- 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
- 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
- J&J Family of Companies (Raritan, NJ)
- … is responsible for supporting the contracting needs for Pharmacy Benefit Managers (PBM), Managed Care Organizations (MCO) and Long Term Care (LTC) GPOs ... Sr. Analyst , Managed Markets & Specialty -...care , and develop innovative solutions that improve patient care and access. Enterprise Contract Management (ECM)… 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr. Contract Compliance Analyst III Date: Apr...placement complies with all terms and conditions of the managed care contract . Using critical ... 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
- Elevance Health (Wilmington, DE)
- …you a check, or ask you for payment as part of consideration for employment. **Provider Contract /Cost of Care Analyst Sr.** + Job Family: RDA > Health ... Ohio, Mason + Delaware + Indiana, Indianapolis **Description** **Provider Contract /Cost of Care Analyst Sr.**...minimum of 3 years of experience in broad-based analytical, managed care payor or provider environment as… 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: Apr 26,...and 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
- 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
- LA Care Health Plan (Los Angeles, CA)
- …experience in contract and/or regulatory and/or accreditation requirements analysis in managed care or other related industry; or, experience in external ... Operational Assurance Business Analyst III Job Category: Administrative, HR, Business Professionals...complex business setting, local, State, or Federal government entity, managed care , or other related industry. Skills… more
- HCA Healthcare (Nashville, TN)
- …the Legal Department to support all phases of the arbitration and/or litigation of managed care disputes. This paralegal position will have responsibility for a ... wide variety of managed care litigation tasks, including: handling service...attorneys currently are supported by one litigation paralegal, one analyst and eight contract attorneys. Litigation paralegals… 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...Apply today for immediate consideration! The Senior Risk Adjustment Analyst in our Health Plan analyzes data, reviews findings,… more
- University of Miami (Medley, FL)
- …to resolve issues related to the revenue stream. + Analyzes and monitors payer trends, managed care contract compliance, contract and payer yield and ... reimbursement for all payers, and develops recommendations for optimal managed care reimbursement. The Revenue Cycle Payer Relations Analyst will also… more
- LA Care Health Plan (Los Angeles, CA)
- Revenue Financial Analyst III Job Category: Accounting/Finance Department: Medical Payment System & Services Location: Los Angeles, CA, US, 90017 Position Type: Full ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...to achieve that purpose. Job Summary The Revenue Financial Analyst III is responsible for the daily management of… more
- Community Health Network (Indianapolis, IN)
- …provider contracting and contract review. + Maintains current knowledge of the Managed Care environment and payer partners. + Communicates information to the ... Provider Relations Analyst - Community Health Direct Job Ref 2402856...necessary for effective customer partnerships. + Knowledge of contracts, contract negotiations, and general managed care… more
- Idaho Division of Human Resources (Boise, ID)
- …topics such as hospitals, home health agencies, health clinics, Durable Medical Equipment, primary care , fee schedules, managed care , value care , ... Financial Specialist Sr. - Medicaid Reimbursement Analyst Posting Begin Date: 2024/04/23 Posting End Date:...to healthcare billing and coding, Medicaid reimbursement activities, value care and managed care . +… more