Health Value Analyst jobs in Maine

Health Value Analyst analyzes product research and clinical outcomes data, and prepares financial analyses to ensure that hospital supply management activities optimize the delivery of cost-effective, quality healthcare. Determines the clinical and financial impact of adding new products and technologies to the hospital product line. Being a Health Value Analyst evaluates prospective technologies that may significantly impact revenue and support strategic planning. May require a bachelor's degree of specialty. Additionally, Health Value Analyst typically reports to a supervisor or manager. The Health Value Analyst contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Health Value Analyst typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

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Senior Risk Adjustment Analyst - Health Plan (Remote)
  • Martin's Point Health Care
  • Portland, ME FULL_TIME
  • Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary ** NEW POSITION ** This position offers a remote work schedule and 2-4 visits to Maine, per year! Join this dynamic Risk Adjustment Team in our Health Plan which is growing and making an impact! Apply today for immediate consideration! The Senior Risk Adjustment Analyst in our Health Plan analyzes data, reviews findings, and develops recommendations for leadership related to revenue optimization utilizing third party software as well as the data warehouse as key sources of data. The Senior Analyst uses their extensive content knowledge and analytical expertise to guide and educate leaders on revenue optimization from a range of operational lenses and levels of analysis. This individual may lead project teams and process improvement activities in their area of expertise. Job Description Key Outcomes: Examines and performs data management analyses and develops and presents a variety of performance results in addition to other pertinent communication Transfers data into meaningful, professional, and easy to understand formats for leadership Reviews data, develops recommendations and reviews findings with senior leadership Analyzes and extracts data from the Enterprise Data Warehouse (EDW) and other sources to report to internal and external customers Designs, develops, tests, documents, and maintains database queries for ad hoc reporting used in complex conceptual analyses for all departments within Risk Adjustment Operations Develops systematic reporting processes and procedures to ensure timely delivery of daily, weekly, monthly, annual, and ad hoc reports to support key departmental and organizational initiatives Serves as the liaison between departments including IT and Finance for all Risk Adjustment reporting needs Troubleshoots errors and data inconsistencies and coordinates resolutions to issues as directed by self, staff, and various levels of leadership Takes a lead role in the tracking of progress and activities of key initiatives Plans and assists with testing processes and activities including new report or analytics methodology validation Responsible for documenting and updating changes to workflow, training plans, policies and procedures and ensure redundancy in these knowledge areas with other analytics resources Provides analytic mentorship and guidance to operational departments related to revenue optimization Participates in the development of risk adjustment operational and strategic planning processes Subject matter expert in CMS HCC Risk Adjustment modeling May lead vendor research, software installation, configuration support, and interface development applications as needed Maintains and is expert user of third-party analytical tools and reporting platforms related to risk profile analysis and HCC coding Recommends tools and methodologies that can be deployed at the organizational level, to the departments and with external partners Education/Experience: Bachelor’s degree in Economics, Finance, Statistics, Mathematics, Actuarial Sciences, or other quantitative discipline; Master’s degree preferred Minimum of 5 years’ experience related to reporting and analysis of health care data ideally in the areas of managed care, health care delivery, code sets, and/or reimbursement Experience in developing cost-benefit and ROI analyses In compliance with MPHC’s Department of Defense government contract, any/all persons hired for this position will need to verify their US citizenship and complete the required employment eligibility verification upon hire. We are an equal opportunity/affirmative action employer. Do you have a question about careers at Martin’s Point Health Care? Contact us at: jobinquiries@martinspoint.org Martin’s Point Health Care is a progressive, not-for-profit organization providing care and coverage to the people of Maine and beyond. The organization operates six primary care health care centers in Maine and New Hampshire, accepting most major insurance plans. Martin’s Point also administers two health plans: Generations Advantage (Medicare Advantage plans available throughout Maine and New Hampshire), and the US Family Health Plan (TRICARE Prime® plan for active-duty and retired military families in northern New England, upstate New York, and western Pennsylvania). For more information, visit https://careers.martinspoint.org.
  • 25 Days Ago

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Facilities Analyst
  • Northern Light Health
  • Bangor, ME FULL_TIME
  • Northern Light Eastern Maine Medical Center Department: Facilities Management Position is located: Northern Light Eastern Maine Medical Center Work Type: Full Time Hours Per Week: 40.00 Work Schedule:...
  • 19 Days Ago

