- 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
- …AI, intelligent automation, and workflow orchestration. Position Summary As our Analyst , Payer Accountability, you will educate internal operating teams ... to understand and navigate payer guidelines. Every day you will research and interpret...guidelines. Every day you will research and interpret complex customer/ payer contract terms in order to identify and escalate… 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 (Englewood, CO)
- …position. Strongly prefer someone in Pacific Standard, Moutain or Central Standart Time. The Analyst , Payer Analytics & Economics performs managed care payer ... pricing and payer contract modeling activities for a defined payer portfolio. Provides analytical and pricing expertise for the evaluation, negotiation,… more
- CommonSpirit Health (Englewood, CO)
- …care with strong EPIC experience. Must have managed care contracting experience.** The Analyst , Payer Analytics and Economics performs managed care payer ... pricing and payer contract modeling activities for a defined payer portfolio. Provides analytical and pricing expertise for the evaluation, negotiation,… more
- Great River Health (West Burlington, IA)
- …Scheduled Hours: Day Shift Job Description: A Brief OverviewThe Contract Analyst is responsible for healthcare insurance reimbursement analysis; validating pre-load ... optimize functionality and reporting. Manages and ensures that all payer contracts built are in accordance with the terms...Serves as a liaison between the health system and payer representatives as needed. + Responsible for researching and… more
- Surgery Care Affiliates (Chicago, IL)
- …they will. Responsibilities SCA Health is currently accepting applications for a Senior Analyst position on our innovative and fast-paced Payer Informatics team. ... This role will directly contribute toward SCA Health's relentless pursuit of creating value in specialty care through supporting our physicians and caring for the patients and communities we serve. Key areas of focus include building and supporting both… more
- Baptist Memorial (Jackson, MS)
- Overview Summary The Payment Reimbursement Analyst is responsible for identifying payer accounts to determine compliance with payer contracts. The ... education + Employee referral program Job Summary: Position: 13721 - Analyst -Reimbursement Variance Facility: BMHS - Regional Business Office Jackson Department:… more
- Fairview Health Services (Minneapolis, MN)
- …Health Plan Payers. As a member of the pharmacy team, the Contract Analyst manages and coordinates all financial information with third party plans to ensure ... contract and regulatory compliance. This position will have a strong knowledge of ambulatory pharmacy revenue cycle management and can skillfully use interpersonal, customer service, problem solving and collaboration skills to support and manage pharmacy… 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
- Brighton Health Plan Solutions, LLC (New York, NY)
- …implementation. Essential Qualifications + Minimum 6-7 years of experience as a business analyst in healthcare payer industry. + Expertise and experience in ... the Role We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external stakeholders to… more
- The Cigna Group (Franklin, TN)
- **Organization Summary:** Evernorth Payer Solutions is a wholesaler of various Cigna and Evernorth solutions to health benefits "payers" including Health Plans, ... Savings Program, dental, Embarc Benefit Protection and a host of other products. Payer Solutions is a fast-growing segment, providing various solutions to TPA and… more
- St. Luke's Health System (Boise, ID)
- **Overview** The Manager, Payer Contracting is a key role for St. Luke's Health Partners accountable for the payer contract portfolio, to include oversight of ... the timely drafting, negotiation, and execution of payer agreements, ensuring contracts are completed within required timeframes and stored appropriately for easy… 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
- HCA Healthcare (Idaho Falls, ID)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a Open AR Analyst for our team to ensure that we continue to provide all patients with high ... apply! **Job Summary and Qualifications** As an Open AR Analyst , you will be responsible for performing account follow-up...+ Articulate any payment delays to representatives from healthcare payer companies + Contact payer companies via… more
- Medtronic (Minneapolis, MN)
- …**A Day in the Life** The role of Reimbursement Principal Reimbursement Analyst offers the opportunity to establish reimbursement for innovative new products and ... deep venous disease, and superficial venous disease. The **Reimbursement Principal Reimbursement Analyst ** will serve in a highly visible and impactful role as a… more
- Advanced Systems Design (Montgomery, AL)
- Advanced Systems Design is seeking a Senior Business Analyst for our client located in Montgomery, AL. This position is onsite in Montgomery, AL, and requires ... the business needs. + This will require the Business Analyst to be very comfortable understanding the contract, the...of Medicare, Medicaid or with a major health care payer + 2 years of experience with multi-vendor project… 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
- Community Health Systems (Franklin, TN)
- **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst - REMOTE is responsible for maximizing reimbursement by identifying variances between ... revenue opportunities, and communicating discrepancies to relevant departments. The PCCM Analyst collaborates with financial and clinical teams to improve revenue… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... fashion. In collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of enhancing contract compliance by… more