• Payer Contract Analyst

    Northern Light Health (Brewer, ME)
    …the Manager of Payer Strategy & Managed Care Operations (PSMCO), the Contract Analyst will collaborate with PSMCO leadership to identify and evaluate ... recommend solutions that are both practical and innovative. The Contract Analyst , with support from the Manager,...+ Prolonged periods of standing. + Prolonged periods of walking. Position Payer Contract AnalystLocation Req ID… more
    Northern Light Health (04/27/24)
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  • Senior Analyst Payer Analytics…

    CommonSpirit Health (Englewood, CO)
    …impact on a timely, pre-emptive basis. + Provides leadership, oversight and training for Payer Analytics & Analyst contract modeling activities. Pay Range ... care payer financial analysis, strategic pricing and payer contract modeling activities for a defined...reimbursement and market share. Provides mentorship and guidance of Analyst contract modeling. Provides analysis findings and… more
    CommonSpirit Health (04/26/24)
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  • Senior Payer Analyst / Managed Care…

    Hartford HealthCare (Wethersfield, CT)
    …across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling process ... to minimize payer policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops modeling process to benchmark reimbursement rates to… more
    Hartford HealthCare (05/09/24)
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  • Payer Engagement Senior Analyst

    HCA Healthcare (Nashville, TN)
    …**Introduction** Do you want to join an organization that invests in you as a Payer Engagement Senior Analyst ? At HCA Healthcare, you come first. HCA Healthcare ... make a difference. We are looking for a dedicated Payer Engagement Senior Analyst like you to...on all underpayments, overpayments and denial activity resulting from contract and payer policy interpretation variances, as… more
    HCA Healthcare (05/03/24)
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  • Revenue Cycle Payer Relations…

    University of Miami (Medley, FL)
    …companies to correct errors as necessary. Documents and tracks all revenue cycle payer issues. Leads payer contract loads for underpayment recovery. ... has an exciting opportunity for a Full-Time Revenue Cycle Payer Relations Analyst to work Remote. The...related to the revenue stream. + Analyzes and monitors payer trends, managed care contract compliance, … more
    University of Miami (04/17/24)
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  • Senior Contract Compliance Analyst

    CommonSpirit Health (Englewood, CO)
    …advanced contract language, analysis and pricing expertise to assess payer contract financial performance for CommonSpirit Health providers in assigned ... hospitals and out in the community. **Responsibilities** **Job Summary** The Senior Analyst , Contract Compliance will leverage knowledge of revenue cycle… more
    CommonSpirit Health (05/03/24)
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  • Managed Care Contract Analyst

    e CancerCare (Nashville, TN)
    Job Purpose: Contract Analyst will be responsible for analytic support related to ION network and providers. Team member will work closely with the Managed Care ... role includes loading and maintaining reimbursement rates in ION contract management system. Additional responsibilities include collaborating with other internal… more
    e CancerCare (05/07/24)
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  • Business Analytics Lead Analyst - Provider…

    The Cigna Group (Plano, TX)
    …and provide value to our contracting partners. + Leverage Hospital and Payer Transparency competitor data/insights in contract negotiation modeling. + Analyze ... **Business Analytics Associate - (Provider Contract Analytics)** **Summary:** We are seeking a highly...Network Analytics team as a Business Analytics Associate (Provider Contract Analytics) for the South Texas Market. In this… more
    The Cigna Group (05/22/24)
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  • Senior Collections Analyst

    HCA Healthcare (Largo, FL)
    …environment where diversity and inclusion thrive? Submit your application for our Senior Collections Analyst opening today and find out what it truly means to be a ... vary by location._** We are seeking a Senior Collections Analyst for our team to ensure that we continue... is responsible for resolving claim delays from various payer products, identifying problem accounts, process and trends and… more
    HCA Healthcare (05/11/24)
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  • Provider Reimbursement Analyst

    Medical Mutual of Ohio (OH)
    …result sets to enable accurate and robust quantitative analyses. . Analyzes payer value-based contract opportunities, including pay for performance, population ... Updates and provides quality assurance of provider rate loading. . Analyzes payer value-based contract opportunities, including pay for performance, population… more
    Medical Mutual of Ohio (05/23/24)
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  • Sr Financial Analyst

