Healthcare Pricing Strategist
3 days ago
Molina Healthcare is seeking a skilled Healthcare Pricing Strategist to guide the investment of our network partners through contract valuation and analysis. This role plays a crucial part in ensuring access to quality healthcare services for individuals receiving government assistance.
Key Responsibilities- Analyze Complex Data: Perform research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy, and ancillary) to deliver practical, actionable financial and clinical insights.
- Develop Strategic Reports: Create key strategic reports and analysis using SQL programming, SQL Server Analytic Services (SSAS), Business Intelligence tools, and Executive Dashboard.
- Pricing Strategy Development: Support multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging value-based care models.
- Education: Bachelor's Degree in Business, Finance, Mathematics, Economics, Data Science, or Actuarial Sciences or equivalent experience.
- Experience: 3+ years of analytics experience in financial analysis, healthcare pricing, network management, healthcare economics, or related discipline.
- Skills: Advanced level proficiency in Microsoft Excel, intermediate to advanced level proficiency in SQL.
We offer a competitive salary range of $80,000 - $110,000 per year, depending on experience. Our benefits package includes medical, dental, and vision insurance, retirement plan, paid time off, and more.
-
Product Strategist, Consultant
2 weeks ago
Long Beach, United States Blue Shield of CA Full timeYour Role The New Product team is responsible for product strategy, planning, development, and go-to-market of new and emerging products, including the development of novel plans, benefit structures, value-added services, customer experiences, networks, and health solutions capabilities. The Product Strategist, Consultant will report to the Product Manager,...
-
Product Strategist, Consultant
4 weeks ago
Long Beach, United States Blue Shield of CA Full timeYour Role The New Product team is responsible for product strategy, planning, development, and go-to-market of new and emerging products, including the development of novel plans, benefit structures, value-added services, customer experiences, networks, and health solutions capabilities. The Product Strategist, Consultant will report to the Product Manager,...
-
Senior Associate, Product Pricing/Fee Strategy
1 month ago
Newport Beach, United States PIMCO Full timePIMCO is a global leader in active fixed income with deep expertise across public and private markets. We invest our clients' capital across a range of fixed income and credit opportunities, leveraging our decades of experience navigating complex debt markets. Our flexible capital base and deep relationships with issuers have helped us become one of the...
-
Land Acquisition Strategist
1 day ago
North Myrtle Beach, South Carolina, United States Lennar Homes Full timeJob SummaryWe are seeking a skilled Land Acquisition Strategist to join our team at Lennar Homes. This is an exciting opportunity for a detail-oriented professional with excellent analytical and problem-solving skills.About the RoleThe successful candidate will work closely with our Vice President of Land Acquisition and Land Transaction Manager to source,...
-
Healthcare Claims Processing Lead
13 hours ago
Long Beach, California, United States Advanced Medical Manage Full timeJob DescriptionCompany OverviewAdvanced Medical Manage is a leading healthcare management company seeking an experienced Healthcare Claims Processing Lead to join our team.Estimated Salary:$80,000 - $110,000 per yearJob SummaryWe are looking for a skilled and detail-oriented Healthcare Claims Processing Lead to oversee the claims processing workflow and...
-
IT Infrastructure Strategist
3 days ago
Virginia Veterans Dr, Roanoke, VA, USA, United States Lange Recruiting Full timeAbout the job IT Infrastructure StrategistResponsible for managing the IT infrastructure of a leading medical practice.The company Lange Recruiting is seeking an experienced IT Director to oversee and enhance their IT operations in collaboration with a trusted third-party IT vendor. This role is essential for maintaining the systems' reliability, security,...
-
Vero Beach, Florida, United States Whole Family Health Center Inc Full timeAbout the RoleWhole Family Health Center Inc is seeking a seasoned and accomplished Chief Financial Strategist to spearhead our financial operations. This pivotal position will be instrumental in ensuring the financial health and sustainability of our organization, enabling us to continue delivering vital healthcare services to our community.Key...
-
Oncology Account Strategist
2 weeks ago
Long Beach, California, United States Bayer Corporation Full timeJob Summary:The Regional Account Director (RAD) for Oncology is responsible for driving key account strategy and unlocking growth opportunities for Bayer's Oncology product portfolio in the Southern California region. This role will identify key customer issues and opportunities, build account plans, and execute those plans via a coordinated cross-functional...
