- 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
- 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
- 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
- Bon Secours Mercy Health (Cincinnati, OH)
- …as well as the monitoring and management of financial performance data related to managed care contracts (Commercial and Government) for the Bon Secours ... **ESSENTIAL JOB FUNCTIONS** + Consults, contributes and participates in managed care contract negotiations for...performance, service volume and key utilization data of assigned managed care contracts . Develops and… 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
- 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.... Maintain various department spreadsheets and databases. . Review managed care payer contracts with… more
- Queen's Health System (Honolulu, HI)
- …* Assists in development, maintenance and administration of the medical centers' contracts with health insurers for services provided to members. * Performs ... negotiate optimal contractual agreements. * Responsible for maintenance of contract modules. * Serves as a liaison with selected...LICENSURE: * Bachelor's degree in Business, Finance or Health Care Administration or four (4) years with health … more
- Northern Light Health (Brewer, ME)
- …management. Responsibilities: * Monitors contract performance and payer compliance with Managed Care contracts . * Assists in providing gap analysis ... the Manager of Payer Strategy & Managed Care Operations (PSMCO), the Contract Analyst...priorities simultaneously. * Reviews and analyzes operational effectiveness of Managed Care contracts . * Compiles… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …of insurance concepts, plan administration, planning, principles, and managed care delivery systems. **Provider Network Performance Analyst III** **Education ... + Strong knowledge of insurance concepts, plan administration, planning, principles, and managed care delivery systems. + Knowledge of common/standard Value… more
- Federal Reserve System (Richmond, VA)
- …goods and services. Facilitate contract reviews with internal stakeholders. The Senior Contracts Analyst reports to a Senior Manager. **What You Will Do:** + ... (NPO) has an immediate opening for an experienced Senior Contracts Analyst . In the role, you will...and negotiate complex, custom, high dollar, high visibility IT contracts , including professional services agreements, managed services… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to federal and sponsoring agencies. + Other duties may include reviewing contracts , maintaining grant and contract files, reviewing invoices, monitoring accounts ... ensuring compliance with contract regulations and reporting requirements, and closing out contracts . + Perform other duties as assigned. + This is a central job,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to federal and sponsoring agencies. + Other duties may include reviewing contracts , maintaining grant and contract files, reviewing invoices, monitoring accounts ... with contract regulations and reporting requirements, and closing out contracts . + Perform other duties as assigned. MINIMUM QUALIFICATIONS: + Bachelor's degree… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …compliance with contract regulations and reporting requirements, and closing out contracts . + May supervise professional staff. + This is a central job, ... community. **Description** We're expanding our team! Emory's Research Grants & Contracts Office, the university's central financial post award administration office,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Reporting to the Award Manager in the Office of Research, Grants and Contracts (RGC), reviews, interprets, and enters award setup data integral to the complex ... staff in the Office of Sponsored Programs (OSP), ensuring accuracy of contract /award interpretation, detailed budgets, and PeopleSoft data entry. + Specializes in… 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 ... position of assigned markets through analysis of healthcare provider contracts , data drill downs of contract trend...data analysis required. Experience with trend analysis and health care provider contract analysis preferred. + Familiarity… more
- MyFlorida (Tallahassee, FL)
- … care report guide, Medicaid contracts and amendments; Dear Managed Care Plan letters, contract interpretations, policy transmittals, and provider ... 68064828 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: May 22,...home and community based waivers), administrative rules, coverage policies, managed care plan contracts , bill… more