- University of Miami (Medley, FL)
- …companies to correct errors as necessary. Documents and tracks all revenue cycle payer issues. Leads payer contract loads for underpayment recovery. ... has an exciting opportunity for a Full-Time Revenue Cycle Payer Relations Analyst to work Remote. The...related to the revenue stream. + Analyzes and monitors payer trends, managed care contract compliance, … more
- Surgery Care Affiliates (Chicago, IL)
- …the growing career opportunities for YOU. Responsibilities SCA Health is currently seeking a Payer Analytics Analyst to join the Payer Analytics Team . ... building the Managed Care budget for future years together with Payer Engagement contract negotiators. + Periodically review and provide guidance on facility… more
- AdventHealth (Maitland, FL)
- …contribute:** This position requires the ability to understand and interpret payer contract terms, complex reimbursement schedules, payment policies, patient ... identify and troubleshoot system issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst . * Responsible for ensuring that the … more
- e CancerCare (Nashville, TN)
- Job Purpose: Contract Analyst will be responsible for analytic support related to ION network and providers. Team member will work closely with the Managed Care ... role includes loading and maintaining reimbursement rates in ION contract management system. Additional responsibilities include collaborating with other internal… more
- Sanofi Group (Cambridge, MA)
- **Health Economics and Value Assessment Analyst - VIE Contract ** + _Location: USA, Cambridge_ + _Hiring Manager:_ _Erin COMERFORD_ + _Target start date: ... lives of countless people worldwide. As_ **_Health Economics and Value Assessment Analyst VIE_** _in our Oncology HEVA team in Sanofi's oncology franchise, you'll… more
- Medical Mutual of Ohio (OH)
- …result sets to enable accurate and robust quantitative analyses. . Analyzes payer value-based contract opportunities, including pay for performance, population ... Updates and provides quality assurance of provider rate loading. . Analyzes payer value-based contract opportunities, including pay for performance, population… more
- Nuvance Health (Danbury, CT)
- …but is not limited to, collecting and analyzing claim data in preparation for payer contract negotiations, creating profit and loss analyses for each entity's ... *Description* Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and reimbursement...and analyzes utilization and reimbursement data to aid in contract negotiations for all Nuvance entities. In addition to… more
- Keystone Lab (Asheville, NC)
- …but are not limited to the following: + Have working knowledge of payer determinations, contract fees, covered or non-covered items, diagnosis, modifiers, valid ... and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas in the country,… more
- CVS Health (Woonsocket, RI)
- …convenient and affordable. **Position Summary** As a Healthcare Compliance Senior Analyst , you will ensure contractual and regulatory compliance as it relates ... and resolving potential Third-Party operational issues * Understand the terms of Payer contracts, and NCPDP Standards, to ensure CVS and plan compliance *… more
- University of Michigan (Ann Arbor, MI)
- …perform impact contract analysis, to include price mix variance and payer mix reporting. + Prepare, monitor, and reconcile reimbursement reports. + Proactively ... Reimbursement Analyst Senior Apply Now **How to Apply** A...needed + Assist with financial reporting, including monthly third-party payer accounting for net revenue and estimated settlements +… more
- UCLA Health (Los Angeles, CA)
- Description As a Revenue Integrity Administrative Analyst , you will play a crucial role in managing and auditing claims to ensure accuracy and compliance. Key ... postings, verify contracts, analyze variances, and validate underpayments in accordance with payer policies. + Establish effective contacts with payer offices,… more
- AdventHealth (Maitland, FL)
- …of managed care contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention ... (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
- Randstad US (Grand Rapids, MI)
- …computer and mathematical occupations + reference1064969 job details job summary: 15 month Contract for an EDI Analyst within Facets/OnBase Job Summary: Provides ... edi analyst facets/onbase. + grand rapids , michigan (remote)...for the implementation of electronic data interchange connections between Payer side and external parties. + Support ongoing implementations… more
- The Mount Sinai Health System (New York, NY)
- …Experian Contract Manager Tool to determine financial performance. + Model Payer Proposals in Experian Contract Manager Tool. + Reconcile budgeted revenue ... Team within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage… more
- Houston Methodist (The Woodlands, 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
- General Dynamics Information Technology (Fairfax, VA)
- …Seize your opportunity to make a personal impact as a Healthcare Policy Analyst Advisor supporting the Program Integrity Modeling and Analytic Support Contract ... and models in the CMS Fraud Prevention System (FPS). The Healthcare Policy Analyst Advisor will be responsible for supporting both edit and model initiatives by… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Data Science Analyst I collaborates with stakeholders from across the organization to develop sophisticated analytics to provide information, ... data requests using information technology, enrollment, claims, pharmacy, clinical, contract , medical management, financial, administrative and other corporate data… more
- Hackensack Meridian Health (Hackensack, NJ)
- …performs follow-up procedures on unpaid third party accounts by accessing Payer Portals and calling insurance payers, where applicable. **Responsibilities** A day ... required follow-up procedure. + Researches suspended/pending claims and transfers information to the payer . + Prepares report for payer for large volume of… more
- AdventHealth (Altamonte Springs, FL)
- …**Job Location** : Altamonte Springs; FL **The role you'll contribute:** The Financial Analyst position is part of the Finance team and specifically will support the ... modeling and actuarial functions of the team. The Financial Analyst will assist the financial modeling and actuarial team...will assist in creating dashboards and presentations of the contract performance data. **The value that you bring to… more
- UTMB Health (Galveston, TX)
- Revenue Integrity Analyst - RCO, UTRGV **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # 2403725 **Minimum ... resolve technical issues related to denial management. **(Payment Validation)** + Maintain contract management system to ensure accurate and current contract … more