- Hartford HealthCare (Wethersfield, CT)
- …is *yourmoment.* **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* ... Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling process for...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops payment related… more
- HCA Healthcare (Brentwood, 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...not limited to Code of Conduct, Information Protection and Physician Relationship requirements). + The Sr Analyst … more
- BayCare Health System (Clearwater, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr. performs financial analyses of ... Excel during the contract negotiation process. + Serves as Primary Contact for contract/ managed care payer claims and operational issues resolution for assigned… more
- Hartford HealthCare (Wethersfield, CT)
- …Structure Query Language (MSSQL) Database skills to lead/execute the development of the complex Managed Care / Payer Analytics platform. The Payer Analytics ... *Job Title of Individual(s) Reports To:* Sr Director of Managed Care Payer Relations** . *# Workers...In-Direct Reports: 1 . *Nature of Supervision:* o Business Analyst supporting database who completes refreshes and scheduled/adhoc reporting… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and reports on high volume payment discrepancies which will be used as escalation to Managed Care, the payer , or DTS. Monitors payments denials and initiates CPT ... and serve as a leader of positive change. The **Revenue Cycle Analyst , PB** provides statistical and financial data enabling management to accurately monitor… more
- Trinity Health (Conshohocken, PA)
- …improvement initiatives which support business needs and enhance the performance of payer claims analysis, product development and the managed care contracting ... seven (7) years of progressively responsible operational or consulting experience in managed care data, programming, advanced analytics and payer analytics… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …including RegistrationDenial Management and Account Follow-Up. + Advanced knowledge of the physician practice operations and revenue cycle managed care issues, ... healthcare and serve as a leader of positive change. The Revenue Cycle Analyst will support the revenue cycle operations by providing expertise in front-end best… more
- Children's Hospital Boston (Boston, MA)
- …and modeled + Assists Analyst I in compiling quarterly and annual Hospital/ physician fee schedules by payer contracts + Creates, organizes, and maintains ... 73900BRJob Posting Title:Financial Analyst II for Payor ContractingDepartment:Finance Case Mix Reimb...models to support various reporting and contracting needs, including payer contract negotiations on behalf of the Hospital, Physicians'… more
- CommonSpirit Health (Englewood, CO)
- …and out in the community. **Responsibilities** **Job Summary** The Senior Analyst , Contract Compliance will leverage knowledge of revenue cycle functions to ... provide advanced contract language, analysis and pricing expertise to assess payer contract financial performance for CommonSpirit Health providers in assigned… more
- Universal Health Services (Reno, NV)
- …across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare ... patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Compliance Analyst provides support to the organization to execute key initiatives… more
- Universal Health Services (Richmond, VA)
- …Position Requirements: + Proactive, assertive articulates knowledge and understanding of payer claims processing philosophies. + Understands complex managed care ... and ambulatory care access points, an insurance offering, a physician network and various related services located all over...Region CBO is seeking a dynamic and talented Variance Analyst - Central The primary responsibility of the Variance… more
- Universal Health Services (Richmond, VA)
- …Requirements: + Must be proactive, assertive articulates knowledge and understanding of payer claims processing philosophies. + Understands complex managed care ... and ambulatory care access points, an insurance offering, a physician network and various related services located all over...CBO is seeking a dynamic and talented Senior Variance Analyst . The Senior Variance Analyst is responsible… more
- Banner Health (AZ)
- …Billing, Coding, CDM Services Expected reimbursement As an Acute Intermediate Revenue Integrity Analyst you will work with a variety of claims, correcting coding or ... that may prevent a bill from going to the payer . You will have an opportunity to work for...background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many… more
- Universal Health Services (Richmond, VA)
- …Position Requirements: + Proactive, assertive articulates knowledge and understanding of payer claims processing philosophies. + Understands complex managed care ... and ambulatory care access points, an insurance offering, a physician network and various related services located all over...Region CBO is seeking a dynamic and talented Variance Analyst - Central. The primary responsibility of the Variance… more
- Universal Health Services (Reno, NV)
- …across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare ... Learn more at: https://prominence-health.com/ Job Summary: The Enrollment & Billing Analyst for Membership Enrollment and Premium Billing plays a crucial role… more
- Tufts Medicine (Burlington, MA)
- …build and charge capture processes, and methodologies are aligned with payer expectations. **Minimum Qualifications:** 1. Bachelor's degree in Business, Healthcare, ... and Medicare LCD/NCDs, and reimbursement standards (DRG, OPPS, HCC, and managed care). **Preferred Qualifications:** 1. Applicable Certifications: CPC, CCS, CHRI,… more
- Ascension Health (Evansville, IN)
- …items and to recognize and resolve billing inconsistencies. + Collaborate with managed care department to code billable items for reimbursement. Collaborate with ... efforts. + Educate case management staff and other departments regarding payer changes and denial/appeal process. **Requirements** Education: + High School diploma… more
- Universal Health Services (Enid, OK)
- Responsibilities St. Mary's Physician Associates is a multi-specialty group of employed physicians and midlevel providers that serve a ten-county area in NW ... clinics in Hennessey, Fairview, Okeene, Woodward, and Ponca City. St. Mary's Physician Associates is affiliated with St. Mary's Regional Medical Center, a 229-bed… more
- Universal Health Services (Aiken, SC)
- …Coordinator, under the direction of the Quality Coordinator RN/Quality Improvement Analyst and Market Leadership is responsible for leading the quality improvement ... alike on meeting quality goals + Continuous learning of payer quality programs + Works collaboratively with payers to...and ambulatory care access points, an insurance offering, a physician network and various related services located all over… more