- iCare Health Solutions Enterprise (Miami, FL)
- …Contract Utility, supporting both traditional fee-for-service (FFS) reimbursement and managed care models, including capitated, global payment, and ... to ensure seamless implementation of negotiated agreements Act as the liaison between Managed Care , Revenue Cycle, IT, and Clinical Operations for contract… more
- Strategic Staffing Solutions (Detroit, MI)
- …training. Preferred Skills/Experience One (1) year health insurance plan experience or managed care environment preferred. Certification in Case Management may ... Staffing Solutions is currently looking for an RN Review Analyst for a contract opportunity with one...length of stay, intensity of service and level of care , including appeal requests initiated by providers, facilities and… more
- State of Oregon (Portland, OR)
- …team oversees and ensures compliance with federal regulations for Oregon's Medicaid Managed Care program. The team is responsible for quality management ... quality control, assurance, planning, improvement initiatives, and contractual oversight of Managed Care Organizations (MCOs). The unit collaborates with… more
- Indian Creek Foundation (Souderton, PA)
- …regarding initial training for RBT and ABA BHT, including state mandated and managed care requirements. Participate in monthly supervisory meetings with IBHS ABA ... a master's degree and is a Board Certified Behavior Analyst (BCBA) or a Board Certified Assistant Behavior ...nor create a promise of employment, nor an employment contract of any kind, and that my employment is… more
- Management Applications, Inc. (Chicago, 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 serving a Hospital Entity in Cook County, IL....high availability of information required to provide effective patient care ; Secure immediate access to technical expertise. The Entity… more
- 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
- Premier Health (Dayton, OH)
- …**REMOTE: This position will work-from-home. However, successful candidate must live in Ohio** The Managed Care Contract Analyst is responsible for ... Health hospitals and physician organizations. The Liaison interprets and researches managed care contract language and methodologies. The Liaison is… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and initiating payment to customers within contractual guidelines. + The Managed Care Rebate Analyst must interpret contract language and input and ... Managed Care Rebate Analyst ... Managed Care Rebate Analyst - Hybrid Date:...completeness + Analyzes and resolves disputes with accounts involving contract interpretation or processing issues; engages Managed … more
- RWJBarnabas Health (Oceanport, NJ)
- Senior Managed Care Analyst (Hybrid/Remote)...modeling contract rates using EPIC throughout the managed care contract negotiation process, ... the candidate's educational background, skills and professional experience, Job Overview: The Senior Managed Care Analyst assists with aspects of the… more
- Cedars-Sinai (Beverly Hills, CA)
- …or related field of study **Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid **Department** : MNS Accounting **Business ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- Aston Carter (Los Angeles, CA)
- …and contract performance. You will support cross-functional teams with managed care analytics and forecasting, ensuring compliance with federal/state ... Job Title: Financial AnalystJob Description As a Financial Analyst , you will be responsible for performing financial...changes and new reimbursement models. Your role involves analyzing managed care contracts to ensure financial optimization… more
- Atrius Health (Newton, MA)
- …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst * **Location:** *Newton ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… 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
- AmeriHealth Caritas (Detroit, MI)
- … managed health care requirements + 3 to 5 years in a managed care -related or healthcare industry + Proven experience with contract management tools ... Contract Manager, Emptpros) + Proficiency in researching regulatory requirements and managed care industry best practices **Skills & Abilities;** + Database… more
- J&J Family of Companies (Titusville, NJ)
- …a person who can learn quickly. + Experience in public accounting, pharmaceuticals, managed care , or government healthcare programs (Medicaid, 340B, etc.) are ... Johnson & Johnson Innovative Medicine is recruiting for a **Senior Financial Analyst , Government Contract Compliance Finance (GCC)** . This position is… more
- MyFlorida (Tallahassee, FL)
- …does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive ... 68064376 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jul 24,...responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic… 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
- Option Care Health (Chicago, IL)
- …Requirements** + Bachelor's degree and at least 2 years of experience in managed care account management, contract analysis or administration, payer ... + High school diploma/GED and at least 5 years of experience in managed care account management, contract analysis or administration, payer credentialing, or… more
- Baptist Memorial (Memphis, TN)
- …payment term changes that achieve net revenue targets developed by the Regional Managed Care Directors and Contract negotiators. + Ad-hoc reporting, ... Overview Summary The Medical Health Economics Analyst conducts and interprets complex healthcare data analysis,...presenting findings to stakeholders. Responsibilities + Research and analyzes managed care data from the various financial… more
- Community Health Systems (Franklin, TN)
- …maximizing reimbursement by identifying variances between posted and expected revenue for managed care , government contracts, and other payers. This role ... **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible...required **Knowledge, Skills and Abilities** + Strong understanding of managed care , government contracts, and reimbursement processes.… more
