- Kavaliro (Sacramento, CA)
- …audit results, and finalize report submissions. Support internal stakeholders (eg, Managed Care , Budgeting, and Financial Planning) with reimbursement and ... Our client is seeking an experienced Reimbursement Analyst III for a long-term contract ...experienced Reimbursement Analyst III for a long-term contract opportunity. This position supports reimbursement and cost reporting… more
- Omaha Children's Hospital (Omaha, NE)
- …including veterans and people with disabilities. **A Brief Overview** The Sr. Managed Care Contract and Revenue Analyst will conduct complex and detailed ... + Minimum 2 years' experience in analysis of financial, reimbursement, or managed care contract modeling. Required **Skills and Abilities** + Knowledge of… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... - 5:00pm Job Summary: Responsible for analysis of contracts and performing contract negotiations to include monitoring and reviewing existing contracts to ensure… more
- Hartford HealthCare (Hartford, CT)
- …moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** ... *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is...Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- Molina Healthcare (Racine, WI)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + Must ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… more
- Elevance Health (Grand Prairie, TX)
- **Provider Contract Cost of Care Analyst...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as ... unless an accommodation is granted as required by law. The **Provider Contract Cost of Care Analyst Senior** is responsible for providing analytical support… more
- Community Health Systems (Franklin, TN)
- …maximizing reimbursement by identifying variances between posted and expected revenue for managed care , government contracts, and other payers. This role ... **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible...required **Knowledge, Skills and Abilities** + Strong understanding of managed care , government contracts, and reimbursement processes.… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Bachelor's Degree and three (3) years' of healthcare experience in Managed Care Contracting, Hospital Reimbursement, Professional Reimbursement, Denials, and/or ... and Experience considered. 3. Ten (10) years' of experience in Managed Care Contracting, Hospital Reimbursement, Professional Reimbursement, Denials, and/or… more
- US Physical Therapy (Houston, TX)
- …** Contract Manager/ Analyst .** This is a dual role that will support the ** Managed Care Operations Team** . The person in this role should have experience ... in Managed Care , WC, Replacements & Auto lines...care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation analysis to support… more
- MyFlorida (Tallahassee, FL)
- …federal regulations, state statutes, administrative rules, Florida Medicaid State Plan, managed care waivers, and Medicaid program handbooks and manuals. ... 68064784 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 14,...remains informed about regulations of the Agency for Health Care Administration, managed care contracts,… more
- AdventHealth (Maitland, FL)
- …partners, vendors and leadership after identifying and quantifying the issue. Supports the Managed Care Contract Administration, AH Central Denials team, and ... non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical...issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst . Contributes to the… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance to ensure… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance to ensure… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance to ensure… more
- MyFlorida (Tallahassee, FL)
- …does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive ... 68900186 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 19,...Bureau's responsibility: Operations, Data Detection, Investigations, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …* Minimum of 3 years Pharmaceutical experience; Experience with Managed Care Rebate Processing, Rebates Disputes, Contract Terms * Strong analytical and ... Sr Mgr, Managed Care Rebates Date: Nov 19,...and Generic Rebates. **Essential Functions** * Assists staff with contract interpretation, entering contract terms (products, plans,… more
- CommonSpirit Health (Englewood, CO)
- … modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and… more
- MyFlorida (Tallahassee, FL)
- …does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive ... 68900202 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 19,...Bureau's responsibility: Operations, Data Detection, Investigations, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic… 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 ... financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst … more
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