52 manager healthcare analytics jobs found

Become a part of our caring community Healthcare Quality Reporting & Improvement (HQRI) delivers integrated risk adjustment (RA) and quality (Stars) solutions that leverage data and technology to empower members, providers, and Humana. Additionally, HQRI leads cross-enterprise EMR interoperability efforts. HQRI Technology & Analytics (HTA) has recently launched a new organization dedicated to technical solutions that help support and connect across these member and provider focused efforts. HTA's new Member & Provider Analytics organization (MPA) is developing a new model of delivery by incorporating principles of Large-Scale Scrum, dedicated Partnership Leaders, and collective Product Ownership. MPA operates with a spirit of shared success whereby our ability to help business partners maximize the effectiveness and accuracy of their programs yields better member care, health outcomes, provider partnerships and the financing of benefits for Medicare Advantage...

Become a part of our caring community Humana is seeking a Lead Product Manager to own the MyHumana Authenticated Channel Experience. In this role, you will be responsible for defining, optimizing, and orchestrating a seamless end-to-end member experience within Humana's primary digital self-service portal. You will own the strategy, roadmap, and performance of the authenticated web channel ensuring that Humana members can manage their health, understand their benefits, and take meaningful action with clarity and confidence. As the Lead Product manager, you will operate as the orchestration layer across a complex, multi-domain digital ecosystem - partnering with domain product teams (benefits, claims, care, Stars) to integrate their capabilities into a coherent, personalized, and trusted member experience. Additionally, you will bring a systems-level perspective, deep understanding of member behavior, and the cross-functional credibility to align engineering, design,...

At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. From strategy to execution, the Government & Public Sector (GPS) practice of Ernst & Young LLP provides a full range of consulting and audit services to help our Federal, State, Local and Education clients implement new ideas to help achieve their mission outcomes. We deliver real change and measurable results through our diverse, high-performing teams, quality work at the highest professional standards, operational know-how from across our global organization, and creative and bold ideas that drive innovation. We enable our government clients to achieve their mission of protecting the nation and serving the people; increasing public safety; improving healthcare for our military, veterans and citizens; delivering essential public services;...

Job Description We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care. We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place. The Value Realization workstream partners with the VA to measure, track, and maximize the value of the Federal EHR. The team uses a data-driven approach to establish baselines, monitor key metrics, and identify performance improvement opportunities before and after go-live. Key activities include: Baselines...

Career-defining. Life-changing. At iRhythm, you’ll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best possible cardiac health solutions. Every day, we collaborate, create, and constantly reimagine what’s possible. We think big and move fast, driven by our commitment to put patients first and improve lives. We need builders like you. Curious and innovative problem solvers looking for the chance to meaningfully shape the future of cardiac health, our company, and your career About This Role: About iRhythm: iRhythm Technologies is a leading digital healthcare company redefining the way cardiac arrhythmias are diagnosed. Through our innovative Zio® platform, we combine wearable biosensing technology with powerful cloud-based analytics and artificial intelligence to deliver timely, accurate insights to patients and clinicians. Having...

Job Description As Director, Data Center Facilities Operations & Services , you will lead the service delivery organization responsible for maintenance execution, vendor performance, field readiness, and operational support across OCI's mission-critical data center facilities. This role provides leadership across all Facilities Operations Services functions, including mechanical, electrical, and general service delivery, ensuring critical infrastructure is maintained safely, consistently, and in alignment with uptime, compliance, and operational performance expectations. The goal of this role and organization is to self-perform as much maintenance in-house as is prudently possible, and this leader will define, build, and drive that program. You will directly lead senior service managers and their organizations, driving disciplined execution of preventive maintenance, corrective work, restoration support, contractor performance, technician readiness, and field service...

