Remote Director, Health Plan Economics & Analytics
$149.88k - $224.82kE2E Alignment Healthcare USA, LLC
- Remote job
E2E Alignment Healthcare USA, LLC is seeking a Remote Director of Health Plan Economics to lead health plan analytics. This role involves developing risk-stratification frameworks and predictive models, translating data into actionable insights, and managing a high-performing analytics team. The ideal candidate has over 10 years of healthcare analytics experience and a strong command of predictive modeling tools. The position offers a salary range of $149,882.00 to $224,823.00 based on various factors. #J-18808-Ljbffr E2E Alignment Healthcare USA, LLC
$149.88k - $224.82k
Remote Director of Health Plan Economics The Remote Director of Health Plan Economics drives the health plan’s risk stratification, predictive modeling, and financial analytics agenda—translating data into operational action, governing metric definitions, building predictive...Remote jobHealth InsuranceContract work$129.5k - $215.04k
...senior leadership to establish strategic plans and objectives. Contributes to overarching... ...management, provider profiling analytics, dental policies and procedures and quality... ...and unrestricted in state of practice. • Health care management/leadership experience preferred...Remote workHealth InsuranceWork experience placementWork at office- ...Director Of Strategic Sourcing For The Health Plan Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237... ...priorities of the health plan. Remote: Open to applicants in the United... ...care management vendors. ~ Strong analytical and decision-making skills ~...Remote workHealth InsuranceContract workTemporary workWork at officeWorldwideRelocationFlexible hours
$102.16k - $199.22k
...resolution. • Enforces the compliance plan, code of conduct and anti-fraud plan. •... ...highly matrixed environment. • Strong analytical and problem-solving skills. • Project management... ...• Previous experience in a health plan or government programs setting (Medicaid...Remote workHealth InsuranceWork experience placementWork at office- ...4th FLR PCHP - Parkland Community Health Plan Remote PRIMARY PURPOSE Oversees medical... ...of Texas for Managed Care Medical Directors. Board certification in the relevant... ...changing priorities. Strong analytical and problem-solving skills. Knowledge...Remote workHealth InsuranceContract workWork at officeLocal area
- ...team responsible for the development and administration of state health plan operational functions, programs and services - ensuring... ...the member appeals and grievances (A&G) COE to obtain related analytics, identify trends and execute strategies to improve member satisfaction...Remote workHealth InsuranceContract workWork at office
$124k - $211k
...A leading pharmacy benefit manager is seeking a Director of Health Plan Underwriting to lead their underwriting team. This remote role involves developing pricing strategies, overseeing workflow, and ensuring compliance with procedures. Candidates should bring substantial...Remote workHealth Insurance$124k - $211k
...A leading pharmacy benefit manager is seeking a Director of Health Plan Underwriting to lead the underwriting team in providing analyses and... ...related fields and exceptional communication skills. This is a remote position, and potential pay ranges from $124,000 to $211,00...Remote workHealth Insurance$117.73k - $229.58k
...Director, Data Management (EIM) Job Summary The Director, Data Management is a senior... ..., and modernization across core health plan domains . This role leads the design,... ...ingestion, integration, governance, quality, analytics enablement, and operational reliability...Remote workHealth InsuranceContract workWork experience placement$124k - $211k
...Director Health Plan Underwriting - REMOTE At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with...Remote workHealth InsuranceContract workWork experience placementLocal areaVisa sponsorshipWork visa$112.7k - $193.2k
...UnitedHealth Group is seeking a Director of Service Delivery in Eden Prairie, Minnesota,... ...executing service delivery commitments for Health Plan clients. This strategic role requires... ...issue resolutions. The position allows remote work flexibility within the U.S., and candidates...Remote workHealth Insurance$177k - $278.08k
...best. As part of the Global Health Economics team, you will report to the... ...global health economics (HE) plans, reimbursement strategy, and... ...organization. Strong analytical capabilities and excellent communication... ...with Takeda's Hybrid and Remote Work policy. Takeda...Remote workHealth InsuranceMinimum wageFull timeContract workTemporary workLocal areaWorldwide$112.7k - $193.2k
...Optum is seeking a Director of Service Delivery to drive execution of service delivery commitments for Health Plan clients. The role involves maintaining multi-level client relationships... ...management and leadership roles. This remote position offers a salary range from $112,...Remote workHealth Insurance$180.8k - $226k
...A leading design firm in the United States is seeking a Director Health Planning to lead their international planning team. The ideal candidate will have over 15 years of healthcare planning experience and strong leadership skills. This role involves mentoring, aligning...Remote workHealth Insurance$174.07k - $374.92k
...Alliance for Career Enhancement seeks a Medical Director to oversee medical policy and support... ...programs in Arizona. This fully remote role requires an active medical license and at least two years of experience in health care delivery. Responsibilities include engaging...Remote jobHealth Insurance$174.07k - $374.92k
