Health Value Analyst jobs in Nevada

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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Medical Director - Value Based Care
  • Renown Health
  • Reno, NV FULL_TIME
  • Position Purpose

    This position is responsible for clinical and medical administrative leadership for Value Based Care initiatives and programs specifically designed for Renown Medical Group and any potential affiliates and partners. In partnership and collaboration with RMG clinical and administrative leadership and other Renown partners, this medical director will provide training, analysis, and program design for programs that include the design and implementation of Risk based strategies including utilization management programs for RMG and care delivery strategies to improve patient outcomes. This position reports to the Renown Medical Group Chief Executive Officer.

     

     

     

    Nature and Scope

    Expectations of this position include the following items:

     

    • Design and build Value based Health Medical Services organization to meet the needs for UM, capitation, risk-based payment. Quality management, and compliance for all Risk based, shared savings, or quality bonus arrangements.

    • Maintain understanding of competitive landscape and serve as internal and occasional external-facing thought leader for value-based care initiatives, opportunities, and collaborations.

    • Provide subject matter expertise, claims processing, utilization management, case management, design and implementation of Value based care initiatives, enhanced processes of care, contracting, and payment integrity.

    • Perform or supervise as needed Utilization Management, Quality Improvement, Care Management, and Risk Adjustment activities related to the patient population served by Renown Medical Group and/or affiliates.

    • Identify and execute administrative expense and medical cost savings opportunities and care optimization.

    • Partner with operational and technology leadership to define and improve upon our role in Utilization Management, case management, and options for best practice care delivery initiatives.

    • Collaborate with other clinical leaders to develop clinical strategies to improve patient outcomes.

    • Inspire others and provide clinical and medical administrative subject matter expertise as needed.

    • Stay abreast of regulatory and accreditation requirements and ensure that these are met.

    • Stay abreast of all payor contract requirements that are value based in nature and assure that the initiatives for these are designed, monitored, and implemented.

    • Work in collaboration with Decision Support and other reporting teams to advise and review designs for medical cost and care management opportunities for individual risk stratification and management as well as population health initiatives.

    • Provide education and training related to these initiatives, managed care policies, processes, and strategies including Medical Director and Section Chief mentoring, Training to UNR residency programs and other academic and non-academic audiences as requested.

     

    This position does not provide patient care.

     

     

    Disclaimer

    The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

     

     

     

    Minimum Qualifications
    Requirements - Required and/or Preferred

    Name

    Description

    Education:

    Must have working-level knowledge of the English language, including reading, writing, and speaking English. Medical Degree from Accredited University

    Experience:

    Minimum of five (5) years post graduate clinical practice experience in direct patient care. Ten or more years of experience in the managed care environment which includes significant involvement with utilization/quality issues, risk adjustment, and pharmacy management issues. Experience in managing risk-based contracts and utilization in an insurance and/or Medical Group environment. At least 5 years of experience in managing Medicare Advantage, ACO, or Medicaid risk arrangements. Demonstrated leadership and administration and medical ability of high caliber. This position should be filled by a recognized industry expert in the areas as noted above.

    License(s):

    Must possess and maintain a current and valid State of Nevada Doctor of Medicine (MD) or Doctor of Osteopathic (DO) medicine license.

     

    Ability to obtain and maintain a valid State of Nevada driver's license and ability to pass Renown Health's Department of Motor Vehicle Report criteria.

    Certification(s):

    Board certified and verified by American Board of Medical Specialties

    Computer / Typing:

    Must be proficient in Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer for online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

     

     

  • 7 Days Ago

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Sr. Director, Value Based Care
  • Universal Health Services, Inc.
  • Reno, NV FULL_TIME
  • Responsibilities Job Summary: The Senior Director, Performance Improvement provides strategic leadership in the planning, development, implementation and execution of all aspects of a robust portfolio...
  • 1 Month Ago

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Health Resource Analyst I / Synar Coordinator
  • RELIABLE HEALTH CARE SERVICES
  • Carson, NV FULL_TIME
  • Reliable Healthcare Services is seeking a Health Resource Analyst I / Synar Coordinator in Carson City, NV. The Synar Coordinator position is in the DPBH Carson City, Nevada office. This coordinator p...
  • 15 Days Ago

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Data Analyst
  • Renown Health
  • Reno, NV FULL_TIME
  • Position Purpose The Data Analyst will join a collaborative, centralized team grounded in improvement science to participate in projects that promote a culture of excellence. The Data Analyst will be ...
  • 19 Days Ago

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Application Analyst
  • Renown Health
  • Reno, NV FULL_TIME
  • Position Purpose This position participates in the analysis, design, testing, and implementation of new and existing application systems used within Renown Health entities. This position partners with...
  • 13 Days Ago

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Analyst, R&D
  • SFI Health
  • Reno, NV FULL_TIME
  • JOB FUNCTIONS Essential job functions: Create, review, and maintain product information database for easy retrieval of product technical information, including rawmaterial qualification, stability an...
  • 1 Month Ago

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Senior Health Care Analyst
  • Emergent Holdings
  • Detroit, MI
  • Job Description SUMMARY Responsible for planning, organizing, directing, implementation, and leading department assignme...
  • 3/28/2024 12:00:00 AM

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Public Health Analyst
  • Substance Abuse and Mental Health Services Administration
  • Rockville, MD
  • Summary This position is located in the Department of Health and Human Services, Substance Abuse and Mental Health Servi...
  • 3/28/2024 12:00:00 AM

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Medical Device Assembler - Day or Swing - Medical/Health - Analysts Menlo Park , California Added - 2 hours ago
  • Analysts International Corp.
  • **Medical Device Assembler - Day or Swing - Medical/Health** Menlo Park, California Contract Added - 2 hours ago **Locat...
  • 3/28/2024 12:00:00 AM

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Health Care Analyst
  • G-TECH
  • Detroit, MI
  • Engagement Description - This role will support member engagement data needs and communication orchestration efforts for...
  • 3/27/2024 12:00:00 AM

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Medical Device Assembler - Day or Swing - Medical/Health - Analysts Menlo Park , California Added - 2 hours ago
  • Comforcehealth
  • **Medical Device Assembler - Day or Swing - Medical/Health** Menlo Park, California Contract Added - 2 hours ago **Locat...
  • 3/27/2024 12:00:00 AM

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Phlebotomist II - Health Care - Analysts
  • ComforceHealth
  • Mission Viejo, CA
  • Job ID: 943316 Mission Viejo , California Job Type: Contract Added - a day ago Job Description Innova Solutions is immed...
  • 3/25/2024 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

Nevada is almost entirely within the Basin and Range Province, and is broken up by many north-south mountain ranges. Most of these ranges have endorheic valleys between them, which belies the image portrayed by the term Great Basin. Much of the northern part of the state is within the Great Basin, a mild desert that experiences hot temperatures in the summer and cold temperatures in the winter. Occasionally, moisture from the Arizona Monsoon will cause summer thunderstorms; Pacific storms may blanket the area with snow. The state's highest recorded temperature was 125 °F (52 °C) in Laughlin (e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Value Analyst jobs
$64,020 to $112,144

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