• Senior Payer Analyst

    Hartford HealthCare (Wethersfield, CT)
    …is *yourmoment.* **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* ... Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling process for...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops payment related… more
    Hartford HealthCare (02/08/24)
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  • Managed Care Financial Analyst Sr

    BayCare Health System (Clearwater, FL)
    …of trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr. performs financial analyses of ... Excel during the contract negotiation process. + Serves as Primary Contact for contract/ managed care payer claims and operational issues resolution for assigned… more
    BayCare Health System (02/28/24)
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  • Managed Care Database Administ…

    Hartford HealthCare (Wethersfield, CT)
    …Structure Query Language (MSSQL) Database skills to lead/execute the development of the complex Managed Care / Payer Analytics platform. The Payer Analytics ... *Job Title of Individual(s) Reports To:* Sr Director of Managed Care Payer Relations** . *# Workers...In-Direct Reports: 1 . *Nature of Supervision:* o Business Analyst supporting database who completes refreshes and scheduled/adhoc reporting… more
    Hartford HealthCare (03/30/24)
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  • Financial Analyst II for Payor Contracting

    Children's Hospital Boston (Boston, MA)
    …and modeled + Assists Analyst I in compiling quarterly and annual Hospital/ physician fee schedules by payer contracts + Creates, organizes, and maintains ... 73900BRJob Posting Title:Financial Analyst II for Payor ContractingDepartment:Finance Case Mix Reimb...models to support various reporting and contracting needs, including payer contract negotiations on behalf of the Hospital, Physicians'… more
    Children's Hospital Boston (02/26/24)
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  • Compliance Analyst

    Universal Health Services (Reno, NV)
    …across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare ... patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Compliance Analyst provides support to the organization to execute key initiatives… more
    Universal Health Services (03/29/24)
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  • Variance Analyst - Central

    Universal Health Services (Richmond, VA)
    …Position Requirements: + Proactive, assertive articulates knowledge and understanding of payer claims processing philosophies. + Understands complex managed care ... and ambulatory care access points, an insurance offering, a physician network and various related services located all over...Region CBO is seeking a dynamic and talented Variance Analyst - Central The primary responsibility of the Variance… more
    Universal Health Services (04/12/24)
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  • Enrollment and Billing Analyst

    Universal Health Services (Reno, NV)
    …across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare ... Learn more at: https://prominence-health.com/ Job Summary: The Enrollment & Billing Analyst for Membership Enrollment and Premium Billing plays a crucial role… more
    Universal Health Services (03/29/24)
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  • Revenue Integrity Analyst II

    Tufts Medicine (Burlington, MA)
    …build and charge capture processes, and methodologies are aligned with payer expectations. **Minimum Qualifications:** 1. Bachelor's degree in Business, Healthcare, ... and Medicare LCD/NCDs, and reimbursement standards (DRG, OPPS, HCC, and managed care). **Preferred Qualifications:** 1. Applicable Certifications: CPC, CCS, CHRI,… more
    Tufts Medicine (04/27/24)
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  • Population Health Quality Coordinator

    Universal Health Services (Enid, OK)
    Responsibilities St. Mary's Physician Associates is a multi-specialty group of employed physicians and midlevel providers that serve a ten-county area in NW ... clinics in Hennessey, Fairview, Okeene, Woodward, and Ponca City. St. Mary's Physician Associates is affiliated with St. Mary's Regional Medical Center, a 229-bed… more
    Universal Health Services (03/29/24)
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  • Pop Health Quality Coordinator Administration

    Universal Health Services (Aiken, SC)
    …Coordinator, under the direction of the Quality Coordinator RN/Quality Improvement Analyst and Market Leadership is responsible for leading the quality improvement ... alike on meeting quality goals + Continuous learning of payer quality programs + Works collaboratively with payers to...and ambulatory care access points, an insurance offering, a physician network and various related services located all over… more
    Universal Health Services (03/29/24)
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