- Hartford HealthCare (Wethersfield, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** * Senior Payer Analyst / Managed Care Contracting* **Location:** ... 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
- CommonSpirit Health (Englewood, CO)
- …Central time zone **J** **OB** **S** **UMMARY** The Senior Analyst , Payer Analytics & Economics performs complex managed care payer financial ... daily contact with senior management, physicians, hospital staff, and managed care/ payer strategy leaders. **E** **SSENTIAL** **K** **EY** **J** **OB**… more
- AdventHealth (Maitland, FL)
- …communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both in the Florida ... the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for...financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The… more
- CommonSpirit Health (Englewood, CO)
- …our hospitals and out in the community. **Responsibilities** **Job Summary** The Senior Analyst , Contract Compliance will leverage knowledge of revenue cycle ... provide advanced contract language, analysis and pricing expertise to assess payer contract financial performance for CommonSpirit Health providers in assigned… 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
- Universal Health Services (Richmond, VA)
- …(https://jobs.uhs.com/atlantic-region-cbo) The Atlantic Region CBO is seeking a dynamic and talented Senior Variance Analyst . The Senior Variance Analyst ... Requirements: + Must be proactive, assertive articulates knowledge and understanding of payer claims processing philosophies. + Understands complex managed care… more
- Medical Mutual of Ohio (OH)
- …ad hoc analysis as assigned. . Performs other duties as assigned. ** Senior Provider Reimbursement Analyst ** Under limited supervision, supports assigned provider ... software business intelligence tools. . Experience working with relational databases. ** Senior Provider Reimbursement Analyst ** . Bachelor's degree in business… more
- University of Rochester (Rochester, NY)
- …independent judgment and initiative and for all URMC hospitals and affiliates, the Senior Payer Contracting & Reimbursement Analyst performs complex ... and all affiliate hospitals with payers. Has comprehensive knowledge of payer reimbursement methodologies, rules, regulations, and contract terms. Reports to the… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …value based contracting initiatives. + Orients, trains, and assists more junior level Analyst . + Performs other duties as assigned. ** Senior Provider Network ... + Knowledge of insurance concepts, plan administration, planning, principles, and managed care delivery systems. **Provider Network Performance Analyst III**… more
- Children's Hospital Boston (Boston, MA)
- 73900BRJob Posting Title:Financial Analyst II for Payor ContractingDepartment:Finance Case Mix Reimb and Mgd CareAutoReqId:73900BRStatus:Full-TimeStandard Hours per ... Week:40 Job Posting Category:FinanceJob Posting Description:This Financial Analyst II for Payor Contracting will be responsible to: + Designs and builds financial… more
- Geisinger (Danville, PA)
- Job Summary The Epic Payor Contract Analyst is responsible for building and maintaining applicable modules for payment contracts while acting as a subject matter ... will provide ongoing support and maintenance of commercial and managed care contract terms within Epic. Job Duties +...payers and maintain up to date contract inventory and payer -plan master files. + Coordinate and actively participate with… more
- Point32Health (Canton, MA)
- …motivated individuals to join their Provider Reimbursement analytics team in the role of Senior Data Analyst . A key role in the Corporate Data and Analytics ... organization, the Senior Data Analyst is a strategic consultant...(Commercial, Medicare, Medicaid, Exchange) + Utilize extensive knowledge of managed care financing and in-depth understanding of reimbursement methodologies… 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
- Ascension Health (Tulsa, OK)
- …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
- The Cigna Group (Bloomfield, CT)
- …provide value to our contracting partners. + Leverage Hospital and Payer Transparency competitor data/insights in contract negotiation modeling. + Analyze reports ... findings to business partners at various levels of the organization. + Assist Senior Manager on planning processes and ad-hoc report requests. + Keep management… more
- Guidehouse (Los Angeles, CA)
- …needs + Well versed in developing and sustaining effective relationships with senior management & identifying opportunities within the client's network **Duties and ... not limited to: Bad Debt, Charity, Aging, Cash Collections, Payer Realization Rates, Credit Balances, Charge Capture, and CDM...relationships with internal staff and EBO + Works with Managed Care Department for Underpayment Analysis + Works with… more