- Omaha Children's Hospital (Omaha, NE)
- …including veterans and people with disabilities. **A Brief Overview** The Sr. Managed Care Contract and Revenue Analyst will conduct complex and detailed ... + Minimum 2 years' experience in analysis of financial, reimbursement, or managed care contract modeling. Required **Skills and Abilities** + Knowledge of… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... - 5:00pm Job Summary: Responsible for analysis of contracts and performing contract negotiations to include monitoring and reviewing existing contracts to ensure… more
- Hartford HealthCare (Hartford, CT)
- …moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** ... *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is...Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- Elevance Health (Durham, NC)
- **Provider Contract Cost of Care Analyst...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as ... unless an accommodation is granted as required by law. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of… more
- J&J Family of Companies (Raritan, NJ)
- …a member of Johnson & Johnson's Family of Companies, is recruiting for an ** Analyst , Contract Validation & Analytics (CVA)** to support our Enterprise ... Solutions in Raritan, NJ! Johnson & Johnson Health Care Systems Inc. (JJHCS) provides contracting, supply chain, business...helping improve related processes? Apply today! As a CVA Analyst , within the Enterprise Contract Management (ECM)… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical… more
- US Physical Therapy (Houston, TX)
- …** Contract Manager/ Analyst .** This is a dual role that will support the ** Managed Care Operations Team** . The person in this role should have experience ... in Managed Care , WC, Replacements & Auto lines...care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation analysis to support… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance to ensure… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance to ensure… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance to ensure… more
- AdventHealth (Maitland, FL)
- …partners, vendors and leadership after identifying and quantifying the issue. Supports the Managed Care Contract Administration, AH Central Denials team, and ... non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical...issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst . Contributes to the… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …* Minimum of 3 years Pharmaceutical experience; Experience with Managed Care Rebate Processing, Rebates Disputes, Contract Terms * Strong analytical and ... Sr Mgr, Managed Care Rebates Date: Nov 19,...and Generic Rebates. **Essential Functions** * Assists staff with contract interpretation, entering contract terms (products, plans,… more
- CommonSpirit Health (Englewood, CO)
- … modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and… 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 ... financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst … more
- MyFlorida (Tallahassee, FL)
- …the Bureau's responsibility: Operations, Data Detection, Investigations, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic and ... 68039493 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Dec 4,...and federal law, as well as the provisions of contract and Medicaid policy. This selected candidate will be… more
- Elevance Health (Lake Mary, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst ** **Location** :...develop contracting strategy and supports all aspects of the contract negotiation process. + Can work with multiple provider… more
- CommonSpirit Health (Rancho Cordova, CA)
- …a remote position. The Senior Analyst , Payer Analytics & Economics performs managed care financial analysis, strategic pricing and payer contract ... + Assure satisfactory contract financial performance. Analyze and publish managed care performance statements and determine profitability. Drive strategies… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial,… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is...the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will… more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** - Candidate must reside in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... - National Committee for Quality Assurance (NCQA) accreditation experience - Medicaid managed care experience - Master's Degree **Education** Bachelor's Degree… more