview:The Payments Fraud Analytics Lead will lead the Bank's fraud prevention and risk management activities for payment systems to mitigate both the Bank's and our clients' exposure to potential fraudulent activities.This role is responsible for evaluating industry, client, and situational/threat trends by payment type, as well as...
-
Senior Commercial Analytics Specialist
3 weeks ago
Los Angeles, California, United States PharmaACE Full timeJob Title: Senior Commercial Analytics SpecialistJob Summary:We are seeking a highly motivated Senior Commercial Analytics Specialist to join our team at PharmaACE. As a key member of our commercial analytics team, you will be responsible for leading and managing projects and clients onshore. Your expertise in commercial analytics will help us make strategic...
-
Los Angeles, California, United States META Full timeJob SummaryMeta is seeking a passionate business leader to focus on products that empower users to take control of their health by making it simple, engaging, and accessible. The successful candidate will be responsible for influencing product development and leading go-to-market (GTM) as part of the Wearables Product Marketing Team.Key...
-
Senior Manager, Risk Analytics Lead
4 weeks ago
Los Angeles, California, United States Talent Advocates Full timeJob OverviewTalent Advocates is seeking a highly skilled Senior Manager, Risk Analytics to join our team. As a key member of our Risk and Credit Group, you will be responsible for leading the development and implementation of risk management strategies and solutions.Key ResponsibilitiesDesign and implement SQL queries and relational databases to support risk...
-
Finance Lead
4 weeks ago
Los Angeles, California, United States Consultatives Search Group Full timeFinance LeadA dynamic and forward-thinking Finance Lead is sought by Consultatives Search Group to join their Financial Analysis team. The ideal candidate will possess a strong analytical mindset and be able to provide insightful analysis to drive business decisions.Key Responsibilities:Leverage project management principles to manage firmwide financial...
-
Pricing Analytics Director
4 weeks ago
Los Angeles, California, United States KPMG Full timeJob Summary:KPMG is seeking a Director, Pricing Analytics to join our Growth and Strategy organization. As a key member of our team, you will be responsible for conducting ad-hoc pricing studies and analyses to support long-term growth goals. You will evaluate opportunities for pricing improvement and competitive price positioning, and act as a liaison...
-
Senior Access Leader, Consulting
4 weeks ago
Los Angeles, California, United States Kaiser Permanente Full timeJob SummaryThe Senior Access Leader, Consulting role encompasses the daily monitoring and assessment of access metrics to uphold regulatory mandates established by California's Department of Managed Healthcare (DMHC) and Department of Healthcare Services (DHCS). This position requires collaboration with departmental leadership teams to ensure the fulfillment...
-
Director, Pricing Analytics Leader
4 weeks ago
Los Angeles, California, United States KPMG Full timePricing Analytics Director Job DescriptionKPMG is seeking a Director, Pricing Analytics to join our Growth and Strategy organization. As a key member of our team, you will be responsible for conducting ad-hoc pricing studies and analyses to support long-term growth goals, evaluating opportunities for pricing improvement and competitive price positioning, and...
-
Strategic AI Consultant
3 weeks ago
Los Angeles, California, United States Fractal, Inc. Full timeJob OverviewFractal, Inc. is seeking a highly skilled Senior Consultant to join our Decision Science Consulting team in the San Francisco, CA area.This role will involve leading client projects, delivering client updates, and collaborating with team members to drive business growth.The ideal candidate will have a strong background in analytics, excellent...
-
Data Scientist Consultant
3 weeks ago
Los Angeles, California, United States Retsci Full timeAbout UsRetsci is a leading provider of retail analytics solutions, helping retailers optimize their inventory and sales processes.We are passionate about making science easy and accessible to retailers, and our team of experienced consultants boasts 20+ years of industry-leading experience in retail analytics.Our ExpertiseData Science & AnalyticsSoftware...
-
Tax Consultant
2 months ago
Los Angeles, California, United States PRICE WATERHOUSE COOPERS Full timeJob SummaryWe are seeking a highly skilled Tax Consultant to join our team at PwC. As a Tax Consultant, you will play a key role in helping our clients navigate complex tax issues and develop effective tax strategies.Key ResponsibilitiesProvide tax consulting services to clients, including tax planning, tax compliance, and tax controversy.Develop and...
-
Scrum Master for Agile Project Management
3 weeks ago
Los Angeles, California, United States ShiftCode Analytics Full timeJob SummaryThe Scrum Master III will provide functional coordination for the PMO and IT Project Managers to deliver technical solutions in the context of an Agile SDLC environment. The Scrum Master III will conduct daily scrum sessions, sprint planning, sprint grooming, product demonstrations, and retrospective reviews as needed. The Scrum Master III is...
-
Senior Banking Consultant
3 weeks ago
Los Angeles, California, United States West Monroe Experienced Full timeJob SummaryWe are seeking a Senior Consultant with Banking and Consulting experience to join our team at West Monroe. As a Senior Consultant, you will be responsible for applying your knowledge and experience to tailor solutions for our clients in the financial services industry.Key ResponsibilitiesApply knowledge and experience to tailor solutions for...