- 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 ... This position is primarily responsible for monitoring / auditing HCP (Health Care Provider) activities for all engagements pertaining to their travel and/or… 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 ... 07757 Job Title:Senior Analyst Location:System Business Office Department Name: Managed Care Req #:0000205920 Status:Salaried Shift:Day Pay Range: $62,476.00… more
- Cedars-Sinai (Beverly Hills, CA)
- …decision-makers. + Lead complex or special assignments related to managed care financial analysis. + Provide analytic support across various departments and ... field of study **Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid **Department** : MNS Accounting **Business Entity** :… more
- Gilead Sciences, Inc. (Foster City, CA)
- …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 ... responsible for managing and supporting Gilead's strategies with national and regional Managed Markets accounts in order to provide appropriate patient access to… 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
- Insight Global (Los Angeles, CA)
- …Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements * 5+ years health care IT experience in Managed Care Reporting ... Job Description The Business Systems Analyst (BSA) will be a member of Decision Support Services Team at FPG. The BSA acts as liaison among stakeholders in order… more
- Molina Healthcare (MI)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to support the department's goals. + Develops and generates ad-hoc and standard… more
- Molina Healthcare (Long Beach, CA)
- …reports or processes. + Implements and uses the analytics software and systems to support the departments goals. + Must have member movement or PCP reassignment or ... Must have intermediate level MS Excel experience, + Familiarity with Enrollment and Managed Healthcare experience is required. + Must be able to research and analyze… more
- AdventHealth (Maitland, FL)
- …Governmental (Medicare, Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care staff in all ... revenue targets developed by the Regional Managed Care Directors and Contract negotiators. ** Support -10%** +...Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies,… 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 ... analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial… more
- CommonSpirit Health (Englewood, CO)
- …contract modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... serve and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position… 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...to Work" since 2015. Position Summary The Risk Adjustment Analyst provides analytic, technical, and decision support … more
- MyFlorida (Tallahassee, FL)
- …of Floridians' health, health care services and costs, and is vital to managed care rate setting, health care economics, and health plan evaluation. ... 68064839 - SENIOR DATA BASE ANALYST Date: Aug 29, 2025 The State Personnel...agency, or within AHCA for accuracy and consistency. *Review managed care rates to determine compliance with… more
- Intermountain Health (Salt Lake City, UT)
- …line leadership or both for needed edits. Cases scheduled without procedure cards will be managed by the Analyst who will build or attach the appropriate card. ... of effective operating room procedure card processes for their care site(s). The focus of this role includes daily...**OR Leadership Support ** . Analyst will attend weekly huddles… more
- The County of Los Angeles (Los Angeles, CA)
- …effectiveness, ensuring regulatory compliance, and promoting health equity within the managed care framework. DEFINITION: Under immediate supervision, assists in ... PREDICTIVE DATA ANALYST / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4775405) Apply PREDICTIVE DATA … more
- The County of Los Angeles (Los Angeles, CA)
- …and achieve beneficial system transformation. + Cultivate and grow relationships with Medi-Cal Managed Care Plans to implement core CalAIM components related to ... Health, and Department of Mental Health), and across the social service systems to support delivery of effective care that improves lives and outcomes. This… more
- Idaho Division of Human Resources (ID)
- Business Analyst - MED Posting Begin Date: 2025/09/08 Posting...support to ensure smooth operation of meetings. + Support the CMS Managed Care ... + Support the standardization of Quality Assurance and Performance Improvement across managed care programs and data dashboards to track key quality and… 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
- HCA Healthcare (Houston, TX)
- …Qualifications** Seeking a Contract Analyst , who is responsible for translating managed care terms and model relevant parameters in Concuity/Clear Contracts ... an organization that invests in you as a Contract Analyst ? At Parallon, you come first. HCA Healthcare has...**What you will do in this role:** + Model managed care contracts through the Concuity Calc… more
- S&P Global (New York, NY)
- …accuracy. + Make presentations of original, non-routine analysis to the index committee in support of the indices which the index analyst is responsible + Take ... **Grade Level (for internal use):** 10 **The** **Role:** Index Analyst **The Team:** The Factor Index Management team is...global indices. They will ensure that the indices are managed in accordance with their methodology, perform routine analysis… more
