- Daiichi Sankyo, Inc. (Bernards, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... is primarily responsible for monitoring / auditing HCP (Health Care Provider) activities for all engagements pertaining to their...HCP Meetings, verify that all MCA & RFS are managed according to DSI Policy and fully executed prior… more
- Monster (Philadelphia, PA)
- …will have:Bachelor's degree or equivalent work experience, with a minimum of 3 years in managed care , health care , or related field. Experience in compliance ... Innova Solutions is immediately hiring for a Regulatory Compliance Analyst Position type: Fulltime - Contract to...with health insurance operations and regulations (especially the Affordable Care Act). A JD or legal research experience are… more
- Monster (Bernards, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... is primarily responsible for monitoring / auditing HCP (Health Care Provider) activities for all engagements pertaining to their...HCP Meetings, verify that all MCA & RFS are managed according to DSI Policy and fully executed prior… more
- RWJBarnabas Health (Oceanport, NJ)
- …the candidate's educational background, skills and professional experience, Job Overview: The Senior Managed Care Analyst assists with aspects of the ... Job Title:Senior Analyst Location:System Business Office Department Name: Managed Care Req #:0000205920 Status:Salaried Shift:Day Pay...modeling contract rates using EPIC throughout the managed care contract negotiation process,… more
- Cedars-Sinai (Beverly Hills, CA)
- …or related field of study **Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid **Department** : MNS Accounting **Business ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- Gilead Sciences, Inc. (Foster City, CA)
- …to take the lead in managing Gilead's day-to-day administration and processing of all Managed Care Commercial/Medicare Part D contract payments, in support ... of the contract development activities of the Managed Markets Strategy & Operations group. This group is...managing and supporting Gilead's strategies with national and regional Managed Markets accounts in order to provide appropriate patient… more
- Atrius Health (Newton, MA)
- …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst * **Location:** *Newton ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
- Molina Healthcare (MI)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + Must ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… more
- HCA Healthcare (Houston, TX)
- …be a part of our team. **Job Summary and Qualifications** Seeking a Contract Analyst , who is responsible for translating managed care terms and model ... join an organization that invests in you as a Contract Analyst ? At Parallon, you come first....**What you will do in this role:** + Model managed care contracts through the Concuity Calc… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Bachelor's Degree and three (3) years' of healthcare experience in Managed Care Contracting, Hospital Reimbursement, Professional Reimbursement, Denials, and/or ... **Description** The ** Contract Implementation Analyst - Reimbursement** reduces...Experience considered. 3. Ten (10) years' of experience in Managed Care Contracting, Hospital Reimbursement, Professional Reimbursement,… more
- US Physical Therapy (Houston, TX)
- …** Contract Manager/ Analyst .** This is a dual role that will support the ** Managed Care Operations Team** . The person in this role should have experience ... in Managed Care , WC, Replacements & Auto lines...care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation analysis to support… more
- MyFlorida (Tallahassee, FL)
- …analyzing results and findings and developing compliance actions as prescribed in the managed care contract (eg, corrective action plans, sanctions, ... 68022205 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Sep 12,...Agency's contract managers responsible for the Medicaid managed care plan contract (s). The… more
- AdventHealth (Maitland, FL)
- …+ The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, and ... Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care ...service and maintain relationships with clients who include AH Managed Care Directors, Contract Denial… more
- CommonSpirit Health (Englewood, CO)
- … modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and… 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 ... financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst … more
- Teva Pharmaceuticals (Parsippany, NJ)
- …(PDL) to validate product placement complies with all terms and conditions of the managed care contract . Using critical thinking skills and data analytics, ... 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
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** - Candidate must reside in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... - National Committee for Quality Assurance (NCQA) accreditation experience - Medicaid managed care experience - Master's Degree **Education** Bachelor's Degree… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is...the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will… more
- CommonSpirit Health (Phoenix, AZ)
- …Strategic Initiatives Analyst plays a critical role in advancing CommonSpirit Health's managed care strategy through a blend of financial analysis, payer ... contract modeling, and strategic insights. Payer Analytics Initiatives is...Medicare, Medicaid, Health Insurance Exchange plans, and more. The Analyst leverages analytical tools such as PIC and EPIC,… more
