- 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
- The Computer Merchant Ltd (Boston, MA)
- …of Asset Management Data Domains to join our team as an Implementation Business Analyst . Why is this role important Senior Implementation Business Analysts are ... JOB TITLE: Business Analyst JOB LOCATION: Boston, MA WAGE RANGE*: 70...new and more robust Front, Middle and Back Office managed data services - allowing our clients to focus… more
- Blue Shield of California (El Dorado Hills, CA)
- …in ensuring operational areas are always compliant and audit ready. The Business Analyst , Consultant will report to the Director, Enablement. In this role you will ... timely and effectively. Communicate complex concepts and findings clearly to senior leadership and stakeholders. Influence and support the process owners to… 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
- Atrius Health (Newton, MA)
- …health and welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** * Senior Managed Care Analyst * ... 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
- Cedars-Sinai (Beverly Hills, CA)
- …field of study **Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid **Department** : MNS Accounting **Business Entity** ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- Aston Carter (Los Angeles, CA)
- …evaluate contract changes and new reimbursement models. Your role involves analyzing managed care contracts to ensure financial optimization and compliance, ... metrics and contract performance. You will support cross-functional teams with managed care analytics and forecasting, ensuring compliance with federal/state… more
- RWJBarnabas Health (West Orange, NJ)
- …this position include, Service Line performance, Strategic Planning initiatives, Compliance, Managed Care Payor performance, Regulatory reporting, Supply Chain ... year Location: 95 Old Short Hills Road, West Orange, NJ 07052 Job Title: Sr Decision Support Analyst Location: Barnabas Health Corp Department: Financial Data… more
- CVS Health (Woonsocket, RI)
- …transactions, initiatives, and to support our store colleagues. The Retail Adjudication Products Sr Analyst will work cross functionally with both and external ... to ensure proper functionality and de-collisioning when needed. The Sr Anlayst will work cross functionally with both internal...+ 3+ years of analytical experience within pharmacy, healthcare, managed care , or related field + Attention… more
- Elevance Health (Woodbridge, NJ)
- **Clinical Quality Management Analyst Sr . Behavioral Health** **Location:** 111 Wood Ave. S, Iselin, NJ 08830 **Office Requirement:** This role requires ... locations may be considered. The **Behavioral Health Clinical Quality Analyst Sr .** is responsible for developing and...a minimum of 3 years behavioral health clinical and managed care or clinical quality improvement experience;… more
- Walgreens (Deerfield, IL)
- …retail, specialty, immunizations, and clinics. + Utilizes knowledge of healthcare industry, managed care or prescription drug industry to provide reimbursement ... **Job Description:** **Job Summary** The Senior Pricing Analyst will conduct complex...information is available at www.walgreensbootsalliance.com **Job ID:** 1646307BR **Title:** Sr . Analyst Rx Pricing & Underwriting **Company… more
- embecta (Parsippany, NJ)
- …responsibilities across the embecta North America commercial teams, including Strategic Accounts ( Managed Care and Retail), Channel Management, GPO, Long-term ... embecta is a global diabetes care company that is leveraging its 100-year legacy...our diverse and global employees. The Pricing & Contracts Sr . Analyst will support the analytics, operations… more
- American Airlines (Dallas, TX)
- …personal and work life and hop on board! **Why you'll love this job** The Analyst / Sr Analyst , Channel Governance is part of the Global Engagement Division. ... will oversee placement coordination, ensuring that advertising space is managed effectively, commitments to strategic partners are met, and...largest airline in the world running smoothly as we care for people on life's journey? Feel free to… more
- Point32Health (Canton, MA)
- …(https://www.point32health.org/) . **Job Summary** Working under the direction of the Director or Senior Manager, the Senior Analyst will be part of ... well as finding improvements) and ad hoc requests. The Senior Network & Provider Analytics Analyst may...Utilizing in-depth understanding of reimbursement methodologies and trends in managed care finance, lead the development and… more
- Elevance Health (Baton Rouge, LA)
- **JR142090 BH Clinical Quality Audit Analyst Sr ** Responsible for participating in on-site quality external audits such as NCQA, AAHC and EQRO, and prepares ... improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as process improvement; or any combination of… more
- J&J Family of Companies (Raritan, NJ)
- …a member of Johnson & Johnson's Family of Companies, is recruiting for a ** Senior Analyst , Contract Validation & Analytics (CVA)** to support our Enterprise ... for humanity. Learn more at https://www.jnj.com/. As a Validata Analyst , within the US ECM organization, you will support...to ensure the efficient and compliant management of our Managed Markets contracts. This role will serve as a… more
- Parkview Health (Fort Wayne, IN)
- …field. MBA/MHA a plus. Experience: Minimum of five to seven years experience in managed care , plus value-based care or clinical integration arena with ... duties associated with payor contracting analytics. Acts as the senior lead analyst mentoring and guiding junior...constant improvement in knowledge of trends in value based managed care . Demonstrated proficiency with software programs… more
- Evolent (Lansing, MI)
- …analytics or utilization management within a payer, provider, clinical vendor, managed care , or healthcare consulting environment. + Strong understanding ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...mission. Stay for the culture. **What You'll Be Doing:** ** Senior Scope Analyst , Scope Management** The Specialty… more
- Charles Schwab (San Francisco, CA)
- …analyzing credit across the corporate credit spectrum and the entire yield curve. The Senior Analyst will be responsible for: + Conducting credit analysis and ... industry together.** SAM is looking for a credit research analyst to support the Corporate Credit Research Group. The...make security recommendations for separately managed accounts (SMAs), mutual funds, and ETFs + Support… more
- Palo Alto Networks (Santa Clara, CA)
- …The Cortex Exposure Management Scanning team is expanding, and we're looking for a Sr Staff Cyber Research Engineer to join our team. At Cortex, we believe that ... and evidence generation for audits + Experience using cloud managed services (ideally in GCP) + Are familiar with...without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital… more
