- BayCare Health System (Clearwater, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr. performs financial ... team member be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Managed Care Financial Analyst Sr **Location** Clearwater… more
- Hartford HealthCare (Wethersfield, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** ... the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling process for negotiated rate changes...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… 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)
- …training, as well as internal peer equity. Starting Hourly Rate: 30.47 **Position** Analyst - Analytics Managed Care **Category** Administrative **Employment ... The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage,… more
- Queen's Health System (Honolulu, HI)
- …A. EDUCATION/CERTIFICATION AND LICENSURE: * Bachelor's degree in Business, Finance or Health Care Administration or four (4) years with health care provider or ... to the educational requirement, two (2) years experience with a health care provider or payer in contracting or business operations. * Demonstrated ability… more
- Sharp HealthCare (San Diego, CA)
- …spreadsheets and databases. **What You Will Do** Under the direction of the Director of Managed Care Finance and Supervisor of Managed Care Finance ... + Bachelor's Degree or equivalent work experience. + Previous experience in a managed care setting. + Working knowledge of hospital, physician and health care… more
- AmeriHealth Caritas (Harrisburg, PA)
- …Medical Management ID**: 31572 **Job Brief** Healthcare Financial Data and Reporting Analyst needed. Managed Care financial experience preferred. This ... **Financial Data & Reporting Analyst I-- Managed Healthcare** Location: Harrisburg, PA...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- Northern Light Health (Brewer, ME)
- …organizations. Reporting to the Manager of Payer Strategy & Managed Care Operations (PSMCO), the Contract Analyst will collaborate with PSMCO leadership ... Northern Light Health Department: Managed Care Contracting Position is located:...solutions that are both practical and innovative. The Contract Analyst , with support from the Manager, will establish, build,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …of insurance concepts, plan administration, planning, principles, and managed care delivery systems. **Provider Network Performance Analyst III** **Education ... knowledge of health care operations or health care delivery systems. **Provider Network Performance Analyst ...knowledge of insurance concepts, plan administration, planning, principles, and managed care delivery systems. + Knowledge of… more
- Bank of America (New York, NY)
- Equity Research Analyst / Associate- Health Care Facilities and Managed Care New York, New York **Job Description:** **About Us:** At Bank of America, we ... sector to gain exposure to the business. The Health Care Facilities and Managed Care ...market, industry and company specific activity, and relay to analyst when traveling + Seek out new, unusual sources… more
- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed, ... Query Language (MSSQL) Database skills to lead/execute the development of the complex Managed Care / Payer Analytics platform. The Payer Analytics team is… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Manager, Managed Care Rebates - Parsippany, NJ Date: Apr 17, 2024 Location: Parsippany, United States, New Jersey, 00000 Company: Teva Pharmaceuticals Job Id: ... to make a difference with. **The opportunity** The Manager, Managed Care Rebates leads department staff in...of PBM invoicing to Pharmaceutical Manufacturers to assist in Analyst validations and disputes + Familiarity with Medical Claim… more
- City and County of San Francisco (San Francisco, CA)
- Behavioral Health Services (BHS) is increasingly expanding services under its Managed Care division which oversees the Office of Coordinated Care (OCC), ... psychiatric services. The Behavioral Health Services (BHS) Deputy Medical Director of Managed Care provides effective leadership and strategic direction in the… more
- MyFlorida (Tallahassee, FL)
- …1115 waivers and home and community-based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review ... 68064828 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Apr 26,...in the development of policy language for: the Medicaid managed care report guide, Medicaid contracts and… 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: Quality Improvement...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- HCA Healthcare (Nashville, TN)
- …the Legal Department to support all phases of the arbitration and/or litigation of managed care disputes. This paralegal position will have responsibility for a ... wide variety of managed care litigation tasks, including: handling service...attorneys currently are supported by one litigation paralegal, one analyst and eight contract attorneys. Litigation paralegals are assigned… 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 ... analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial… more
- MyFlorida (Tallahassee, FL)
- …does this specifically through audits and investigations of Medicaid providers, including managed care plans. MPI also imposes administrative sanctions for ... 68063479 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Apr 29, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For… more
- LA Care Health Plan (Los Angeles, CA)
- …the Claims Operation process and oversight on metrics as well as other related managed care service activities for the Claims Department. Finally, the position ... Compliance and technical staff. The Claims Compliance Data Validation Analyst also ensures that LA Care 's Claims...'s Claims Department is compliant with all Department of Managed Health Care (DMHC), Medi-Cal, Centers for… more
- LA Care Health Plan (Los Angeles, CA)
- …of experience in contract and/or regulatory and/or accreditation requirements analysis in managed care or other related industry; or, experience in external ... Operational Assurance Business Analyst III Job Category: Administrative, HR, Business Professionals...complex business setting, local, State, or Federal government entity, managed care , or other related industry. Skills… more
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