- 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 ... requires daily contact with senior management, physicians, hospital staff, and managed care/ payer strategy leaders. + Lead payer contract modeling… more
- embecta (Parsippany, NJ)
- …varying needs of our diverse and global employees. The Pricing & Contracts Sr . Analyst will support the analytics, operations and contracting functions within ... Total Rewards program - which includes competitive pay, benefits, continuous learning, recognition , career growth and life balance components - is designed to… more
- Evolent (Lansing, MI)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Scope Analyst , Scope Management** The Specialty Scope Management team is ... ready to own the opportunity to make healthcare better. **Collaboration Opportunities:** The Senior Scope Analyst , Scope Management plays a crucial role in… more
- RWJBarnabas Health (Oceanport, NJ)
- Senior Managed Care Analyst (Hybrid/Remote) - Oceanport, NJReq #:0000205920 Category:Professional / Management Status:Full-Time Shift:Day ... Location: 2 Crescent Place, Oceanport, NJ 07757 Job Title: Senior Analyst Location:System Business Office Department Name: Managed Care Req #:0000205920… more
- Atrius Health (Newton, MA)
- …and welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** * Senior Managed Care Analyst * **Location:** ... current and evolving provider payment methodologies . Reviews and monitors contract/ payer performance . Compares expected reimbursement data to negotiated rates from… more
- Evolent (Hartford, CT)
- …1+ years of professional experience in claims-based healthcare analytics with a payer , provider, clinical vendor, managed care, or related healthcare consulting ... entity + Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs + Exceptionally strong analytical abilities, with track record of identifying and communicating insights from… more
- Methodist Health System (Dallas, TX)
- …OB, Brain/Spine, etc), utilizing systems to complete analysis, determine charges, payer mix, volumes etc. Consistently apply established guidelines for creating the ... Revenue generation for contracted plans for the health system Supports the managed care division's initiatives through analysis and performs forecasts on the impact… 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...and Medicaid policies, regulations, legislation and other proposals, including managed care payer reimbursement policy changes. 8.… more
- Cedars-Sinai (CA)
- **Job Description** The Senior Financial Analyst is responsible for assisting with the development, design, maintenance, coordination, and implementation of ... throughout Los Angeles and beyond. **Req ID** : 9487 **Working Title** : Senior Financial Analyst - Accounting **Department** : MNS Accounting **Business… more
- Beth Israel Lahey Health (Woburn, MA)
- …(HMFP) at the Beth Israel Deaconess Medical Center (BIDMC), the Revenue Integrity Senior Analyst contributes to Revenue Integrity and Coding oversight at the ... identify revenue management opportunities, staying current with government and commercial payer 's billing and coding requirements. * Develop, deliver, and revise… more
- Molina Healthcare (Grand Island, NE)
- …in claims payment accuracy and claims service recovery resolutions + 6+ years managed care experience (preferably in Payer Claims environment) + Demonstrates ... with complex, often highly technical teams + Medicaid primary and Medicare preferable payer claims experience + QNXT experience + Coding experience + SQL experience… more
- Ascension Health (Austin, TX)
- …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
- 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 ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… more
- Henry Ford Health System (Troy, MI)
- …including being responsible for the accuracy and completeness of the CDM. The CDM Analyst also supports the CDM Coordinator and Senior CDM Analysts. PRINCIPAL ... Reporting to the CDM Manager, the CDM Analyst is responsible for supporting and maintaining the...accurate CPT/HCPCS codes and revenue codes based upon multiple payer requirements. 13.Adheres to HELIOS Service Level Agreements related… more
- Catholic Health Initiatives (Houston, TX)
- …developing/maintaining Key Performance Indicator (KPI) dashboards, reimbursement and payer mix analyses and clinic/business operational reports; 2) ... tools. 1. Gathers information for various financial projects, including payer contract negotiations, payment variance analysis, and reimbursement analysis; runs… more
- HCA Healthcare (Dallas, TX)
- …and improves reimbursement strategies. + Work with Corporate Reimbursement and Managed Care Contracting to improve transplant-related payer contract negotiations ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more