- Northeast Georgia Health System, Inc (Gainesville, GA)
- …managed care payors to resolve claims and related issues in order to enhance managed care contract performance. Supports multiple managed care ... but not limited to Epic data integrity, contract management system integrity, managed care contract negotiations, and managed care payer… more
- e CancerCare (Nashville, TN)
- …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... Job Purpose: Contract Analyst will be responsible for...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
- Northern Light Health (Brewer, ME)
- …member organizations. Reporting to the Manager of Payer Strategy & Managed Care Operations (PSMCO), the Contract Analyst will collaborate with PSMCO ... recommend solutions that are both practical and innovative. The Contract Analyst , with support from the Manager,...Monitors contract performance and payer compliance with Managed Care contracts. * Assists in providing… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and initiating payment to customers within contractual guidelines. + The Managed Care Rebate Analyst must interpret contract language and input and ... Managed Care Analyst Date:... Managed Care Analyst Date: May 21, 2024...completeness. + Analyzes and resolves disputes with accounts involving contract interpretation or processing issues. Engages Managed … more
- Bon Secours Mercy Health (Cincinnati, OH)
- …US (not just OH). **ESSENTIAL JOB FUNCTIONS** + Consults, contributes and participates in managed care contract negotiations for assigned payers (moderate to ... recognized for clinical and operational excellence. **SUMMARY** The Senior Analyst , Managed Care Analytics and...contract modeling systems. + Prior experience with health care reimbursement operations is preferred (eg revenue cycle on… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr. Managed Care Analyst Date: May...placement complies with all terms and conditions of the managed care contract . Using critical thinking ... the position is to identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with the Teva Market Access… more
- Hartford HealthCare (Wethersfield, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** ... *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- BayCare Health System (Clearwater, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr. performs financial ... negotiation process. + Serves as Primary Contact for contract / managed care payer claims and...be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Managed Care Financial Analyst Sr… more
- Queen's Health System (Honolulu, HI)
- …team to negotiate optimal contractual agreements. * Responsible for maintenance of contract modules. * Serves as a liaison with selected payers to promote ... A. EDUCATION/CERTIFICATION AND LICENSURE: * Bachelor's degree in Business, Finance or Health Care Administration or four (4) years with health care provider or… more
- Elevance Health (Columbia, MO)
- **Provider Contract Cost of Care Analyst...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as ... Health PulsePoint locations. **Preferred Location:** Columbia, MO. The **Provider Contract Cost of Care Analyst **...Columbia, MO. The **Provider Contract Cost of Care Analyst ** is responsible for providing analytical… more
- Elevance Health (Chicago, IL)
- **Provider Contract / Cost of Care Analyst Senior** **Location:** Indianapolis, IN. This position will work a hybrid model (remote and office). The Ideal ... one of our Elevance Health PulsePoint locations. The **Provider Contract / Cost of Care Analyst...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
- Elevance Health (Wilmington, DE)
- **Provider Contract /Cost of Care Analyst ...minimum of 3 years of experience in broad-based analytical, managed care payor or provider environment as ... within 50 miles of one of our PulsePoint locations. The **Provider Contract , Cost of Care Analyst Sr** is responsible for analyzing, reporting, and… more
- CommonSpirit Health (Englewood, CO)
- …terms in collaboration with revenue cycle partners. + Ability to identify and rectify contract compliance issues with managed care payers by leveraging ... effectively communicate issues to internal department leads, revenue cycle vendors, and managed care payers for meaningful resolution and revenue realization.… more
- The Cigna Group (Plano, TX)
- …skills to include written, oral, and group presentation. + Understanding of managed care business processes, data, systems, and applications for claims ... data analysis required. Experience with trend analysis and health care provider contract analysis preferred. + Familiarity with various data mining and… more
- MyFlorida (Tallahassee, FL)
- …Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid ... 68064249 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: May 15,...Managed Care (SMMC) program. The bureau's primary...of Plan Management. This position serves as a D-SNP Contract Manager and the lead point of contact for… more
- MyFlorida (Tallahassee, FL)
- … managed care report guide, Medicaid contracts and amendments; Dear Managed Care Plan letters, contract interpretations, policy transmittals, and ... 68064828 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: May 22,...home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug… more
- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed, ... Query Language (MSSQL) Database skills to lead/execute the development of the complex Managed Care / Payer Analytics platform. The Payer Analytics team is… more
- AdventHealth (Maitland, FL)
- …ethic, trainability, communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both ... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst ...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract … more
- CommonSpirit Health (Englewood, CO)
- …**UMMARY** The Senior Analyst , Payer Analytics & Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... reimbursement and market share. Provides mentorship and guidance of Analyst contract modeling. Provides analysis findings and... contract modeling strategy and consolidation for large managed care payer negotiations. Act as a… more
- HCA Healthcare (Nashville, TN)
- …and prevention of denials, payment discrepancies and other claims adjudication issues from HCA's managed care book of business. Note: This is a position within ... that invests in you as a Payer Engagement Senior Analyst ? At HCA Healthcare, you come first. HCA Healthcare...Years of relevant experience + Bachelor's Degree Preferred + Managed Care or Revenue Cycle experience, specifically… more
