- AmeriHealth Caritas Health Plan (Detroit, MI)
- … managed health care requirements 3 to 5 years in a managed care -related or healthcare industry Proven experience with contract management tools (ie, we ... use Contract Manager, Emptpros) Proficiency in researching regulatory requirements and managed care industry best practices Skills & Abilities Database… more
- Moneta (St. Louis, MO)
- …those we serve. Job Description Job Summary The Senior Investment Research Analyst leads public markets manager research, overseeing over 100 investment options ... to ensure top-tier strategies are selected for Moneta's Recommended List. The analyst guides and collaborates with research team members to align fund… more
- AmeriHealth Caritas Health Plan (Newtown Square, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... Plan, (3) Market Insights, and (4) Board Reporting. The Senior Strategy & Planning Analyst reports to a Director Strategy & Planning. A strong candidate has work… more
- McKesson Corporation (Irving, TX)
- …We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and ... well-being of you and those we serve - we care . What you do at McKesson matters. We foster...want to hear from you. Position Title: Lead Portfolio Analyst - Data Analytics Technology Current Need: McKesson Technology… more
- StateJobsNY (Albany, NY)
- …well as quality assurance issues; *Case management, MDS 3.0 Resident Assessment, and/or managed care ; *Prior experience as a legal nurse consultant; and ... Justice Division Medicaid Fraud Control Unit - Albany Medical Analyst Reference No. MFCU_ALB_ MA_6393 Salary is $82,953 To...and neglect in nursing homes and other residential health care facilities in the state. Possessing both civil and… more
- Axogen (Vandalia, OH)
- …business development, and clinical research activities, objectively target advancements in standards of care . Job Summary of the Quality Analyst The Quality ... restoration of peripheral nerve function an expected standard of care . We aim to lead the markets we serve...managed according to Axogen's Quality System. The Quality Analyst is responsible for following all Axogen policies and… more
- The University of Chicago Medicine (Chicago, IL)
- …the Senior Analyst will work with Operations, Strategic Planning, Managed Care , Clinical Departments, Information Technology, Service Line leaders and ... academic healthcare system at UChicago Medicine as a Sr. Business Operations Analyst for the Financial Planning department at our Hyde Park location. This… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …reporting accuracy and compliance with requirements including HRSA, HEDIS, Medi-Cal/Medicare managed care , and UDS. Uphold HIPAA standards and organizational ... The Healthcare Quality Analyst - Population Health plays a key role...actionable insights, and supports compliance with regulatory and value-based care programs. Compensation : $32.46 - $38.24 per hour,… more
- Spherion (Madison, WI)
- …and stakeholders Draft correspondence on behalf of senior leadership Collaborate with managed care , waiver, and county programs Stakeholder Engagement Represent ... stakeholders- Draft correspondence on behalf of senior leadership- Collaborate with managed care , waiver, and county programsStakeholder Engagement- Represent… more
- Morgan Stanley (Chicago, IL)
- Morgan Stanley Financial Planning Analyst Job Description POSITION SUMMARY Financial Planning Analysts provide exceptional service to our clients and support ... a daily basis. As key members of the service team, the Financial Planning Analyst position offers a unique opportunity to assist Financial Advisors (FA) / Private… more
- Management Applications, Inc. (Manassas, VA)
- Health Care Program Analyst for Health Clinic Entity in Quantico, VA Management Applications, Inc., a leading provider of Managed IT Services and Staff ... Augmentation is seeking a Health Care Program Analyst for a Health Clinic Entity in Quantico, VA. Please submit a resume and salary requirements to be… more
- Nutrien (Loveland, CO)
- …is the reason we come to work each day. We're guided by our culture of care and our core values: safety, inclusion, integrity, and results. When we say we care ... in response to business demand for change. When necessary, assist managed service team with any escalated incidents and recommend/confirm appropriate actions… more
- Infosys (Jacksonville, FL)
- Job Description Infosys is seeking a Wealth Management Business Analyst . As a consultant, you will be an expert contributing to different phases of the consulting ... Capital Markets / Asset Management / Wealth Management specifically in Separately Managed Account (SMA). Should have experience working on Agile / Scrum, SQL/PLSQL… more
- Magellan Health, Inc. (Albuquerque, NM)
- …claims research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry. Any combination of education ... The Claims Internal Resolution Analyst is responsible for coordinating the resolution of...may be considered. General Job Information Title Claims Resolution Analyst Grade 21 Work Experience - Required Claims Work… more
- Blue Cross and Blue Shield of Minnesota (St. Paul, MN)
- …Certification 5 years of RN or relevant clinical experience. 1+ years of managed care experience (eg case management, utilization management and/or auditing ... in utilization management or a related field. Experience in UM/CM/QA/ Managed Care . Knowledge of state and/or federal regulatory policies and/or provider… more
- County of Los Angeles, CA (Los Angeles, CA)
- …Develops and monitors revenue-generation procedures and objectives for programs managed , including achievement of revenue goals. Develops and implements reporting ... service delivery to ensure that services conform to acceptable standards of care and establishes and modifies program monitoring and review methods as necessary.… more
- Thomas Jefferson University Hospitals, Inc. (Philadelphia, PA)
- … care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage ... Job Details Under the direction of the Vice President, Connected Care Operations, this position will help support various clinical workflow, operational and quality… more
- Navvis (Madison, WI)
- …positive collaborative relationships with assigned client partner finance and managed care /provider contracting teams building referenceable client partner ... as Direct-to-Employer and ASO/self-insured lines of business Understand optimal value-based managed care contracting and economic terms; develop strategic… more
- County of Monterey, CA (Salinas, CA)
- …Compliance Officer and is responsible for ensuring compliance with Federal Health Care program requirements in the areas of regulation, fiscal, operations, and ... and activities. To request reasonable accommodation, contact Jeremy Hathaway, Human Resources Analyst I, at (831) 755 - 4749 or ###@countyofmonterey.gov. 01 Please… more
- Management Applications, Inc. (Evanston, IL)
- …for Cook County Hospital Entity Management Applications, Inc., a leading provider of Managed IT Services is seeking high-level IT professionals to support a contract ... Ensure high availability of information required to provide effective patient care ; Secure immediate access to technical expertise. The Entity supports both… more
