Search Jobs | Dice.com

Senior Medical Director Health Plan Analytics & Policy Strategy

Remote

•

Today

Job title: Senior Medical Director Health Plan Analytics & Policy Strategy role Location: Remote Department: Medical Management / Payment Integrity Reports to: Chief Clinical Officer or SVP of Medical Affairs Experience Level: 10+ years in a senior leadership role within health plan or payer environments Position Overview: We are seeking a strategic, data-driven Senior Medical Director with deep expertise in health plan operations, medical policy development, and cost management analytics. This

Easy Apply

Part-time

Depends on Experience

Lead Analyst QNXT

Remote

•

Today

Job Title: Lead Analyst Configuration OversightLocation: Remote | Domain: Healthcare No 3rd aprty or bench sales . Job Summary:One of our Healthcare Parner is seeking a Lead Analyst Configuration Oversight to ensure accuracy and compliance in Medicaid Coordination of Benefits (COB) claim pricing and processing. This role supports Payment Integrity and Claims Operations, with a strong focus on identifying over/underpayments, validating configuration rules, and ensuring regulatory alignment. Ke

Easy Apply

Full-time

$80,000+

Sr Data Scientist - Generative AI/ML/Databricks - Remote

Remote or Long Beach, California

•

Today

Job Description Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their expertise in data science, machine learning, and AI t

Full-time

Application Development Advisors- Hybrid

Remote or St. Louis, Missouri

•

Today

The job profile for this position is Application Development Advisor, which is a Band 4 Contributor Career Track Role with Cigna-Evernorth Services Inc. Responsibilities- Develop software applications within AAPS (Affordability & Accuracy Pre/Post Pay Solutions) to support payment integrity programs, produce accurate claim payments, and reduce medical cost expenditures.Contribute to software development, strategy, and product roadmap.Use system development life cycle methodologies, including Sc

Full-time

Sr Data Scientist - ML/AI/Databricks - Remote

Remote or Caldwell, Idaho

•

Today

Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their expertise in data science, machine learning, and AI technologies to der

Full-time

USD 107,028.00 - 250,446.00 per year

Sr Data Scientist - ML/AI/Databricks - Remote

Remote or Ann Arbor, Michigan

•

Today

Full-time

USD 107,028.00 - 250,446.00 per year

Sr Data Scientist - ML/AI/Databricks - Remote

Remote or Lawrenceville, Georgia

•

Today