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Director Health Economic Modelling Jobs in Ohio (NOW HIRING)

Jobtailor

$120 - $160/hr

Requires a BA/BS degree in Business, Finance, Economics, or Healthcare Administration * a minimum of 10 years of related experience in broad-based, analytically oriented, managed care payor or ...

New

Vertiv Co

Director, Demand Planning

Westerville, OH · On-site

Incorporate sales forecast assumptions to drive project and flow modelling into demand plan * Build ... health, without discrimination as to age, race, color, religion, creed, sex, pregnancy status ...

City of Akron, OH

Deputy Director of Law

Akron, OH · On-site

Economic development projects, development agreements, and public-private partnerships * Active ... health plan including emergency accident care, inpatient hospitalization, surgical, diagnostic ...

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Director Health Economic Modelling information

What is the difference between Director Health Economic Modelling vs Health Economic Modelling Manager?

AspectDirector Health Economic ModellingHealth Economic Modelling Manager
ResponsibilitiesStrategic leadership, overseeing multiple projects, setting overall modeling directionManaging specific modeling projects, team supervision, ensuring project delivery
Required CredentialsAdvanced degrees (PhD, MSc), extensive experience in health economics, leadership skillsDegree in health economics or related field, several years of modeling experience
Work EnvironmentSenior leadership in pharmaceutical or healthcare companies, consulting firmsProject teams within similar organizations, collaborating with cross-functional teams

The main difference is that the Director Health Economic Modelling holds a strategic, leadership role overseeing multiple projects and setting direction, while the Health Economic Modelling Manager focuses on managing individual projects and team execution. Both roles require strong health economics expertise, but the director position involves higher-level decision-making and broader responsibilities.

Director Health Economic Modelling jobs near you

Director, Enterprise Reimbursement Strategy

Jobtailor

On-site

$120 - $160/hr

Other

Posted yesterday

New

Job description

  • Development and implementation of strategic initiatives to control unit medical costs.
  • Evaluation of annual CMS reimbursement guidelines and recommendations as they relate to control over medical claims cost.
  • Research and develop new contracting and reimbursement methodologies.
  • Facilitates the communication of activities, emerging trends, and best practices with provider solution leadership across all lines of business.
  • Directs the daily interaction with and requests for reimbursement subject matter expertise and support.
  • Oversee and prioritize workflow.
  • Coordinates with Reimbursement Policy/Edit team as necessary to achieve strategic reimbursement related goals.
  • Works closely with CoC team on PADU (Preferred/Acceptable/Discouraged/Unacceptable).
  • Hires, trains, coaches, counsels, and evaluates the performance of direct reports.
Requirements
  • Requires a BA/BS degree in Business, Finance, Economics, or Healthcare Administration
  • a minimum of 10 years of related experience in broad-based, analytically oriented, managed care payor or provider environment required
  • Experience must include project management, CMS payment methodology application, and financial/economic business modeling
  • Advanced knowledge of managed care provider and claims payment systems and process is essential and strongly preferred
  • CPA, MBA or other equivalent advanced degree is preferred
Core Competencies

Demonstrates expertise in strategic initiatives for controlling medical costs, with a strong focus on CMS reimbursement guidelines and managed care payment systems. Proven ability to lead teams, manage projects, and develop innovative reimbursement methodologies.

Highest-signal resume keywords
  • Strategic Initiative Development
  • CMS Payment Methodology Application
  • Project Management
  • Managed Care Provider Knowledge
  • Financial/Economic Business Modeling
ATS Optimization Keywords Hard Skills
  • Financial Modeling
  • Reimbursement Methodologies
  • Claims Payment Systems
  • Cost Control Strategies
  • Data Analysis
Soft Skills
  • Team Leadership
  • Communication
  • Coaching
  • Performance Evaluation
  • Collaboration
Certifications & Qualifications
  • CPA
  • MBA
Industry Keywords
  • Managed Care
  • Healthcare Administration
  • Provider Solutions
  • CMS Reimbursement Guidelines
  • Workflow Coordination
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