- Merck & Co. (Rahway, NJ)
- …Record of successful evaluation and implementation of new technologies.Has managed and/or implemented modeling tools and workflows, including COTS (Commercial ... Skills: Professional experience working as a scientist , Informatics Analyst or IT analyst in a drug...include bonus eligibility, long term incentive if applicable, health care and other insurance benefits (for employee and family),… 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
- Cedars-Sinai (Beverly Hills, CA)
- …or related field of study **Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid **Department** : MNS Accounting **Business ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- Hartford HealthCare (Hartford, CT)
- …moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** ... the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a...Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- e CancerCare (Nashville, TN)
- …related to ION network and providers. Team member will work closely with the Managed Care department team in generating and reviewing system data, while making ... other internal teams with reimbursement related concerns and acting as a liaison to managed care plans. Essential Functions: . Support Managed Care team… 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
- BayCare Health System (Clearwater, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr. performs financial ... Excel during the contract negotiation process. + Serves as Primary Contact for contract/ managed care payer claims and operational issues resolution for assigned… more
- CommonSpirit Health (Chicago, IL)
- …this exciting role. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract modeling ... and pricing expertise for the evaluation, negotiation, implementation and maintenance of managed care contracts between CommonSpirit Health providers and payers.… more
- CommonSpirit Health (Englewood, CO)
- …experience in managed care with strong EPIC experience. Must have managed care contracting experience.** The Analyst , Payer Analytics and Economics ... performs managed care payer financial analysis, strategic pricing and payer contract...expertise for the evaluation, negotiation, implementation and maintenance of managed care contracts between CommonSpirit Health providers… more
- Centene Corporation (Columbus, OH)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. This is a hybrid role ... requiring in office attendance once a week **4349 Easton Way, Columbus, OH** **Position Purpose:** With the Buckeye Health Plan Quality Team, you will do **clinical quality data reporting and analyzing.** + Design and monitor quality outcomes dashboard and… more
- Axxum Technologies (Mclean, VA)
- … III should possess an extensive knowledge of TIERS, and ideally managed care policies and processes. The Systems Analyst III is responsible for analyzing ... Systems Analyst - MUST have TIERS experience! - REMOTE (HHS)...managed care data including Medicaid/CHIP eligibility, premium payments, and encounter data… more
- Motion Recruitment Partners (St. Louis, MO)
- Senior QA Analyst / Managed Accounts St Louis, Missouri **Hybrid** Contract $53.09/hr - $59.82/hr **Job Title:** Senior QA Analyst - Managed Accounts ... 1 year **Job Overview:** We are seeking an experienced **Senior QA Analyst ** to support a high-profile initiative. This initiative will allow Financial Advisors… more
- MyFlorida (Tallahassee, FL)
- …Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid ... 68060627 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jun 4, 2025...Managed Care (SMMC) program. The bureau's primary responsibility is ensuring that… more
- AdventHealth (Maitland, FL)
- …managing revenue. Must be able to complete financial and operational analyses of managed care contracts, proposals, analyze fee schedules, and determine contract ... the Florida and Multi-State Divisions of AdventHealth, as well as represent AdventHealth managed care to payers in all AdventHealth Markets.** **The value you'll… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Health Care Audit Analyst Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... data discrepancies prior to DMHC filing. Responds to Department of Managed Health Care (DMHC) questions regarding data anomalies and or the department's queries… more
- Charter Care Health Partners (Providence, RI)
- …At least one year of relevant work/intern experience in a medical/physician's offices, managed care , or health system operations. Skills and Abilities: + ... care with optimized clinical outcomes and satisfaction. The Care Coordination Quality Data Analyst assists the...the AthenaHEALTH electronic medical record (EMR). + Knowledge of managed care principles and risk contracting. +… more
- MyFlorida (Miami, FL)
- …does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive ... 68064378 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jun 4,...responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care Oversight. MPI operates with dynamic… more
- MyFlorida (Miami, FL)
- …does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive ... 68900289 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jun 4,...responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care Oversight. MPI operates with dynamic… 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 Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11998… more
- AdventHealth (Maitland, FL)
- …ethic, trainability, communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both ... FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and...financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The… more
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