- CompuGroup Medical (Columbia, SC)
- Create the future of e-health together with us by becoming an Operations Analyst Team Lead At CompuGroup Medical we have the mission of building ground-breaking ... and experience. Previous experience working in a clearinghouse environment or a payer environment. Proven People skills required in order to create, maintain and… more
- Hartford HealthCare (Hartford, CT)
- …Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a ... moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:**… 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 (Rancho Cordova, CA)
- **Job Summary and Responsibilities** This is a remote position. The Senior Analyst , Payer Analytics & Economics performs managed care financial analysis, ... strategic pricing and payer contract modeling activities for a defined payer portfolio. Provides analytical and pricing expertise for the evaluation,… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** **Job Summary / Purpose** The Payer Analytics Strategic Initiatives Analyst plays a critical role in advancing CommonSpirit ... 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
- NTT DATA North America (Newark, NJ)
- …with Enterprise Architects and delivery organizations + **Partner & Analyst Relationship Management:** Manage health plan/ payer -specific partner and ... and forward-thinking organization, apply now. We are currently seeking a Healthcare Payer /Plan Solution Executive to join our team in Newark, New Jersey (US-NJ),… 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
- Emanate Health (Covina, CA)
- …revenue leakage, and implements process improvements to maintain compliance with regulatory and payer requirements. The Senior Analyst serves as a subject matter ... company in the country. **J** **ob Summary** The Senior Revenue Integrity Analyst is responsible for ensuring accurate and compliant charge capture, coding, and… 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
- AdventHealth (Maitland, FL)
- …reimbursement. Ensures thorough research and validation of non-contracted and government payer information * including regulatory and interim rate updates in ... or trends. Pivots detail for distribution to assigned Contract Manager or analyst . Contributes to the development and implementation of new systems by offering… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a Utilization Management Analyst to join our Denials Analysis. This full-time role will primarily work remotely, but may need ... on-site when needed (Day). *Purpose of this position: *The Utilization Management Analyst plays a critical role in reviewing, appealing, and preventing clinical… more
- HCA Healthcare (Nashville, TN)
- …Do you have the career opportunities as a Electronic Processing Operations Analyst you want with your current employer? We have an exciting opportunity ... of colleagues. Do you want to work as a Electronic Processing Operations Analyst where your passion for creating positive patient interactions is valued? If you… more
- AdventHealth (Altamonte Springs, FL)
- …professional fee contractual adjustments for accuracy in accordance with various payer contracts and/or federally mandated guidelines. This position supports the ... and nondelegated credentialing reports are entered accurately and timely into the payer systems and directories. + Enters effective date and provider number… more
- Hartford HealthCare (Farmington, CT)
- …to ensure that system functionality aligns with existing and newly added payer plans. Additionally, the role contributes to the on-going optimization and continuous ... advanced knowledge of HHC registration workflows (both HB and PB) and the payer /plan request and maintenance process. Serves as operational point of contact for… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Health, Department of Title Data Analyst 3 - 63440 Occupational Category Administrative or General Management Salary Grade 27 Bargaining Unit PS&T ... State NY Zip Code 12237 Duties Description The Data Analyst 3 (DA3) will direct the Informatics Unit within...Statewide Planning and Research Cooperative System (SPARCS) and the All- Payer Database (APD). The SPARCS system has been in… more
- Robert Half Finance & Accounting (Kansas City, MO)
- …is working with a dynamic healthcare organization that is looking for a Revenue Data Analyst . The Revenue Data Analyst plays a key role in translating complex ... support informed decision-making. The role demands deep expertise in healthcare payer sources, strong analytical capabilities, and the ability to effectively… more
- Atrius Health (Newton, MA)
- …current and evolving provider payment methodologies . Reviews and monitors contract/ payer performance . Compares expected reimbursement data to negotiated rates from ... contract . Develop analysis in support of payer contracting efforts, including review and modeling of proposal during contract negotiations . Perform strategic… more
- Beth Israel Lahey Health (Charlestown, MA)
- …remote based role. Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a high-profile team tasked with handling all ... commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level clinical appeal for services in the inpatient and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role We are seeking an enthusiastic, results-oriented Enterprise Sr. Business Analyst /Product Specialist in the healthcare payer domain of Health Plan ... Minimum 7 years of experience as a Senior Business Analyst or Product Specialist in healthcare payer ...Business Analyst or Product Specialist in healthcare payer in onboarding new self-funded clients or implement product… more
