- iCare Health Solutions Enterprise (Miami, FL)
- …accurately to support revenue integrity. Essential Functions Load, maintain, and update complex payer contracts in the NextGen Contract Utility, including ... and side-by-side contract comparisons for both new contracts and renewals Participate in payer meetings...field, or equivalent experience 4+ years of experience in healthcare contracting, provider reimbursement, revenue cycle, or payer… 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 ... decision-making and ensure financial sustainability. This is a long term contract opportunity. This role collaborates with clinical, operational, and executive teams… 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
- CommonSpirit Health (Englewood, CO)
- …on the more technical side of our contract modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, ... strategic pricing and payer contract modeling activities for a defined payer ...reimbursement and market share. Provides mentorship and guidance of Analyst contract modeling. Provides analysis findings and… more
- CommonSpirit Health (Phoenix, AZ)
- …advancing CommonSpirit Health's managed care strategy through a blend of financial analysis, payer contract modeling, and strategic insights. Payer Analytics ... **Responsibilities** **Job Summary / Purpose** The Payer Analytics Strategic Initiatives Analyst plays...Payer Strategy Projects: Contribute to initiatives that span Payer Strategy & Analytics, reimbursement modeling, and contract… 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 ... The Senior Analyst will produce financial modeling in support of contract negotiations, ongoing contract management, and strategic initiatives to optimize… more
- Arkansas Children's (Little Rock, AR)
- …Hybrid The Payer Contract Specialist is responsible for managing payer contracts to ensure alignment with the organization's strategic financial and ... have three (3) years of the following experience:** ** Payer Contract Experience** **Familiarity with insurance contracts , reimbursement terms, and managed… more
- Option Care Health (Chicago, IL)
- …and any other departments that are involved with or impacted by third-party payer contracts . + Attends client meetings where appropriate and in collaboration ... in healthcare . **Job Description Summary:** Manage implementation of assigned payer agreements for managed care, pharmacy benefit administrators, IPA, and other… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted ... contracts , and other payers. This role includes analyzing contract compliance, identifying revenue opportunities, and communicating discrepancies to relevant… more
- Mount Sinai Health System (New York, NY)
- …Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including institutional, as well as ... hospital/ healthcare environment is required. Advanced knowledge of Epic, Contract Manager, and Microsoft Excel Working knowledge of other Microsoft applications… more
- WMCHealth (Poughkeepsie, NY)
- …Staffco Policy. The Patient Accounting Analyst provides a summary analysis on payer trending and reports findings to the Contract Manager and Director of ... Patient Account Analyst Company: MidHudson Regional Hospital City/State: Poughkeepsie, NY...meetings with Manager of Contracts to report payer trending analysis. Incorporates Contract Management and… more
- State of Minnesota (Vadnais Heights, MN)
- …management, billing and/or coding, which demonstrates the following: + Experience in healthcare regulations, payer contracts , and compliance standards ... **Working Title: DCT Revenue Cycle Quality Assurance Analyst ** **Job Class: Management Analyst 4**...processes. + Familiarity with MN-ITS, Avatar, Dentrix and other healthcare payer systems. + Experience developing and… more
- Bozeman Health (Bozeman, MT)
- …+ Apply contractual adjustments, write-offs, and denials as needed in compliance with payer contracts and organizational policies. + Reconcile NSF checks and ... Analyst plays a critical role in the healthcare revenue cycle by ensuring all payment activities are...of day. + Ensure compliance with federal, state, and payer regulations, including HIPAA and other healthcare … more
- RWJBarnabas Health (Oceanport, NJ)
- …Analyst assists with aspects of the fee-for-service environment related to contract negotiations, rate modeling, payer relationship management and contract ... Senior Managed Care Analyst (Hybrid/Remote) - Oceanport, NJReq #:0000205920 Category:Professional /...cost-based audit reviews, + Supports the loading of payor contracts into the contract management system and… more
- Atrius Health (Newton, MA)
- …current and evolving provider payment methodologies . Reviews and monitors contract / payer performance . Compares expected reimbursement data to negotiated ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care...rates from contract . Develop analysis in support of payer… more
- TEKsystems (Avon, CT)
- Description One of our healthcare clients is seeking a Revenue Cycle Analyst . HYBRID once fully trained. Shift: 40 hours per week between core business hours 7am ... Analyst Duties/Responsibilities: Day-to-day practice management system maintenance (eg procedure/insurance/ contract updates) Preparing and compiling bi-annual regulatory reports incl.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… 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 ... making a difference in people's lives.** A Revenue Integrity Analyst serves as a primary point of contact for...to comply with complex changes to government and third-party payer policies, regulations, and contract changes.** **Responsible… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior (Sr.) Financial Analyst position is responsible for maintaining and performing complex data analysis related to the clinical or ... assigned entity or hospital and/or contractual relationship. The Sr. Financial Analyst is also responsible for independently compiling and reporting information as… more
- J&J Family of Companies (Raynham, MA)
- …hospital systems, health plans, distributors, wholesalers, purchasing organizations, government payer programs, and government healthcare institutions in the ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented,… more
