Fredericksburg • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Fredericksburg • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Fredericksburg • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Fredericksburg • 50 milesRemote · Hybrid · Onsite · Field · All Environments
18 manager managed care analytics jobs at 17 companies in Fredericksburg, VA
3w
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Care Management Manager (Hybrid)
Baltimore or Washington or Virginia
$100k-$185k/yr HybridFull Time
5+ YOE1+ MgmtActive RN state licensure, 5+ years care management experience, 1+ year supervisory experience, Bachelor\u0002s in Nursing or equivalent additional experience, Medicaid program knowledge, analytics and HEDIS familiarity.
1mo
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Customer Care Manager
Fredericksburg, Virginia, United States
$50k-$65k/yr OnsiteFull Time
Leadership in call center operations, coaching, scheduling, escalation management, strong communication, analytical and organizational skills, and proficiency with listed technology tools.
Microsoft Office Suite, Microsoft 365, Microsoft SharePoint, Microsoft Outlook, Microsoft Teams, RingCentral, RingCX, Paycom, iConnect, Storis
3mo
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340B Program Manager
Washington, District of Columbia, United States
$95k-$182k/yr OnsiteFull Time
8+ YOE8-10 years in 340B program management; Bachelor's in Health Care Administration or related field; 340B certification; strong analytics and governance experience.
2w
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HEDIS Data Quality Lead Program Manager
Chicago or Washington, D.C.
$113k-$153k/yr HybridFull Time
7+ YOEBachelor's degree or equivalent experience and 7+ years in business, managed care, or health services, with healthcare operations, claims, informatics, quality measurement, and advanced analytics expertise.
SAS, SQL, Cognos, MCSource
2mo
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Integrated Case Manager- RN
Fredericksburg or Arlington or Alexandria or Reston or Sterling or Leesburg or Winchester or Front Royal or Warrenton or Stephens City or Culpeper or Orange or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
3+ YOEActive RN required, 3+ years nursing experience, managed care and discharge planning preferred, performs telephonic and face-to-face clinical assessments, develops and coordinates member care plans, strong communication and analytical skills.
3w
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Accreditation Program Specialist
Washington or Chicago
$104k-$140k/yr HybridFull Time
5+ YOEBachelor's in health administration/nursing/public health or equivalent; 5+ years with URAC/NCQA accreditation in managed care; RN preferred; strong project management, analytical and presentation skills; proficiency with Microsoft Project, Word, Excel, PowerPoint.
Microsoft Project, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
1mo
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Senior Director, Payment & Health Care Delivery Policy
Washington, District of Columbia, United States
$162k-$183k/yr HybridFull Time
4+ YOEBachelor's in public/health/economic policy required; 4+ years in health care policy or master's; strong research, analytical, and communication skills; experience with CMS rulemaking and stakeholder engagement.
Microsoft Office Suite
1mo
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Revenue Cycle Manager - Medicare Value Based Care, Healthcare Financial Operations
Arlington, Virginia, United States
$95k-$163k/yr OnsiteFull Time
5+ YOE5+ years finance experience (or Master’s+3), experience with healthcare revenue cycle and Medicare/Medicare Advantage preferred, proven cross-functional leadership, analytics and compliance experience.
1mo
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Assistant Vice President Inpatient and Primary Care, UVA Community Health Medical Group 5103
Manassas, Virginia, United States
$190k-$230k/yr OnsiteFull Time
5+ YOE5+ MgmtBachelor's in business/healthcare administration (Master's preferred), 5+ years leadership experience in provider operations, knowledge of primary care and inpatient services, strong analytics and communication skills.
