12 manager managed care analytics jobs at 5 companies in Pittsburgh, PA
1mo
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Managing Actuary, Value-Based Contract Analytics (Remote)
Pittsburgh or United States
RemoteFull Time
6.5+ YOECredentialed actuary (ASA required, FSA preferred), bachelor's in a quantitative field required, 6.5+ years actuarial experience in health insurance/managed care, supervisory experience, strong analytics and communication skills.
6h
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Utilization Management, Physician Operations Manager
Pittsburgh, Pennsylvania, United States
$28-$48/hr HybridFull Time
Bachelor's degree or equivalent experience; healthcare operations, managed care, utilization management, or medical management experience; strong analytical, organizational, and cross-functional collaboration skills.
dashboards
2mo
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Strategy Partner - Medicaid Growth and Policy Strategy
Pittsburgh, Pennsylvania, United States
HybridFull Time
5+ YOE5+ years strategic planning or related experience, 2 years consulting, Bachelor’s in Business (or equivalent), strong analytic, project management, and influencing skills; Medicaid managed care experience preferred.
3w
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Value Based Reimbursement Strategist
Pittsburgh, Pennsylvania, United States
$45-$77/hr OnsiteFull Time
3+ YOEBachelor's in business/healthcare,3+ years experience in managed care or value-based programs,analytical and communication skills,data analysis and strategic plan development;Master's preferred.
2mo
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Director of Clinical & Operational Strategy, Acute Care
Pittsburgh or United States
RemoteFull Time
5+ YOERegistered Nurse or equivalent licensure required; 5+ years acute-care clinical experience; experience with hospital operations, care management, throughput, and patient flow; strong communication, analytical and facilitation skills; Master’s preferred.
4w
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Actuary – Medical Cost Economics (Remote)
Pittsburgh, Pennsylvania, United States
$47-$82/hr RemoteFull Time
5+ YOEASA or FSA credential, bachelor's in a quantitative field, 5+ years actuarial experience in health insurance/managed care, experience with healthcare claims and cost/trend analysis, strong analytical and communication skills.
HCG Grouper, Milliman HCG, Power BI
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
1w
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QA Analyst, Intermediate (Hybrid) - Pittsburgh, PA
Pittsburgh, Pennsylvania, United States
$28-$48/hr HybridFull Time
1+ YOERequires high school diploma and 5 years of claims or reimbursement experience, or bachelor's degree and 1 year of experience. Requires managed care, Medicare, analytical, statistical, and audit knowledge.
Archer, Microsoft Office, Microsoft Word, Microsoft Excel, CDAG, ODAG, SOC1, SSAE, SOX, GCR
2mo
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Senior Clinical Pharmacy Specialist (Remote)- Must be licensed in PA!
Pittsburgh or Pennsylvania
$51-$87/hr RemoteFull Time
1+ YOEMust be registered pharmacist in Pennsylvania or eligible for PA licensure; Pharm.D. or B.S. in Pharmacy required; 1+ year managed care pharmacy experience preferred; strong analytical, communication, and computer skills; ability to lead projects and mentor staff.
1mo
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Clinical Coordinator R.N
Mars, Pennsylvania, United States
OnsiteFull Time
Bachelor of Nursing, active Pennsylvania RN license, clinical judgment and analytical skills to assess complex patient conditions and develop care plans.
1mo
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Clinical Coordinator R.N
Mars, Pennsylvania, United States
OnsiteFull Time
Bachelor of Nursing and active Pennsylvania RN license required; clinical judgment, analytical skills, and proficiency applying nursing process to assess complex patient conditions and coordinate care.
1mo
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Clinical Coordinator R.N
Mars, Pennsylvania, United States
OnsiteFull Time
Bachelor of Nursing required; current Pennsylvania RN license in good standing; clinical judgment, technical nursing proficiency, analytical skills to assess complex patient conditions and develop care plans.