    University of Rochester (Rochester, NY)
    …judgment and initiative and for all URMC hospitals and affiliates, the Senior Payer Contracting & Reimbursement Analyst performs complex financial analyses used ... URMC and all affiliate hospitals with payers. Has comprehensive knowledge of payer reimbursement methodologies, rules, regulations, and contract terms. Reports… more
    University of Rochester (05/11/24)
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  • Senior Collections Analyst

    HCA Healthcare (Richmond, VA)
    …invested over 156,000 hours volunteering in our communities. As a(an) Senior Collections Analyst with Parallon you can be a part of an organization that is ... organization. We are looking for an enthusiastic Senior Collections Analyst to help us reach our goals. Unlock your... is responsible for resolving claim delays from various payer products, identifying problem accounts, process and trends and… more
    HCA Healthcare (04/26/24)
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  • Revenue Cycle Analyst - PB

    Hackensack Meridian Health (Hackensack, NJ)
    …Report Contract variance to DTS, escalate volume underpayments to payer representative. + Meets biweekly and monthly with various vendors and outside ... and serve as a leader of positive change. The **Revenue Cycle Analyst , PB** provides statistical and financial data enabling management to accurately monitor… more
    Hackensack Meridian Health (05/07/24)
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  • Medicaid MMIS Business Analyst

    TEKsystems (Montgomery, AL)
    …that is configured to meet the business needs. This will require the Business Analyst to be very comfortable understanding the contract , the business, and the ... related to the program, project, or software. The Business Analyst must also understand the contract and...of Medicare, Medicaid or with a major health care payer * 2 years of experience with multi-vendor project… more
    TEKsystems (05/11/24)
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  • Medical Insurance Billing & Reimbursement…

    Keystone Lab (Asheville, NC)
    …but are not limited to the following: + Have working knowledge of payer determinations, contract fe es, covered or non-covered items, diagnosis, modifiers, ... and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas in the country,… more
    Keystone Lab (05/14/24)
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  • Reimbursement Analyst Senior

    University of Michigan (Ann Arbor, MI)
    …perform impact contract analysis, to include price mix variance and payer mix reporting. + Prepare, monitor, and reconcile reimbursement reports. + Proactively ... Reimbursement Analyst Senior Apply Now **How to Apply** A...needed + Assist with financial reporting, including monthly third-party payer accounting for net revenue and estimated settlements +… more
    University of Michigan (04/16/24)
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  • Denials Senior Analyst

    R1 RCM (Detroit, MI)
    …following up on appeals to the point of exhaustion or payment and performing contract and manual reviews between payer and providers. Prior Hospital Denials ... intelligent automation, and workflow orchestration. As our Denials Senior Analyst , you will help R1 by managing assigned accounts...on high dollar claims and inventory. + Conducts complex payer follow-up via phone, portal or email. + Writes… more
    R1 RCM (05/18/24)
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  • Senior Appeals Analyst

    HCA Healthcare (Largo, FL)
    …resolve High Dollar Technical and Top Dollar Clinical Appeals through understanding of Payer Contract Language and Clinical or Technical justification. You will ... you have the career opportunities as a Senior Appeals Analyst you want with your current employer? We have...to correct the errors in a timely manner Identify contract protection that can be leveraged to overturn denials… more
    HCA Healthcare (05/15/24)
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  • Provider Network Performance Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …contracting initiatives. + Performs other duties as assigned. **Provider Network Performance Analyst III** + Develops Value Based Contract (VBC) amendments in ... contracting regions with quality, utilization, and cost analysis. **Provider Network Performance Analyst I** + Gathers and maintains data from multiple sources and… more
    Medical Mutual of Ohio (04/25/24)
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  • Financial Analyst II for Payor Contracting

    Children's Hospital Boston (Boston, MA)
    …builds financial models to support various reporting and contracting needs, including payer contract negotiations on behalf of the Hospital, Physicians' ... 73900BRJob Posting Title:Financial Analyst II for Payor ContractingDepartment:Finance Case Mix Reimb...by various committees and senior leadership. Makes recommendations regarding contract terms and fees + Performs detailed analyses of… more
    Children's Hospital Boston (02/26/24)
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