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Operations Analyst
  • Onpoint Health Data
  • Portland, ME FULL_TIME
  • JOIN OUR TEAM Onpoint Health Data is a dynamic, fast growing nonprofit company located in Portland, Maine committed to delivering independent, reliable, and insightful data solutions to clients nation...
  • 22 Days Ago

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Program Analyst
  • Veterans Health Administration
  • Togus, ME FULL_TIME
  • Summary This Program Analyst position is in the Surgical Department at the VA Maine Healthcare System located at the Togus, ME campus location. This position is full-time at 40 hours per week. Qualifi...
  • 1 Month Ago

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Value Stream Scheduler
  • Schneider Electric
  • Scarborough, ME FULL_TIME
  • Great people make Schneider Electric a great company!At Schneider, we believe access to energy and digital is a basic human right. We empower all to make the most of their energy and resources, ensuri...
  • 8 Days Ago

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Data Analyst - Health Insurance Marketplace
  • Staffing Solutions Organization LLC (SSO)
  • Augusta, ME FULL_TIME
  • Data Analyst - Health Insurance Marketplace Are you someone who loves analyzing data to guide program operations and policies? Looking to use those skills to make a difference in the world by helping ...
  • 23 Days Ago

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Public Health Analyst III
  • State of Vermont
  • Waterbury, VT
  • Overview The Vermont Department of Health (VDH) is excited to hire a Public Health Analyst III (PHA III) in the Research...
  • 4/25/2024 12:00:00 AM

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Community Behavioral Health Analyst
  • Center for Health Care Services
  • San Antonio, TX
  • GENERAL SUMMARY The Community Behavioral Health Analyst identifies and monitors strategic drivers with internal and exte...
  • 4/24/2024 12:00:00 AM

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Health Analyst/Doula Hub Coordinator (MCAH) (AAIMM)
  • Public Health Foundation Enterprises In
  • Los Angeles, CA
  • Medi-Cal, Californias Medicaid program, implemented the coverage of doula services as a benefit on January 1, 2023. Thro...
  • 4/23/2024 12:00:00 AM

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Sr Population Health Analyst
  • Dignity Health
  • Bakersfield, CA
  • Overview*** This position is remote.The purpose of Dignity Health Management Services Organization (Dignity Health MSO) ...
  • 4/22/2024 12:00:00 AM

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Senior Population Health Analyst
  • MVP Health Care
  • Schenectady, NY
  • Senior Population Health Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States of America ...
  • 4/20/2024 12:00:00 AM

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Senior Population Health Analyst
  • MVP Health Care
  • Rochester, NY
  • Senior Population Health Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States of America ...
  • 4/20/2024 12:00:00 AM

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Occupational Safety Health Analyst
  • Leidos
  • Fremont, CA
  • Description Looking for an opportunity to make an impact? At Leidos, we deliver innovative solutions through the efforts...
  • 3/11/2024 12:00:00 AM

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Occupational Safety Health Analyst
  • Leidos
  • Auburn, WA
  • Description Leidos is a Fortune 500™ company aimed at embracing and solving some of the world’s most pressing challenges...
  • 2/1/2024 12:00:00 AM

To the south and east is the Atlantic Ocean and to the north and northeast is New Brunswick, a province of Canada. The Canadian province of Quebec is to the northwest. Maine is both the northernmost state in New England and the largest, accounting for almost half of the region's entire land area. Maine is the only state in the continental US to border only one other American state (New Hampshire to the South and West). Maine is the easternmost state in the United States in both its extreme points and its geographic center. The town of Lubec is the easternmost organized settlement in the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Value Analyst jobs
$61,742 to $108,148

Health Value Analyst in Santa Fe, NM
The role involves contributing to delivering health economics, value insight and communication solutions to our international clients by investigation, evaluation and problem solving.
December 17, 2019
Health Value Analyst in Pittsburgh, PA
The role of Health Economist Value Analyst involves understanding and communicating the science of healthcare value through economic modelling.
January 12, 2020
Health Value Analyst in Cincinnati, OH
You must hold a health economics postgraduate qualification.
January 11, 2020