Cost Containment and MLR Optimization Program Lead
W@H South Carolina, United States
USD 60K-121K (estimate) Senior-level Full Time
Tasks
- Analyze clinical outcomes
- Analyze utilization statistics
- Conduct management training
- Conduct market research
- Deliver health management presentations
- Design reporting mechanisms
- Develop health management programs
- Ensure compliance with healthcare regulations
- Establish data collection accuracy
- Evaluate health management programs
- Implement health management programs
- Maintain health management programs
- Monitor compliance with case management standards
- Oversee budgets
- Perform cost-benefit analysis
- Perform feasibility analysis
- Provide leadership to staff
- Provide strategic reporting direction
- Track return on investment
- Validate outcome data
Perks/Benefits
- 401k match
- Dental coverage
- Education assistance
- Life insurance
- National discounts
- Paid time off
- Service recognition
- Subsidized health plans
- Vision coverage
Skills/Tech-stack
Behavioral health | Benefit Analysis | Budgeting | Case management | Clinical Outcomes | Cost Benefit | Cost-Benefit Analysis | Data Analysis | Disease management | Feasibility analysis | Healthcare Data | Healthcare policy | Market Research | Microsoft Excel | Microsoft Office | Microsoft PowerPoint | Microsoft Word | Population Health | Presentation Skills | Research skills | Return on Investment | SAS | Tableau | Utilization Statistics | Utilization management
Education
Roles
Related jobs
-
Wealth Management-Operations-Business Intelligence & Applied AI-New York-Vice President USD 170K-300KAgentic Workflows | Alteryx | Anomaly Detection | Artificial Intelligence | Business IntelligenceExecutive-level Full TimeNew York, NY, United States1d ago
-
Data Center Operations Manager (Night Shift) USD 115K-166KContingency Planning | Data Analysis | Environmental Health and Safety | Environmental health | Hardware TroubleshootingMid-level Full TimePryor Creek, OK 74361, USA1d ago
-
Lead Data Scientist USD 140K-221KBank Accounting | Data Analysis | Data Validation | Data Visualization | Data cleaning401k match | Comprehensive healthcare | Flexible work environment | Free parking | Fully funded pensionSenior-level Full TimeDallas, TX, United States1d ago
-
Enterprise Analytic Enablement (Pillar 3 Reporting & Insights Lead) - Senior Lead Analytics Consultant USD 139K-239KAlteryx | DAX | Dashboard Design | Data Governance | Data ModelingHybrid work schedule | No visa sponsorshipSenior-level Full Time142019-NC-300 South Brevard, Charlotte, United States1d ago
-
Principal – HR AI, Analytics & Listening (Product Lead) USD 107K-159KAgile | Analytics | Artificial Intelligence | Automation | Backlog ManagementBonus plan | Health insurance | Long-term equity incentive plan | Remote work option | Retirement benefitsSenior-level Full TimeUnited States, Chesterfield, MO, RGA HQ, … R1d ago
-
Lead IT Support Specialist Fulfillment Center USD 40K-60KAIX | AS400 | Cisco | CompTIA | Database AdministrationSenior-level Full TimeAddress: 2601 HUGHES ROAD,SUITE 103,LIBERTY,MO,64068-00000-01396-M1d ago
-
Care Coordination | Case management | Clinical Documentation | Counseling | Group therapy403b retirement plan | Accident insurance | Calm app | Cancer Insurance | Cell phoneSenior-level Full TimeNashville, TN, United States1d ago
-
Data Science & Analytics Technical Lead USD 130K-175KClustering | Data Analysis | Data Mining | Data Pipelines | Exploratory Data AnalysisSenior-level Full TimeTampa, FL2d ago
-
Lead Data Scientist USD 140K-175KArtifactory | CI/CD | Data Analysis | Deep learning | Experimental DesignDental insurance | Health care | Paid time off | Retirement plan | Sick leaveSenior-level Full TimeSt. Louis, Missouri, US R2d ago
