- Ewings Associates (Baltimore, MD)
- …skills and experience. Keywords: VP of Revenue Cycle Operations, Director of Revenue Cycle, Managed Care Contract Analyst , Healthcare Financial ... Network Strategy, Value-Based Care , Reimbursement Modeling, Claims Data Analyst , Contract Negotiation, DRG/APC Modeling, Population Health Analytics, Payer… more
- Ohio Department of Aging (Columbus, OH)
- OPRAS is seeking a senior level contract analyst . This position is considered advanced and requires strong analytical skills and the ability to manage multiple ... are not limited to the following: As an Insurance Contract Analyst 5, your key responsibilities would...lines) pertinent to assigned division (eg, for positions in managed care division, exp. must be in… more
- US Physical Therapy (Houston, TX)
- …contracting within closed networks Interprets managed care contracts and government reimbursement methodologies to create contract modeling calculation. ... a positive attitude to join our company as a Contract Manager/ Analyst . This is a dual role...This is a dual role that will support the Managed Care Operations Team . The person… more
- Raytheon Technologies (Seminole, FL)
- …for a security clearance Security Clearance: DoD Clearance: Secret Raytheon Company, Managed by Collins Aerospace We are currently seeking a Principal Program Cost ... Controls Analyst to join our team. This position will interact...within the SCS organization, including Program Management, Engineering, Finance, Contracts and Operations and is therefore an excellent position… more
- City of Virginia Beach (Virginia Beach, VA)
- …including "One of the Best Places to Live in America," one of the "Top Five Best Managed Cities in the Nation," and according to the Wall Street Journal - one of the ... part of a team that is delivering vital services. Budget & Administrative Analyst in the Engineering Support Division will conduct in-depth research and perform… more
- Insight Global (Cleveland, OH)
- …working closely with executive leadership Domain knowledge of CMS guidelines and Managed Care Organizations' end to end process for Medicare/Medicaid/Dual ... IMO Implementations that align with those listed in the contract , contract amendment etc. 2. Add templates...and features to be passed off to a systems analyst who will write the user stories for the… more
- Cigna (Richmond, VA)
- …Experience in developing and managing relationships Understanding and experience with hospital, managed care , and provider business models a plus Team player ... Providers 3 days per week The Provider Contracting Lead Analyst serves as an integral member of the Provider...Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. Creates "HCP"… more
- Methodist Health System (Dallas, TX)
- …Net Revenue generation for contracted plans for the health system Supports the managed care division's initiatives through analysis and performs forecasts on the ... impact of reimbursement terms during contract negotiation process *Develops and produces financial reports on a periodic and ad-hoc basis for management. Monitor and… more
- Chicago Housing Authority (Chicago, IL)
- …for capital construction related activities. The Contract Manager ensures that contracts and agreements are executed and managed in compliance with CHA ... Manager contributes to implementing and managing Capital Construction contracts . They are responsible for cradle-to-grave contract ...also requires a minimum of five (5) years of contract management, audit, analyst , procurement, or finance… more
- Elevance Health (Las Vegas, NV)
- …United States required. Licensure is a requirement for this position. Prior managed care experience required. Previous experience in case management/utilization ... Anticipated End Date: 2025-08-01 Position Title: Behavioral Health Care Manager II - Nevada Job Description: Position specific details: The successful candidate will… more
- Sherwin-Williams (Cleveland, OH)
- …and service providers. This includes working to address support issues, contract renewals / discrepancies, bi-weekly meetings, Quarterly Business Reviews, etc. Track ... in a Security Operations Center (SOC) or working with a Managed Security Service Provider (MSSP) Supervisory and/or Management experience preferred. Budget… more
- TriWest Healthcare (Phoenix, AZ)
- …principles; HIPAA Privacy and Security regulations; URAC accreditation standards, Managed Care concepts; community resources; alternative funding programs; ... WA, WI & WY only). Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD...umbrella, specifically supporting TRICARE beneficiaries seeking benefits under Extended Care Health Option (ECHO) and Autism Care … more
- Management Applications, Inc. (Des Plaines, IL)
- …for Cook County Hospital Entity Management Applications, Inc., a leading provider of Managed IT Services is seeking high-level IT professionals to support a ... contract serving a Hospital Entity in Cook County, IL....high availability of information required to provide effective patient care ; Secure immediate access to technical expertise. The Entity… more
- RWJBarnabas Health (Oceanport, NJ)
- Senior Managed Care Analyst (Hybrid/Remote) - Oceanport, NJReq #:0000205920 Category:Professional / Management Status:Full-Time Shift:Day ... background, skills and professional experience, Job Overview: The Senior Managed Care Analyst assists with...cost-based audit reviews, + Supports the loading of payor contracts into the contract management system and… 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
- Teva Pharmaceuticals (Parsippany, NJ)
- …and initiating payment to customers within contractual guidelines. + The Managed Care Rebate Analyst must interpret contract language and input and ... Managed Care Rebate Analyst ... Managed Care Rebate Analyst - Hybrid Date:...completeness + Analyzes and resolves disputes with accounts involving contract interpretation or processing issues; engages Managed … more
- Cedars-Sinai (Beverly Hills, CA)
- …and financial metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, ... modeling and forecasting to assess the impact of proposed contract changes and new initiatives. + Monitor and evaluate...**Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid… 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
- Premier Health (Dayton, OH)
- …**REMOTE: This position will work-from-home. However, successful candidate must live in Ohio** The Managed Care Contract Analyst is responsible for ... analyzing financial and operational data related to managed care contracts for Premier...hospitals and physician organizations. The Liaison interprets and researches managed care contract language and… more
- Aston Carter (Los Angeles, CA)
- … contract changes and new reimbursement models. Your role involves analyzing managed care contracts to ensure financial optimization and compliance, ... and contract performance. You will support cross-functional teams with managed care analytics and forecasting, ensuring compliance with federal/state… more
