- e CancerCare (Nashville, TN)
- …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... Job Purpose: Contract Analyst will be responsible for...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
- Northern Light Health (Brewer, ME)
- …member organizations. Reporting to the Manager of Payer Strategy & Managed Care Operations (PSMCO), the Contract Analyst will collaborate with PSMCO ... recommend solutions that are both practical and innovative. The Contract Analyst , with support from the Manager,...Monitors contract performance and payer compliance with Managed Care contracts. * Assists in providing… more
- Hartford HealthCare (Wethersfield, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** ... *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- Queen's Health System (Honolulu, HI)
- …team to negotiate optimal contractual agreements. * Responsible for maintenance of contract modules. * Serves as a liaison with selected payers to promote ... A. EDUCATION/CERTIFICATION AND LICENSURE: * Bachelor's degree in Business, Finance or Health Care Administration or four (4) years with health care provider or… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr. Contract Compliance Analyst III Date: May...placement complies with all terms and conditions of the managed care contract . Using critical ... the position is to identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with the Teva Market Access… more
- CommonSpirit Health (Englewood, CO)
- …terms in collaboration with revenue cycle partners. + Ability to identify and rectify contract compliance issues with managed care payers by leveraging ... effectively communicate issues to internal department leads, revenue cycle vendors, and managed care payers for meaningful resolution and revenue realization.… more
- Geisinger (Danville, PA)
- …and payment analysis. This role will provide ongoing support and maintenance of commercial and managed care contract terms within Epic. Job Duties + Design, ... Job Summary The Epic Payor Contract Analyst is responsible for building...of key update dates for fee schedules for the Managed Care contracts. + Communicate with payers… more
- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed, ... Query Language (MSSQL) Database skills to lead/execute the development of the complex Managed Care / Payer Analytics platform. The Payer Analytics team is… more
- AdventHealth (Maitland, FL)
- …ethic, trainability, communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both ... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst ...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract … more
- Medical Mutual of Ohio (Brooklyn, OH)
- …of insurance concepts, plan administration, planning, principles, and managed care delivery systems. **Provider Network Performance Analyst III** **Education ... + Strong knowledge of insurance concepts, plan administration, planning, principles, and managed care delivery systems. + Knowledge of common/standard Value… more
- Medical Mutual of Ohio (OH)
- …years of experience as a Provider Reimbursement Analyst or equivalent health care administration experience, preferably in managed care . . Provider ... or related field. . 3-4 years of experience as a Provider Reimbursement Analyst or equivalent progressive health care administration experience with an emphasis… more
- RWJBarnabas Health (Oceanport, NJ)
- …Essential Functions + Analytical lead on modeling contract rates throughout the managed care contract negotiation process. + Assists in varying aspects ... Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department: Managed Care Location: SBC Corporation, Oceanport, Oceanport,… more
- LA Care Health Plan (Los Angeles, CA)
- …experience in contract and/or regulatory and/or accreditation requirements analysis in managed care or other related industry; or, experience in external ... Operational Assurance Business Analyst III Job Category: Administrative, HR, Business Professionals...complex business setting, local, State, or Federal government entity, managed care , or other related industry. Skills… more
- HCA Healthcare (Nashville, TN)
- …the Legal Department to support all phases of the arbitration and/or litigation of managed care disputes. This paralegal position will have responsibility for a ... wide variety of managed care litigation tasks, including: handling service...attorneys currently are supported by one litigation paralegal, one analyst and eight contract attorneys. Litigation paralegals… more
- Beth Israel Lahey Health (Charlestown, MA)
- …but not limited to:** 1) Designs & performs analyses and reporting in support of managed care contract negotiations including but not limited to Hospital ... Finance. This position provides key support and analyses during rate negotiations with Managed Care Plans and performs functions related to other financial… more
- New York State Civil Service (Albany, NY)
- …perform all the basic contracting functions necessary to access Medicare Advantage plans, Medicaid Managed Care plans, commercial managed care plans, and ... will include (but not limited to): * Initiating, negotiating, and maintaining ongoing managed care contracts, and Medicare D pharmacy contracts. Review … more
- University of Miami (Medley, FL)
- …to resolve issues related to the revenue stream. + Analyzes and monitors payer trends, managed care contract compliance, contract and payer yield and ... reimbursement for all payers, and develops recommendations for optimal managed care reimbursement. The Revenue Cycle Payer Relations Analyst will also… more
- LA Care Health Plan (Los Angeles, CA)
- Revenue Financial Analyst III Job Category: Accounting/Finance Department: Medical Payment System & Services Location: Los Angeles, CA, US, 90017 Position Type: Full ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...to achieve that purpose. Job Summary The Revenue Financial Analyst III is responsible for the daily management of… more
- Community Health Network (Indianapolis, IN)
- …provider contracting and contract review. + Maintains current knowledge of the Managed Care environment and payer partners. + Communicates information to the ... Provider Relations Analyst - Community Health Direct Job Ref 2402856...necessary for effective customer partnerships. + Knowledge of contracts, contract negotiations, and general managed care… more
- Federal Reserve System (Richmond, VA)
- …services. Facilitate contract reviews with internal stakeholders. The Senior Contracts Analyst reports to a Senior Manager. **What You Will Do:** + Review and ... includes tuition assistance, generous paid time off, top-notch health care benefits, child and family care leave,...has an immediate opening for an experienced Senior Contracts Analyst . In the role, you will independently draft, edit,… more