-
Head of AI Transformation & Enablement USD 155K-195KArtificial Intelligence | Automation | Benefit Analysis | Business case | Business case development401k match | Dental insurance | Employee assistance program | Holiday pay | Life insuranceExecutive-level Full TimeUSA-Remote, United States R2d ago
-
Principal Engineer (AI Engineer Lead) USD 139K-219KAgent systems | Agentic AI | Artificial Intelligence | Data Analysis | Machine Learning401k match | Dental insurance | Financial education resources | Life insurance | Long-term disabilitySenior-level Full TimeIN-INDIANAPOLIS, 220 VIRGINIA AVE, United States2d ago
-
Principal Engineer (AI Engineer Lead) USD 139K-219KAgent architecture | Agent systems | Agentic AI | Artificial Intelligence | Business Analysis401k matching | Dental insurance | Health insurance | Life insurance | Long-term disabilitySenior-level Full TimeIN-INDIANAPOLIS, 220 VIRGINIA AVE, United States2d ago
-
Lead Advanced Analytics USD 143K-215KCausal Inference | Claims data | Data Visualization | Data Warehousing | Data integration401k plan | Adoption reimbursement | Dental insurance | Disability insurance | Employee assistance programSenior-level Full TimeDallas, Texas2d ago
-
Data Science Lead USD 133K-200KAI Foundry | API Development | Agile | Auditability | Automated testingKnowledge sharing | Mentoring | Technical oversightSenior-level Full TimeDes Moines, IA, United States2d ago
-
Real Estate Strategic Planning Lead USD 144K-198KAnaplan | Business case | Business case development | Case Development | DashboardingSenior-level Full TimeMountain View, California; San Francisco, California3d ago
-
Technology Mgr, Quality Systems, AI Lead USD 102K-204KAdvanced Analytics | Artificial Intelligence | Audit management | Continuous Improvement | DashboardsSenior-level Full TimeUS014 MA Raynham - 325 Paramount …3d ago
-
Lead Data Engineer (Python, Databricks, SQL) USD 150K-165KAutomation | Azure | Azure Databricks | Azure DevOps | Azure SQL401k | Disability insurance | Health savings account | Holidays | Hybrid work scheduleSenior-level Full TimeIL-Chicago, 70 W Madison St Fl …3d ago
-
Lead Advanced Analytics USD 130K-215KAWS | Adobe Analytics | Airflow | Apache Spark | Azure401k | Adoption reimbursement | Disability benefits | Employee assistance program | Employee discountsSenior-level Full TimeDallas, Texas3d ago
-
SVP Business Intelligence and Analytics Lead USD 138K-188KAWS | Azure | DAX | Data Modeling | Data Warehousing401k | Life and disability insurance | Medical, dental, and vision coverage | Paid time off | Wellness programsSenior-level Full TimeLocation(s): Irving, Texas, United States4d ago
-
Business Analytics Lead USD 91K-202KBusiness Intelligence | Data Marts | Data Quality | Data integration | Data-Driven Decision Making401k match | Disability coverage | Educational assistance | Health savings account | Life insuranceSenior-level Full TimeThe Tower at PNC Plaza (PAA86), …4d ago
-
Senior-level Full TimeSan Francisco4d ago
-
Lead Fraud Data Scientist USD 137K-214KA/B | A/B Testing | AWS | Algorithmic Fairness | Automated retrainingSenior-level Full TimeNew York4d ago
-
Internal Audit Data Analytics Lead USD 153K-230KAirflow | Data Modeling | Data pipeline | ETL | GitEntry-level Full TimeToronto, New York, San Francisco5d ago
-
Senior-level Full TimeNew Jersey, United States6d ago
-
Lead Principal Applied Scientist USD 158K-355KArtificial Intelligence | Code review | Data Analysis | Data Preparation | Data collection401k matching | Disability insurance | Flexible spending accounts | Life insurance | Medical, dental, and vision insuranceSenior-level Full TimeSanta Clara, CA, United States6d ago