- Great River Health (West Burlington, IA)
- …hour Job Details: Scheduled Hours: Day Shift Job Description: A Brief OverviewThe Contract Analyst is responsible for healthcare insurance reimbursement ... optimize functionality and reporting. Manages and ensures that all payer contracts built are in accordance with...built are in accordance with the terms of the contract . Validates contracts once built to review… more
- Hartford HealthCare (Hartford, CT)
- …across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer ... moment matters. And this is *your moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed… more
- CommonSpirit Health (Englewood, CO)
- …on the more technical side of our contract modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, ... strategic pricing and payer contract modeling activities for a defined payer ...reimbursement and market share. Provides mentorship and guidance of Analyst contract modeling. Provides analysis findings and… more
- CommonSpirit Health (Englewood, CO)
- …and Economics performs managed care payer financial analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio. ... + Provide stakeholder training of the modeling of proposed/existing negotiated payer contracts , including expected and actual revenues/volumes, past performance,… more
- CommonSpirit Health (Englewood, CO)
- …& Economics performs managed care payer financial analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio. ... * Provide stakeholder training of the modeling of proposed/existing negotiated payer contracts , including expected and actual revenues/volumes, past performance,… more
- Fairview Health Services (Minneapolis, MN)
- …and Third-Party Health Plan Payers. As a member of the pharmacy team, the Contract Analyst manages and coordinates all financial information with third party ... person in this role will complete critical analysis of current and future contracts for the respective organization. Including providing contract performance and… more
- …Essential Responsibilities * Understand and navigate Payer guidelines (portals, manuals, contracts , etc.) * Research and interpret contract terms along with ... navigate payer guidelines. Every day you will research and interpret complex customer/ payer contract terms in order to identify and escalate claim issues and… more
- The Cigna Group (Franklin, TN)
- … Payer Solutions Contracting Manager is responsible for leading and managing the Payer Solutions Contract Department. The role will have two direct reports, ... **Organization Summary:** Evernorth Payer Solutions is a wholesaler of various Cigna...the contracting advisor and contracting lead analyst . The role is responsible for drafting and preparing… more
- St. Luke's Health System (Boise, ID)
- …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...Bachelor's Degree + 5 year's relevant experience (related to healthcare payer contracting) **What's in it for… more
- Henry Ford Health System (Detroit, MI)
- …in identifying and analyzing issues for areas of opportunities. 6. Escalate payer contract non-compliance issues to contract administrators/consultants ... PRINCIPLE DUTIES AND RESPONSIBILITIES: 1. Responsible for building basic payer /plan-specific contract terms, including common reimbursement methodologies. 2.… more
- Central Maine Medical Center (Lewiston, ME)
- …care and experiences for our community and for each other every day. Central Maine Healthcare is seeking a Revenue Integrity Analyst to join our team! This is ... full time on site, benefits eligible position. The role the Revenue Integrity Analyst is to assist Central Maine Healthcare (CMH) organizations in identifying… more
- Mount Sinai Health System (New York, NY)
- …Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including institutional, as well as ... hospital/ healthcare environment is required. Advanced knowledge of Epic, Contract Manager, and Microsoft Excel Working knowledge of other Microsoft applications… 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 ... contracts , and other payers. This role includes analyzing contract compliance, identifying revenue opportunities, and communicating discrepancies to relevant… more
- Mount Sinai Health System (New York, NY)
- …Contracting Team within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial, ... on: Facility related Agreements and Amendments, financial performance for all contracts , and facility, ancillary related contract negotiations. The Managed… more
- AdventHealth (Maitland, FL)
- …managed care contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to ... analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates...an analyze data from various sources using knowledge of healthcare managed care contracts and healthcare… more
- Atrius Health (Newton, MA)
- …current and evolving provider payment methodologies . Reviews and monitors contract / payer performance . Compares expected reimbursement data to negotiated ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care...rates from contract . Develop analysis in support of payer… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… more
- Baptist Memorial (Jackson, MS)
- …Analyst is responsible for identifying payer accounts to determine compliance with payer contracts . The analyst will audit these accounts and follow ... Serve as subject matter experts and resources on interpretation of payor contract language to ensure appropriate reimbursement by insurance companies. + Identify,… more
- Houston Methodist (Baytown, TX)
- At Houston Methodist, the Senior (Sr.) Financial Analyst position is responsible for maintaining and performing complex data analysis related to the clinical or ... assigned entity or hospital and/or contractual relationship. The Sr. Financial Analyst is also responsible for independently compiling and reporting information as… 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 ... making a difference in people's lives.** A Revenue Integrity Analyst serves as a primary point of contact for...to comply with complex changes to government and third-party payer policies, regulations, and contract changes.** **Responsible… more