-
Healthcare Operations Strategist
17 hours ago
Arco Plaza, CA, United States CEDARS-SINAI Full timeAbout Cedars-SinaiCedars-Sinai is a world-renowned medical institution with a strong commitment to excellence in patient care, education, and research. Our mission is to provide exceptional healthcare services that are guided by empathy, compassion, and innovation.Job Description:We are seeking a highly skilled Senior Consultant, Clinical Efficiency & Value...
-
Grand Rapids, MI , USA, United States Acrisure LLC Full timeAcrisure LLC is seeking a highly skilled Compensation Strategist to join our team. This role plays a crucial part in ensuring that compensation costs align with the organization's culture, philosophy, and objectives.This position involves benchmarking, developing compensation strategies, auditing, managing survey data, informing rewards programs, and making...
-
E-commerce Director
2 days ago
Deerfield Beach, Florida, United States Justrite Full timeAbout the RoleWe are seeking a seasoned E-commerce Director - Digital Marketplaces Strategist to drive revenue growth, expand our digital footprint, and optimize sales through various third-party e-commerce platforms.This leadership role requires a deep understanding of manufacturing industry dynamics, strong leadership skills, and a proven track record of...
-
Long Beach, California, United States Blue Shield of California Full timeAbout Blue Shield of CaliforniaBlue Shield of California is a leading health insurance company dedicated to delivering high-quality, affordable healthcare to its members. Our goal is to empower individuals and communities to take control of their health through innovative solutions, expert care, and personalized support.Salary RangeThe salary range for this...
-
Medical Sales Manager
14 hours ago
Long Beach, California, United States Food Allergy Institute Full timeJob OpportunityWe are seeking a highly skilled Medical Sales Manager to lead our patient acquisition efforts.About the RoleThis is a pivotal position that drives patient growth, nurtures leads, and ensures efficient enrollment processes. The ideal candidate will work closely with our marketing and clinical teams to develop strategies that enhance patient...
-
Quantitative Research Analyst
1 day ago
Newport Beach, California, United States PIMCO Full timePIMCO is a global leader in active fixed income with deep expertise across public and private markets.We invest our clients' capital across a range of fixed income and credit opportunities, leveraging our decades of experience navigating complex debt markets.Our flexible capital base and deep relationships with issuers have helped us become one of the...
-
Pharmacy Financial Analyst
4 weeks ago
Long Beach, United States SCAN Health Plan Full timeDescription About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN...
-
Quantitative Research Analyst
4 months ago
Newport Beach, United States PIMCO Full timePIMCO is a global leader in active fixed income with deep expertise across public and private markets. We invest our clients' capital across a range of fixed income and credit opportunities, leveraging our decades of experience navigating complex debt markets. Our flexible capital base and deep relationships with issuers have helped us become one of the...
-
Director of Risk Management
1 week ago
Murrieta, CA, United States Ironman Staffing Medical Services, Inc. Full time*Director of Risk Management - Sign On Bonus!* *Murrieta, California* \*Please let me know if you have one of the following certifications: Certified Professional in Healthcare Risk Management or a Certified Professional in Healthcare Quality? *Excellent Salary Range & Great Benefits & Sign On Bonus & Relocation Assistance!* My client is looking to fill...
-
Director of Risk Management
1 week ago
Murrieta, CA, United States Ironman Staffing Medical Services, Inc. Full time*Director of Risk Management - Sign On Bonus!* All potential applicants are encouraged to scroll through and read the complete job description before applying. *Murrieta, California* \*Please let me know if you have one of the following certifications: Certified Professional in Healthcare Risk Management or a Certified Professional in Healthcare...
-
Senior Financial Strategist
1 day ago
Vero Beach, Florida, United States Whole Family Health Center Inc Full timeAbout UsWhole Family Health Center Inc is a nonprofit health center dedicated to providing comprehensive healthcare services to everyone in our community.We are committed to improving the health and well-being of individuals and families through high-quality, compassionate care.
-
Business Development Manager
4 weeks ago
Pompano Beach, United States ati Full timeProven to Perform. From the edges of space to the bottoms of ocean, our materials are proven to perform -- and so is our team. We're hiring high performers as proven as our products. Join us. Primary Purpose of this Job The primary purpose of this job is to oversee a portfolio of strategic customers with the objective of growing ATI's additive manufacturing...