- iCare Health Solutions Enterprise (Miami, FL)
- Job Type Full-time Description Manages the life cycle of payer agreements across commercial and government programs. Responsible for the accurate configuration and ... to support revenue integrity. Essential Functions Load, maintain, and update complex payer contracts in the NextGen Contract Utility, including support for multiple… more
- Boston Medical Center (Boston, MA)
- …from the Manager of Revenue Operations & Business Intelligence, the Financial Analyst II - Reimbursement is responsible for assisting the department management in ... and commercial payers, denials. This role will also ensure compliance with payer requirements, support revenue cycle operations, collaborate with all service lines… more
- Molina Healthcare (Long Beach, CA)
- …service recovery resolutions 6+ years managed care experience (preferably in Payer Claims environment) Demonstrates proficiency in a variety of concepts, practices, ... complex, often highly technical teams Medicaid primary and Medicare preferable payer claims experience QNXT experience Coding experience SQL experience Salesforce… more
- Berkley (Trenton, NJ)
- …an equal employment opportunity employer. Responsibilities As a Stop Loss Claims Analyst , you'll perform quality review and evaluation of all claim submissions ... years stop loss claims experience Prior experience handling first dollar payer insurance (medical healthcare claims) Experience with medical billing practices, CPT… more
- Garnet Health (Harris, NY)
- …to make your career home with us as a Patient Financial Services Analyst on our Patient Financial Services team at/in Garnet Health Medical Center-Middletown. ... Responsibilities The PFS Analyst is responsible for supporting the daily activities of...such as Epic, Cerner, or similar systems. Knowledge of payer -specific contract terms and payment methodologies. Understanding of patient… more
- Omni Inclusive (Dallas, TX)
- Business Analyst with healthcare domain experience. Client is looking for candidates with Product Development experience, familiarity with Agile ways of working, ... UAT. 8+ years of experience in US Healthcare (functional knowledge of Provider, Payer ) 6+ years of revenue cycle management experience, preferably in Provider area… more
- ClinDCast (Cary, NC)
- Job Title: PACS Analyst Professional Summary: Experienced and knowledgeable PACS Analyst with a strong background in Radiology Information Systems (RIS), Picture ... and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer -to- payer data exchange, and application programming interface (API)… more
- Temple University (Philadelphia, PA)
- Analyzes and translates payer contracts into the Contract Management system. Analyzes payment discrepancies to determine the issue, area of responsibility and ... assists in the development of an appropriate corrective action plan. Acts as liaison with payors to resolve payment discrepancies. Responsibilities include all aspects of Revenue Cycle system support including performance improvement, development,… more
- BioSpace (Lake Forest, IL)
- …the Value & Access Teams. Working to shape our overall access strategies, payer value propositions, and other critical deliverables to affiliate access teams, across ... and broader VAT. Create contracting guidance, to mitigate access risks and payer objections within the negotiation pathway, including evaluation of new access… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Reporting to the Director of Payer Finance and Strategy, the Senior Analyst , Payer Finance will provide analytic support to the Payer Contracting and ... Health teams to support the execution of a cohesive payer strategy. The Senior Analyst will support Institute-wide profitability analysis and special projects in… more
- CommonSpirit Health (Englewood, CO)
- …requests on the more technical side of our contract modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial ... enjoy special projects on the more technical side of payer analytics and managed care? The person in this...reimbursement and market share. Provides mentorship and guidance of Analyst contract modeling. Provides analysis findings and education to… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary / Purpose** The Payer Analytics Strategic Initiatives Analyst plays a critical role in advancing CommonSpirit Health's managed ... care strategy through a blend of financial analysis, payer contract modeling, and strategic insights. Payer ...Medicare, Medicaid, Health Insurance Exchange plans, and more. The Analyst leverages analytical tools such as PIC and EPIC,… more
- Cognizant (St. Louis, MO)
- **QA Analyst Healthcare Domain - Payer & Claims Testing** This is a remote position open to any qualified applicant in the United States. We are seeking a highly ... skilled and motivated **QA Analyst Healthcare Domain - Payer & Claims Testing** to join our dynamic team. This role is ideal for someone passionate about quality… more
- The Cigna Group (Chattanooga, TN)
- The Evernorth Payer Solutions Implementation team is seeking an Account Installation Lead Analyst . Incumbent will provide leadership and support on complex ... to Client Service departments for post-implementation management. Supports the Payer Solutions Implementation process and Account Installation Advisors. Key… more
- Walmart (Bentonville, AR)
- **Position Summary ** We're looking for a strategic, detail-oriented Senior Analyst to join our high-performing team supporting Health & Wellness initiatives. This ... and Revenue Cycle Management, and Enrollment Services teams within Health & Wellness Payer Relations. What You'll Bring: + Ability to manage projects and influence… more
- Seattle Children's (WA)
- …key financial indicators, and ensure compliance with federal, state, and payer -specific regulations. The analyst identifies revenue opportunities, drives ... The Pharmacy Financial Analyst leads critical financial and operational initiatives to optimize the performance of the organization's pharmacy services, with a focus… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and facility billing and revenue capture while adhering to CMS and third-party payer regulations. The Revenue Integrity Analyst is responsible for assisting in ... taking a job, you're making a difference in people's lives.** A Revenue Integrity Analyst serves as a primary point of contact for Service Line Directors, Managers,… more
- Cognizant (St. Louis, MO)
- **QA Analyst in Healthcare Domain with Payer & Claims Testing experience (Remote)** This is a remote position open to any qualified applicant in the United ... States. We are seeking a highly skilled and motivated **QA Analyst in Healthcare Domain with Payer & Claims Testing experience** to join our dynamic team. This… more
- Community Health Systems (Franklin, TN)
- …with financial and clinical teams to improve revenue cycle processes and optimize payer relationships. As a Payment Compliance Analyst at Community Health ... **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role We are seeking a passionate, results-oriented Business Analyst in the healthcare payer domain with Multi-employer Trust or Health Plan ... or product. The ideal candidate will have worked in-depth in healthcare payer domain in Multi-employer Trust (Hours & Eligibility management), Health Plan… more
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