- Molina Healthcare (Georgetown, KY)
- …with Provider reimbursement data. + Working on Provider analytics in a healthcare or managed care environment is required. + Experience working on SQL, Excel , ... tracking and trending based on project specifications. + Collects and documents report / programming requirements from requestors to ensure appropriate creation of… 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 ... 68064836 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Sep 18,...Managed Care (SMMC) program. The bureau's primary...a remote or telework position; it will have to report to a Field Office or the Headquarters in… more
- City and County of San Francisco (San Francisco, CA)
- Behavioral Health Services (BHS) is increasingly expanding services under its Managed Care division which oversees the Office of Coordinated Care (OCC), ... psychiatric services. The Behavioral Health Services (BHS) Deputy Medical Director of Managed Care provides effective leadership and strategic direction in the… more
- MyFlorida (Tallahassee, FL)
- …and guidelines. - Assist in the development of policy language for: the Medicaid managed care report guide, Medicaid contracts and amendments; Dear ... 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Sep 19,...home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug… more
- LA Care Health Plan (Los Angeles, CA)
- …in designing, developing, generating and analyzing ad hoc/production reports in Healthcare/ Managed Care setting. Preferred: Experience as a Clinical Data ... tasks including data quality assurance, process programming, specification documentation and report developing. The Clinical Data Analyst III designs, develops,… more
- LA Care Health Plan (Los Angeles, CA)
- …small scale technical solutions to streamline operational processes. Must have Managed Care experience. Preferred: Medicaid, Medicare experience. Skills ... Technical Project Analyst II Job Category: Administrative, HR, Business Professionals...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Commonwealth of Pennsylvania (PA)
- …Analyst . As a member of our team, you will provide technical support for managed care programs within the Office of Medical Assistance Programs. Apply today ... involved in the operational procedures established for the identification and management of managed care enrolled populations. You will serve as the interface… more
- Martin's Point Health Care (Portland, ME)
- …to reporting and analysis of health care data ideally in the areas of managed care , health care delivery, code sets, and/or reimbursement + Experience in ... Join Martin's Point Health Care - an innovative, not-for-profit health care...Position Summary **NEW REMOTE POSITION** The Senior Risk Adjustment Analyst analyzes data, reviews findings, and develops recommendations for… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...Mount Sinai Health System. MSHP seeks a **Senior Contracting Analyst ** to analyze and report the financial… more
- Mount Sinai Health System (New York, NY)
- …or medical economics departments or healthcare provider analytics related to managed care contracting, population management, clinical or financial decision ... **Job Description** The Lead Data Science Analyst is a senior-most analyst , collaborating...as scheduled or requested. 11. Engages with the MSHP Managed Care Contracting and Commercialization teams and… more
- University of Miami (Medley, FL)
- …reimbursement for all payers, and develops recommendations for optimal managed care reimbursement. The Revenue Cycle Payer Relations Analyst will also ... exciting opportunity for a Full-Time Revenue Cycle Payer Relations Analyst to work Remote. The Revenue Cycle Payer Relations...the revenue stream. + Analyzes and monitors payer trends, managed care contract compliance, contract and payer… more
- MyFlorida (Tallahassee, FL)
- …the development of policy language for: Medicaid contracts and amendments, Medicaid managed care report guides, contract interpretations, policy ... 1115 waivers and home and community-based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review… more
- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- …ID:** J0924-0171 **Employment Type:** Full Time **Position Description:** Working as a Managed Services Cloud Technical Analyst to play an instrumental role ... **Cloud Technical Analyst ** **Category:** Business Analysis (functional and technical) **Main...in CGI All Payments solution managed services in a MS Azure / Amazon AWS… more
- MyFlorida (Tallahassee, FL)
- …of Florida's Medicaid program to federal and state agencies, Medicaid recipients, Medicaid managed care plans, and providers. The Bureau of Medicaid Quality has ... other healthcare systems. * Knowledge of practical social services, public health, or managed care . * Knowledge of basic management principles and practices. *… more
- HCA Healthcare (Brentwood, TN)
- …where diversity and inclusion thrive? Submit your application for our Sr Product Analyst opening with HCA Healthcare today and find out what it truly means ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...vary by location._** We are seeking a Sr Product Analyst for our team to ensure that we continue… more
- Corcentric (Cherry Hill, NJ)
- …improvements to the Managed Services leaders. + Regularly monitor, analyze and report on a range of operational and tactical procurement KPIs' and other success ... As a Procurement Analyst at Corcentric, you will join a fun,...position reports to the Manager, Procurement Operations within our Managed Services team. We're a dedicated, down-to-earth group in… more
- Mount Sinai Health System (New York, NY)
- … Analyst initiates systems to capture all inpatient and outpatient charges. Monitors managed care , commercial and federal contracts to assure the recovery of ... **Job Description** Reimbursement Analyst -Hybrid 150 East 42nd Street The Reimbursement...that updated fee schedules for Medicare, Medicaid, commercial and managed care carriers are correctly entered in… more
- Independent Health (Buffalo, NY)
- …of degree. + Three (3) years of analytics experience required. Experience in a managed health care environment preferred. + Knowledge of Independent Health EDW, ... and maintain innovative data-driven solutions to enhance quality of care , address health disparities, reduce costs, optimize clinical operations,...Review and validate data and findings prior to releasing report to Q/A analyst and customer to… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... experience and attention to detail. Knowledge of capitation and managed care is a plus. **Position Summary:**...analysis and evaluation of business data processes and define report and data requirements. They will perform quality checks… more