Health Value Analyst jobs in Portland, ME

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.
  • 2 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...
  • 27 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...
  • 2 Months 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...
  • 13 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 ...
  • 28 Days Ago

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SR. LTD Claims Analyst
  • Health Care Service Corporation
  • Portland, ME FULL_TIME
  • At Dearborn Group, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their ...
  • 2 Days Ago

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0 Health Value Analyst jobs found in Portland, ME area

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Senior Vice President - Senior Broker
  • Gallagher
  • Portland, ME
  • About Us: Join us at Gallagher Re, the trailblazers of the reinsurance world, where every day brings new opportunities t...
  • 5/1/2024 12:00:00 AM

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Travel Nurse Practitioner - Family Practice - $3,599 per week
  • Hiring Now!
  • South Portland, ME
  • Supplemental Health Care is seeking a Nurse Practitioner Family Practice for a travel job in South Portland, Maine. Job ...
  • 5/1/2024 12:00:00 AM

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Travel Nurse Practitioner - Family Practice - $2,359 per week
  • Hiring Now!
  • South Portland, ME
  • Supplemental Health Care is seeking a Nurse Practitioner Family Practice for a travel job in South Portland, Maine. Job ...
  • 5/1/2024 12:00:00 AM

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Revenue Integrity Analyst II- Physician Billing
  • Maine Health
  • Scarborough, ME
  • Full Time 301B Route 1 Professional - Nonclinical Day Shift * Position Summary * Fully remote position This position con...
  • 5/1/2024 12:00:00 AM

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Tech - Sterile Processing
  • All Medical Personnel
  • Portland, ME
  • Specialty: Sterile Processing Technician Job Description: Performs and participates in decontamination, cleaning, assemb...
  • 4/29/2024 12:00:00 AM

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Travel Histology Technician - $2,504 per week
  • Hiring Now!
  • Scarborough, ME
  • Ardor Health Solutions is seeking a travel Histology Technician for a travel job in Scarborough, Maine. Job Description ...
  • 4/29/2024 12:00:00 AM

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Chief Application Architect
  • L.L.Bean
  • Yarmouth, ME
  • We invite you to be part of our team of trailblazers dedicated to helping people discover and enjoy the outside. Come jo...
  • 4/28/2024 12:00:00 AM

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Financial Analyst - EERP & Civic
  • Tyler Technologies
  • Yarmouth, ME
  • Tyler Technologies is looking for a Financial Analyst to join our EERP & Civic Finance team in the Yarmouth, ME office! ...
  • 4/27/2024 12:00:00 AM

Portland is a city in the U.S. state of Maine, with a population of 67,067 as of 2017. The Greater Portland metropolitan area is home to over half a million people, more than one-third of Maine's total population, making it the most populous metro in northern New England (an area comprising the states of Maine, New Hampshire, and Vermont). Portland is Maine's economic center, with an economy that relies on the service sector and tourism. The Old Port district is known for its 19th-century architecture and nightlife. Marine industry still plays an important role in the city's economy, with an a...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Value Analyst jobs
$62,888 to $110,158
Portland, Maine area prices
were up 1.6% from a year ago

Health Value Analyst in Gastonia, NC
We partner with our clients in defining, investigating and demonstrating healthcare value from every perspective throughout product development and commercialisation.
February 04, 2020
Health Value Analyst in Cincinnati, OH
You must hold a health economics postgraduate qualification.
January 11, 2020
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