Position Overview Reporting to the President of FUJIFILM Holdings America Corporation and serving as a member of the Executive Leadership Team, the Vice President, General Counsel, and Secretary will provide strategic guidance and counsel for FUJIFILM Americas Headquarters and its subsidiaries and affiliates in support of the overall business plan and strategic direction of the region. The Vice President, General Counsel, and Secretary will be responsible for staying informed of the activities across all business units and corporate functions and working with the Americas leadership to identify, understand and appropriately address potential legal impacts to the organization while providing counsel to Board of Directors, Senior Management Team, and other staff. The incumbent will be a highly strategic, proactive individual who is well-versed in M&A, business dynamics and the regulatory environment that spans across the region and multiple business areas and will play...

Position Overview An Imaging Service Engineer I is responsible for performing scheduled service work on systems within a service area, and some unscheduled work in the service area with the assistance of technical support, as directed by the Area Service Manager. Company Overview At FUJIFILM Healthcare Americas Corporation, we're on a mission to innovate for a healthier world, and we need passionate, driven people like you to help us get there. Our cutting-edge healthcare solutions span diagnostic imaging, enterprise imaging, endoscopic and surgical imaging, as well as in-vitro diagnostics. But we don't stop at healthcare; our Non-Destructive Testing (NDT) team harnesses advanced radiography solutions to keep transportation infrastructure, aerospace, and oil and gas assets safe and running smoothly. Ready to innovate, collaborate, and make a difference? Join us and bring your big ideas to life while working in a dynamic, flexible environment that fuels your...

Position Overview An Imaging Service Engineer I is responsible for performing scheduled service work on systems within a service area, and some unscheduled work in the service area with the assistance of technical support, as directed by the Area Service Manager. Company Overview At FUJIFILM Healthcare Americas Corporation, we're on a mission to innovate for a healthier world, and we need passionate, driven people like you to help us get there. Our cutting-edge healthcare solutions span diagnostic imaging, enterprise imaging, endoscopic and surgical imaging, as well as in-vitro diagnostics. But we don't stop at healthcare; our Non-Destructive Testing (NDT) team harnesses advanced radiography solutions to keep transportation infrastructure, aerospace, and oil and gas assets safe and running smoothly. Ready to innovate, collaborate, and make a difference? Join us and bring your big ideas to life while working in a dynamic, flexible environment that fuels your...

Anduril Industries is a defense technology company with a mission to transform U.S. and allied military capabilities with advanced technology. By bringing the expertise, technology, and business model of the 21st century's most innovative companies to the defense industry, Anduril is changing how military systems are designed, built and sold. Anduril's family of systems is powered by Lattice OS, an AI-powered operating system that turns thousands of data streams into a realtime, 3D command and control center. As the world enters an era of strategic competition, Anduril is committed to bringing cutting-edge autonomy, AI, computer vision, sensor fusion, and networking technology to the military in months, not years. ABOUT THE TEAM Anduril is fielding the next generation of Autonomous Underwater Vehicles (AUVs) to tackle the extremely challenging industry demands of seabed exploration. Anduril has brought to the market a unique, ultra-long-range, full-ocean-depth platform,...

Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote-United States Job Type Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in health, agriculture, technology, and other government services. TSS is a subsidiary of the St. George Tanaq Corporation, an Alaskan Native Corporation (ANC) committed to serving Federal customers while also giving back to the Tanaq native community and shareholders. About the Role We are seeking a Clinical Appeals Reviewer to support a contract with our federal client. The Clinical Appeals Professional performs complex (senior-level) work. Provides dissatisfied parties with the opportunity to present documentation to demonstrate why an appeal should be allowed. Provides an independent second level determination based on the documentation, facts, laws, regulations, and guidelines....

Job Description NOTE: Due to the client contract, this position requires you to be a U.S. citizen and eligible for federal security clearance. Job Summary We are seeking an experienced and results-driven Senior Product Owner to join our Federal Learning Development team. This role operates as a fully independent contributor within an Agile learning design environment, responsible for managing product backlog, stakeholder alignment, and delivery of high-quality learning solutions. The Senior Product Owner plays a critical role in ensuring all deliverables meet client expectations, business objectives, and accessibility standards, including Section 508. In addition to delivery ownership, this role actively supports team development and drives consistency in Agile practices and product quality. Key Responsibilities Define, own, and execute product vision and priorities aligned to client and organizational goals Independently manage and prioritize the...

