- iCare Health Solutions Enterprise (Miami, FL)
- …NextGen Contract Utility, supporting both traditional fee-for-service (FFS) reimbursement and managed care models, including capitated, global payment, and ... ensure seamless implementation of negotiated agreements Act as the liaison between Managed Care , Revenue Cycle, IT, and Clinical Operations for contract-related… more
- The Computer Merchant Ltd (Boston, MA)
- JOB TITLE: Business Analyst JOB LOCATION: Boston, MA WAGE RANGE*: 70 - 75 JOB NUMBER: 218328 REQUIRED EXPERIENCE: Education and Preferred Qualifications Bachelor's ... Domains to join our team as an Implementation Business Analyst . Why is this role important Senior Implementation Business...and drive innovative enhancements that empower our architecture to support new and more robust Front, Middle and Back… more
- Magellan Health, Inc. (Frisco, TX)
- …format to include 837, 999 and 277 files. Professional experience in the managed care , healthcare, Medicaid or other health insurance industries. Experience in ... 5+ years of experience in analysis. Related professional experience in the managed care , healthcare, or insurance industries. Analytical/problem solving skills,… more
- Blue Shield of California (El Dorado Hills, CA)
- Job Description Your Role The Enablement team plays a key support role in ensuring operational areas are always compliant and audit ready. The Business Analyst , ... In this role, you will: Provide highly complex analytical support through the analysis and interpretation of data in...and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit… more
- Tanium (Emeryville, CA)
- …initiatives. In this dynamic, cross-functional role, you will build and support efficient processes to align stakeholders, define deliverables, execute plans, and ... ability and product marketing knowledge to collaborate with Product Management, Marketing, Analyst Relations, Operations, Sales, and Services. We are looking for a… more
- Cetera Financial Group, Inc. (St. Cloud, MN)
- …including: Inclusive health, dental, vision and life insurance plans built to support diverse lifestyles, offer preventative care , and protect against hardship. ... quality and value to our clients. As an experienced analyst , you know how to uncover trends and tell...level agreements and achieve quality metrics *Learn, use, and support various internal and external software and systems *Comply… more
- RWJBarnabas Health (Oceanport, NJ)
- Senior Managed Care Analyst (Hybrid/Remote) - Oceanport, NJReq #:0000205920 Category:Professional / Management Status:Full-Time Shift:Day ... the candidate's educational background, skills and professional experience, Job Overview: The Senior Managed Care Analyst assists with aspects of the… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Managed Care Rebate Analyst ...+ Aids in the delivery of key information in support of rebate forecasting, contract performance assessment, and financial ... people to make a difference with. **The opportunity** The Managed Care Rebate Analyst is...laws. Please advise us of any accommodations needed to support you throughout the recruitment and selection process. All… more
- e CancerCare (Nashville, TN)
- …acting as a liaison to managed care plans. Essential Functions: . Support Managed Care team with matters relating to external providers, plan ... Job Purpose: Contract Analyst will be responsible for analytic support...and providers. Team member will work closely with the Managed Care department team in generating and… more
- Cedars-Sinai (Beverly Hills, CA)
- …decision-makers. + Lead complex or special assignments related to managed care financial analysis. + Provide analytic support across various departments and ... field of study **Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid **Department** : MNS Accounting **Business Entity** :… more
- Aston Carter (Los Angeles, CA)
- …providing strategic insight into key financial metrics and contract performance. You will support cross-functional teams with managed care analytics and ... 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
- Hawaii Pacific Health (Honolulu, HI)
- …abilities, relevant experience and training, as well as internal peer equity. **Position** Analyst - Analytics Managed Care **Location** Hawaii Pacific ... The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage,… 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …Location:** Atlanta, GA **Description** + Emory Healthcare is seeking a Contract Build Analyst to join our Medical Economics team + The Contract Build Analyst ... the contracts for annual and quarterly requirements + The Contract Build Analyst collaborates closely with Finance, Revenue Cycle, and Business Office teams to… more
- State of Michigan (Lansing, MI)
- …The incumbent in this position functions as a Managed Care Oversight Analyst within ... Departmental Analyst 9 to P11 - MCO Oversight ...and accountability. This position assists the manager of the Managed Care Oversight Unit to manage and… more
- MyFlorida (Tallahassee, FL)
- …suspected fraud or other criminal violations for law enforcement investigation. This Medical Health Care Program Analyst position will support the fraud and ... 68064376 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jul 24,...specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in… more
- Charter Care Health Partners (Providence, RI)
- …of the AthenaHEALTH electronic medical record (EMR). + Knowledge of managed care principles and risk contracting. + Provide support to process development ... care with optimized clinical outcomes and satisfaction. The Care Coordination Quality Data Analyst assists the...year of relevant work/intern experience in a medical/physician's offices, managed care , or health system operations. Skills… more
- LA Care Health Plan (Los Angeles, CA)
- …in designing, developing, generating and analyzing ad hoc/production reports in Healthcare/ Managed Care setting. Preferred: Experience as a Clinical Data ... Clinical Data Analyst III (HEDIS, Tableau, SQL) Job Category: Clinical...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …In this role, you will support the oversight and monitoring of Managed Care Organizations (MCOs) to ensure they meet contractual requirements related to ... Member/Provider MCO Analyst Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5023677) Apply Member/Provider MCO ...and Human Services (HHS), Division of Medicaid, Bureau of Managed Care Reporting and Oversight is seeking… more
- Premier Health (Dayton, OH)
- …This position will work-from-home. However, successful candidate must live in Ohio** The Managed Care Contract Analyst is responsible for analyzing financial ... 110 N MAIN STREET DAYTON, OH 45402 DEPT: MANAGED CARE CONTRACTING Full-Time / DAY...analyze problems and make appropriate recommendations and decisions in support of contract negotiations. | Maintain a high degree… more
