- iCare Health Solutions Enterprise (Miami, FL)
- Job Type Full-time Description Manages the life cycle of payer agreements across commercial and government programs. Responsible for the accurate configuration and ... to support revenue integrity. Essential Functions Load, maintain, and update complex payer contracts in the NextGen Contract Utility, including support for multiple… more
- Pennsylvania Health Care Cost Containment Council (PHC4) (Harrisburg, PA)
- …data, is seeking to fill two positions in its Harrisburg office: a statistical analyst and a business analyst . Both positions require considerable experience ... analysis, significance tests, and analysis of variance. Knowledge of SQL, health care, payer claims data, and experience with technical reporting is a plus. A… more
- Innova solutions (Red Bank, NJ)
- …HIPAA compliance Candidate must have skills: 5+ years of experience as a Business Analyst or Product Owner in healthcare claims, payer operations, or revenue ... Innova Solutions is immediately hiring a Lead Business Analyst Position type: Permanent Duration: Fulltime Location: New...Fulltime Location: New Jersey, US As a Lead Business Analyst , you will: Analyze and document the various Hold/Pend… more
- ClinDCast (New York, NY)
- Job Title: PACS Analyst Professional Summary: Experienced and knowledgeable PACS Analyst with a strong background in Radiology Information Systems (RIS), Picture ... and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer -to- payer data exchange, and application programming interface (API)… more
- Intellect Resources (Washington, DC)
- Intellect Resources is looking for a Financial Planning Analyst who supports the mission of the Federally Qualified Health Center (FQHC) by providing comprehensive ... adherence and support data-driven decision-making. Analyze cost trends, patient revenue, payer mix, and operational KPIs specific to FQHC environments (eg, UDS… more
- Waystar (Louisville, KY)
- …support analysis and decision making. WHAT YOU'LL DO What You'll Do Review Payer and Trading Partner invoicing reports for financial impact *Prepare, analyze, and ... information as requested leadership *Prepare and analyze the rolling financial payer & trading partner forecast *Prepare presentation materials for leadership *Work… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Reporting to the Director of Payer Finance and Strategy, the Senior Analyst , Payer Finance will provide analytic support to the Payer Contracting and ... Health teams to support the execution of a cohesive payer strategy. The Senior Analyst will support Institute-wide profitability analysis and special projects in… more
- CommonSpirit Health (Englewood, CO)
- …requests on the more technical side of our contract modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial ... enjoy special projects on the more technical side of payer analytics and managed care? The person in this...reimbursement and market share. Provides mentorship and guidance of Analyst contract modeling. Provides analysis findings and education to… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary / Purpose** The Payer Analytics Strategic Initiatives Analyst plays a critical role in advancing CommonSpirit Health's managed ... care strategy through a blend of financial analysis, payer contract modeling, and strategic insights. Payer ...Medicare, Medicaid, Health Insurance Exchange plans, and more. The Analyst leverages analytical tools such as PIC and EPIC,… more
- Cognizant (St. Louis, MO)
- **QA Analyst Healthcare Domain - Payer & Claims Testing** This is a remote position open to any qualified applicant in the United States. We are seeking a highly ... skilled and motivated **QA Analyst Healthcare Domain - Payer & Claims Testing** to join our dynamic team. This role is ideal for someone passionate about quality… more
- The Cigna Group (Chattanooga, TN)
- The Evernorth Payer Solutions Implementation team is seeking an Account Installation Lead Analyst . Incumbent will provide leadership and support on complex ... to Client Service departments for post-implementation management. Supports the Payer Solutions Implementation process and Account Installation Advisors. Key… more
- Walmart (Bentonville, AR)
- **Position Summary ** We're looking for a strategic, detail-oriented Senior Analyst to join our high-performing team supporting Health & Wellness initiatives. This ... and Revenue Cycle Management, and Enrollment Services teams within Health & Wellness Payer Relations. What You'll Bring: + Ability to manage projects and influence… more
- Seattle Children's (WA)
- …key financial indicators, and ensure compliance with federal, state, and payer -specific regulations. The analyst identifies revenue opportunities, drives ... The Pharmacy Financial Analyst leads critical financial and operational initiatives to optimize the performance of the organization's pharmacy services, with a focus… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and facility billing and revenue capture while adhering to CMS and third-party payer regulations. The Revenue Integrity Analyst is responsible for assisting in ... taking a job, you're making a difference in people's lives.** A Revenue Integrity Analyst serves as a primary point of contact for Service Line Directors, Managers,… more
- Community Health Systems (Franklin, TN)
- …with financial and clinical teams to improve revenue cycle processes and optimize payer relationships. As a Payment Compliance Analyst at Community Health ... **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role We are seeking a passionate, results-oriented Business Analyst in the healthcare payer domain with Multi-employer Trust or Health Plan ... or product. The ideal candidate will have worked in-depth in healthcare payer domain in Multi-employer Trust (Hours & Eligibility management), Health Plan… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role We are seeking a passionate, results-oriented Business Analyst in the healthcare payer domain with Health Plan administration experience of ... client or product. The ideal candidate will have worked in-depth in healthcare payer domain within Group, member, Benefits & Claims Administration, Claims Payment &… more
- Arkansas Children's (Little Rock, AR)
- …Administration **Summary:** Monday - Friday, 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer contracts to ensure ... and maintenance of fee schedules, monitoring and adherence to payer policies, and resolution of reimbursement issues to optimize...institution that cares for children." Linda - Information Systems Analyst "We are an organization of care, love, and… more
- NTT DATA North America (Plano, TX)
- …+ Manages Payer , Provider, and Life Sciences -specific partner and analyst relationships + Manages Payer , Provider, and Life Sciences -specific product ... an Industry Solutions Executive for strategic accounts, with a focus on Healthcare Payer , Provider, and Life Sciences. Core to this role is the understanding,… more
- WMCHealth (Poughkeepsie, NY)
- …both third party regulations and MidHudson Valley Staffco Policy. The Patient Accounting Analyst provides a summary analysis on payer trending and reports ... Patient Account Analyst Company: MidHudson Regional Hospital City/State: Poughkeepsie, NY...on going concerns with accounts. RESPONSIBILITIES + Contacts appropriate payer to resolve unpaid/ unresolved claims. All needed requests… more