ROLE SUMMARY As a leading biopharmaceutical company, Pfizer is dedicated to the discovery and delivery of high value therapies across a variety of disease areas. It is our mission to bring innovative medicines to patients that significantly improve their lives, and our priority is to ensure patients have access to these medicines. The Health Technology Assessment (HTA), Value & Evidence (HV&E) team is responsible for ensuring patients have affordable, timely access to medicines and vaccines by advancing innovative value and evidence solutions - to inform healthcare decision-making. The Patient-Centered Outcomes Assessment (PCOA) team is part of HV&E and is responsible for ensuring that patient experience data are adequately captured in Pfizer clinical development programs to be deemed as valid scientific evidence supporting registration, access, and healthcare decision-making. The PCOA Director is responsible for development and execution of fit-for-purpose...

Position Overview The Accounts Payable Processor 4 will report to the FUJFILM Holdings America, Accounts Payable Supervisor and be responsible for performing a combination of calculating, posting, verifying, and reconciling duties to obtain primary financial data for use in maintaining accounts payable records. This position requires additional technical/analytical knowledge of internal systems and functions related to maintaining daily operations of critical processes for FUJIFILM Holdings America Corporation, supporting various Fujifilm companies. THIS POSITION REQUIRES YOU TO BE BASED IN PST. Company Overview At FUJIFILM Holdings America Corporation, we're redefining innovation across the industries we touch-from healthcare and photography to semiconductors and data storage. With roots in photosensitive materials and a legacy of groundbreaking technology, we now lead 23 diverse affiliate businesses across the Americas. We're looking for mission-driven talents...

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 us. Job Posting Title Principal Actuary - REMOTE Job Description The Principal Actuary is responsible for supporting the development of actuarial concepts and providing thought leadership for Prime's existing and potential owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage the development of innovative actuarial modeling concepts, and provide pricing support for all lines of business. This position will also lead complex projects that are highly visible to executives and across the organization. Responsibilities Collaborate as a subject matter expert (SME) with underwriters, other areas of Prime, and senior management on pricing initiatives, data analyses,...

Position Overview This position reports into the Marketing organization and manages the Interventional GI & Accessories team. The product portfolio includes innovative endoscopes for ERCP, EUS and Double Balloon Enteroscopy as well as accessories for endoscopic procedures. This role works cross-functionally both within the organization and with external stakeholders (e.g., KOLs) to execute company initiatives and manage all aspects of product commercialization, including both upstream and downstream marketing. The Senior Product Manager, Interventional GI & Accessories contributes to the evolution of the organization as new protocols and business methods gain adoption and the priorities of the division continue to change. Company Overview At FUJIFILM Healthcare Americas Corporation, we're on a mission to innovate for a healthier world, and we need passionate, driven people like you to help us get there. Our cutting-edge healthcare solutions span diagnostic...

Job Description Day- to-Day: One of our healthcare clients in hiring a highly analytical and technically skilled IVR & Contact Center Platform Designer to join their Contact Center Operations team. This role is ideal for someone who thrives at the intersection of technology, operations, and customer experience. The designer will own the creation and optimization of IVR flows, outbound dialing strategies, platform configuration, and interaction analytics-ultimately ensuring members have a seamless, efficient, and compliant experience. This is a great opportunity for a candidate who enjoys solving complex routing challenges, improving operational performance, and bringing clarity to technical processes through strong documentation. Ideal candidate looking for $45-55/hr Responsibilities: Design, build, and optimize IVR call flows across multiple business areas (Portfolio, Conversion, Member Experience, Hybrid). Create and maintain clear, well-documented IVR flowcharts...