1mo
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Clinical & Financial Performance Manager
Albany or Arlington or Atlanta or Austin or Beaverton or Bentonville or Boston or Carmel or Charlotte or Chicago or Cincinnati or Cleveland or Columbus or Culver City or Denver or Des Moines or Detroit or Hartford or Houston or Irving or Kirkland or Miami or Milwaukee or Minneapolis or Morristown or Mountain View or Nashville or New York City or Oklahoma City or Overland Park or Philadelphia or Pittsburgh or Raleigh or Redmond or Sacramento or San Diego or San Francisco or Scottsdale or Seattle or St. Louis or St. Petersburg or Walnut Creek or United States
$80k-$294k/yr FieldFull Time
5+ YOERequires 5+ years of healthcare consulting, 2+ years in cost-of-care transformation, quality improvement, or clinical finance, a bachelor's degree, and strong analytical skills.
Stars, HEDIS, CMS
2w
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Practice Success Partner
Arizona or California or Florida or Georgia or Illinois or Indiana or Iowa or Maryland or Massachusetts or Michigan or Minnesota or New Hampshire or New Jersey or New York or North Carolina or Pennsylvania or Rhode Island or South Carolina or Tennessee or Texas or Virginia or Washington
$120k-$145k/yr HybridFull Time
5+ YOERequires 5+ years in practice-facing, account management, or provider relations within value-based, managed, or provider care organizations; contract performance analysis, leadership relationship ownership, and value-based care knowledge.
Microsoft Excel, payer portals, analytics platforms
2w
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Specialist, Health Policy and Payment
Alexandria, Virginia, United States
$75k-$80k/yr OnsiteFull Time
5+ YOE5+ years in health care policy and advocacy; knowledge of reimbursement, payer policies, Medicare, coding and billing; project management, analytical, communication, and MS Office skills.
Microsoft Office, Microsoft Excel
2mo
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Insurance Follow Up Specialist
Richmond, Virginia, United States
OnsiteFull Time
Office experience preferred (1+ year), knowledge of managed care payer rules and medical terminology preferred, proficiency with Microsoft Office/Windows, strong written/verbal communication, analytical, organizational and time management skills, detail-oriented.
Microsoft Office, Windows
2mo
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EY-Parthenon - Strategy and Execution - Deal Management - Health - Director (New York, NY, US, 10001-8604)
New York City or Atlanta or Boston or Chicago or Dallas or Denver or Detroit or Houston or Los Angeles or McLean or Hoboken or Philadelphia or San Francisco or Seattle
$205k-$235k/yr HybridFull Time
5+ YOEBachelor's in business/finance/accounting/healthcare +5 years related experience (or grad degree + ~3 years); significant management consulting and health care M&A experience; strong analytical, leadership, business development, and integration skills; willingness to travel.
Microsoft Copilot
1w
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Clinical Performance Improvement Analyst
Arlington, Virginia, United States
$79k-$143k/yr OnsiteFull Time
1+ YOEBachelor’s degree in a healthcare field and 1+ year of clinical or patient care experience required. Requires Microsoft Excel experience; data analytics, chart review, or clinical data management preferred.
Microsoft Excel, Power BI, Tableau
1w
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Inpatient Coding, Forensics and Compliance - Disputes, Claims & Investigations
Chicago or Arlington
$74k-$135k/yr OnsiteFull Time
5+ YOEBachelor's degree in health information management or related field, 5 years acute-care inpatient coding experience, and active CCS, CIC, RHIT, or RHIA credential. Requires reimbursement, compliance, analytical, and communication expertise.
ICD-10-CM, ICD-10-PCS, MS-DRG, APR-DRG, APC, Microsoft Office, CMS, HIPAA
1w
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MDS Coordinator (RN)
Dunn Loring, Virginia, United States
OnsiteFull Time
3+ YOEActive RN license and at least 3 years of clinical experience required; long-term care, RAI/MDS regulations, reimbursement systems, analytical skills, and interdisciplinary leadership preferred.
2mo
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RN Assistant Director of Nursing
Culpeper, Virginia, United States
OnsiteFull Time
2+ YOEActive Virginia RN licensure, RN degree required (BSN preferred), minimum 2 years nursing experience (LPN or RN) with long-term care preferred, knowledge of federal/state LTC regulations, strong analytical and communication skills.