- 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
- 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
- Insight Global (Edison, NJ)
- …proper billing and collection processes. This person will work with the managed care department to collect all negotiated payer contracts to then analyze and ... Description Insight Global Health is looking for an EPIC Contracts Analyst for our Healthcare client based... contracts - Bachelors degree - Experience with Managed Care teams - Alteryx software experience… 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
- 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 (Indianapolis, IN)
- **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
- Teva Pharmaceuticals (Parsippany, NJ)
- …experience. + Minimum 4 years Pharmaceutical experience; Experience with Managed Care Rebate Processing, Rebates Disputes, Contract Terms + Strong analytical ... Manager, Managed Care Rebates - Parsippany, NJ...Contracts Team and Legal in development of complex contract terms and conditions impacting Claims Administration + Interprets… 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: Apr 26,...and home and community-based waivers), administrative rules, coverage policies, managed care plan contracts , bill… more
- AdventHealth (Maitland, FL)
- …Must be able to complete extensive and complex financial and operational analyses of managed care contracts and proposals, analyze fee schedules, and ... determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in...analyze data from various sources using knowledge of healthcare managed care contracts and healthcare… more
- CommonSpirit Health (Englewood, CO)
- …and pricing expertise for the evaluation, negotiation, implementation and maintenance of managed care contracts between CommonSpirit Health providers and ... Analyst , Payer Analytics & Economics performs complex managed care payer financial analysis, strategic pricing... contract modeling strategy and consolidation for large managed care payer negotiations. Act as a… more
- Federal Reserve System (Richmond, VA)
- …National Procurement Office (NPO) has an immediate opening for an experienced Senior Contracts and Sourcing Analyst . In the role, you will independently draft, ... including identifying and mitigating potential risks and exposure concerns. The Senior Contracts and Sourcing Analyst reports to a Senior Manager. **What… more
- RWJBarnabas Health (Oceanport, NJ)
- …degree in finance or accounting required. + Experience working with complex and sophisticated managed care contracts . + Strong analytical skills with ability ... lead on modeling contract rates throughout the managed care contract negotiation process....cost-based audit reviews. + Supports the loading of payor contracts into the contract management system and… 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
- 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), ... The Behavioral Health Services (BHS) Deputy Medical Director of Managed Care provides effective leadership and strategic...Health Plan and the Drug Medi-Cal Organized Delivery System contracts with the Department of Health Care … more