The Oncology Field Medical Outcomes, Director is a field-based medical colleague on the Payer Team responsible for providing therapeutic area/product expertise for a designated therapeutic in Oncology, with a primary focus on integrated customers, including but not limited to National Payers, Regional Payers, and Specialty Pharmacy Providers (SPPs). The role is responsible for educating customers on the clinical and economic impact of Pfizer Oncology medicines and products. The colleague may help inform customer decision-making and improve population health through real-world data analyses, pharmacoeconomic analyses, outcomes evaluations, and medical presentations.The responsibilities of the role are to contribute to Pfizer's ability to (a) Plan and execute Oncology Medical strategy and engagement for appropriate assigned customers within a territory, compliantly coordinating with other Pfizer colleagues as needed to achieve Medical objectives (b) Understand the priorities of...

Job Description Insight Global is seeking a detail-oriented, execution-focused professional to support a large Medicare Sales Operations organization within the Digital Readiness & Implementation function. This role sits at the intersection of data, operations, and partner enablement, playing a key role in ensuring vendors, platforms, and digital experiences are operationally ready-especially during the Annual Enrollment Period (AEP). This opportunity is ideal for someone who thrives in fast-paced, highly regulated environments, is comfortable working through data ambiguity, and takes ownership of driving work forward across multiple internal teams and external partners. Drive execution of Digital Readiness initiatives, ensuring vendors and partners meet critical AEP timelines and readiness requirements Act as a central point of coordination between external vendors and internal operational, technical, and business teams Manage and validate operational data,...

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 us. Job Posting Title Pharmacy Network Consultant Senior - Remote Job Description The Pharmacy Network Consultant Sr is responsible for development and management of Prime's retail, mail, specialty and quality-based pharmacy networks. This position is responsible for the management of Prime's network vendor's contracting activities ensuring contracting initiatives are effective and completed in accordance to Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies. This position is responsible for representing Network Management on financial audits and network management projects. Responsibilities Negotiate market competitive low to medium-high complexity pharmacy agreements for assigned pharmacies across all...

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 us. Job Posting Title Business Integration Consultant Principal - Remote Job Description The Business Integration Principal is responsible for executing functional strategy, managing a team of Business Integration Consultants, leading new client implementations and enterprise-wide projects, analysis, and/or initiatives. This position is responsible for driving key business outcomes for Prime through a blend of project management, enterprise analysis, and client or executive engagement. Responsibilities Lead client implementation activities by providing ownership of workstream delivery including negotiations with client Consult and collaborate with internal and external client project teams to work through the Enterprise Project...

Job Description We're on a journey to advance how health happens with technologies that support clinicians, inspire innovation, empower patients, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care. We want people just as dedicated as we are making history with the advancement of Federal Healthcare systems. If you're excited about making healthcare more human, you've come to the right place. Oracle Health Government Services is seeking a skilled Federal Program Operations Analyst to join our mission-driven organization. In this role, you will be responsible for end-to-end program execution across logistics and financial operations for Oracle Health programs under the VA EHRM contract. The role ensures...

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 us. Job Posting Title Business Solution Analyst Sr - Remote Job Description The Business Analyst (BA) Senior will execute on medium projects as a liaison among business operations, technology groups, clients, business partners, vendors, and project/program team to understand, analyze, and facilitate business needs, requirements, and impacts of business changes as a result of strategic initiatives, operational changes, compliance requirements, client needs, and technology or operational improvements. Additionally, this role will participate with leadership and/or the Center of Excellence to define and implement the best practice activities for Business Analysis. Responsibilities Specialty fee schedule support - updating monthly fee...

Appeals Professional III Fully Remote-United States Job Type Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in health, agriculture, technology, and other government services. TSS is a subsidiary of the St. George Tanaq Corporation, an Alaskan Native Corporation (ANC) committed to serving Federal customers while also giving back to the Tanaq native community and shareholders. About the Role We are seeking an Appeals Professional III to support a contract with our federal client. The Appeals Professional III performs complex (senior-level) work. Provides dissatisfied parties with the opportunity to present documentation to demonstrate why an appeal should be allowed. Provides an independent second level determination based on the documentation, facts, laws, regulations, and guidelines. Works under general supervision, with...