The Hispanic Alliance for Career Enhancement is offering a remote position with Aetna, a leader in health insurance, focused on expanding medical management programs. The role requires an MD or DO, with extensive experience in health care delivery and utilization management...Remote jobHealth Insurance$121.7k - $202.9k
...Operations Director As the Express Scripts Inc. (ESI) Health Plans Division (HPD) Operation Director (OD), you will provide operational leadership, expertise... ...ESI Leading, coaching, and mentoring on-site and remote team members Work collaboratively with other roles...Remote workHealth InsuranceWork experience placementLocal areaWork from homeShift workNight shift$180.8k - $226k
...strategic, and highly creative individual for the position of Director Health Planning for the design practice, to lead and grow our international... ...insurances. We have paid time off, flex-time schedules, remote work options and a 401k plan and employee perk programs. Actual...Remote workHealth InsuranceFor contractorsWork experience placementFlexible hours$174.07k - $374.92k
Itlearn360 is seeking a Medical Director for a remote role based in Phoenix, AZ. The successful candidate will lead a team to enhance health outcomes through collaboration and data-driven... ...of benefits including a robust medical plan, 401(k), and wellness programs. #J-188...Remote jobHealth Insurance$1,020 per month
...Job Description THE HEALTH INITIATIVE SENIOR DIRECTOR, HEALTH PLANS The Context It is... ...the right, but also the economic thing to do, and persuasive... ...(including research and analytics, communications, and mobilization... ...role and is fully remote within the US. THI...Remote workHealth InsuranceFull timeTemporary workInterim roleWork at officeFlexible hoursShift workWeekend workAfternoon shift$170k - $180k
...healthcare affordable, improve the health of patients, and restore the... ...and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized... ...Job Description The Sr. Director, Health Plan Relationships is the executive owner...Remote workHealth InsuranceBi-weekly payFull timeContract workTemporary workFor contractorsLocal areaWork from homeFlexible hours$184k - $253k
...execute on strategic account plans to deliver on Takeda... ...(volume/ claims analytics, reimbursement data, etc... ...knowledge of payor/PBM economics: understand key issues... ...commitment to deliver Better Health and a Brighter Future... ...currently classified as "remote" in accordance with...Remote workHealth InsuranceMinimum wageFull timeTemporary workLocal areaWorldwideShift work$103.5k - $191.6k
...healthcare organization is seeking a Manager, Healthcare Analytics to lead the execution of analytics strategies. This... ...from $103,500 to $191,600 annually, along with a comprehensive benefits package including health insurance and retirement plans. #J-18808-Ljbffr...Remote workHealth Insurance$130k - $165k
At Habitat Health, we envision a world where older adults experience... ...social care as well as health plan coverage through the Program... ...strategic, execution-oriented Director, Health Plan Enrollment & Eligibility... ...have accepted a job offer and completed the Form I-9. #LI-RemoteRemote workHealth InsuranceFull timeWork at office- ...(COE) category in digital health. Today, 95% of the US population... ...We are looking for a Sr. Director, Health Plan Channel Sales to help us... ...across all levels. ~ Strong analytical skills and the ability to... ...successes and have fun. We’re a remote-first company with...Remote jobHealth InsuranceWork at officeImmediate startFlexible hours
$130k - $160k
...Manager of Analytics and Strategy We are seeking a Manager of Analytics and Strategy to... ...priorities. Support segmentation, measurement plans, and experiment evaluation. Surface... ...location. We also offer low deductible health plans, as well as flexible time away and...Remote workHealth InsuranceWork at officeWork visaFlexible hoursShift work- BioSpace seeks a Commercial Analytics Manager in Thousand Oaks, CA, to drive data analytics for strategic decisions. You... ...telecommuting options, competitive salary, and benefits including health coverage and retirement plans, in a flexible work environment. #J-18808-Ljbffr...Remote jobHealth InsuranceFlexible hours
$104.9k - $199.07k
...future. Milliman’s Health Research Team (HRT) is... ...and driven Data Analytics Manager. In this role,... ...into this role may work remotely anywhere in the US or... ...professional development planning for direct reports *... ...quality, health care economics, reserving, or financial...Remote workHealth InsuranceFull timeTemporary workWork experience placementWork at officeFlexible hours- ...development and application of advanced analytics, the full-time remote Pharmacy Data Analytics Director will translate complex... ...pharmacy data analytics (PBM, health plan, consulting, or pharma... ...understanding of PBM pricing economics and pharmacy/medical data structures...Remote workHealth InsuranceFull time
$272.7k - $347k
...This role is open at the Director or Senior Director... ...for a Head of Product Analytics to lead our product analytics... ..., and measurement plan; establish and own KR operating... ...in the US) Private health insurance, including... ...unless posted as a fully remote role Mental health...Remote workHealth InsuranceFull timeWork at officeImmediate startWork from homeWorldwideMonday to FridayFlexible hours
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