- Staffing Now (Carson City, NV)
- …broad range of experience with complex psychiatric/substance abuse cases required. Prior managed care experience required. For URAC accredited areas, the ... expertise to ensure our members are directed to the appropriate level of care . Will be Responsible for managing psychiatric and substance abuse or substance abuse… 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...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …in the disputes process. **How you'll spend your day** * The Senior Managed Care Rebate Analyst must interpret contract language and input and maintain ... Senior Managed Care Rebate Analyst ...Senior Managed Care Rebate Analyst Date: Sep 13,...requirements * Analyzes and resolves disputes with accounts involving contract interpretation or processing issues; engages Managed … more
- Nuvance Health (Danbury, CT)
- *Description* Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and reimbursement data to aid in contract negotiations for ... entities. In addition to gathering volume data and modeling of current reimbursement, the Managed Care Analyst determines the need for methodology changes… more
- Queen's Health System (Honolulu, HI)
- …team to negotiate optimal contractual agreements. * Responsible for maintenance of contract modules. * Serves as a liaison with selected payers to promote ... A. EDUCATION/CERTIFICATION AND LICENSURE: * Bachelor's degree in Business, Finance or Health Care Administration or four (4) years with health care provider or… more
- Elevance Health (Columbus, OH)
- **Provider Contract /Cost of Care Analyst ...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as ... trend drivers and support initiative design for remediation. The **Provider Contract /Cost of Care Analyst Senior** provides analytical support to the Cost… more
- Elevance Health (Miami, FL)
- **Provider Contract /Cost of Care Analyst ...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as ... within 50 miles of one of Elevance's Pulse Point locations. **The Provider Contract /Cost of Care Analyst Sr.** is responsible for analytical support to the… more
- Elevance Health (Grand Prairie, TX)
- **Provider Contract /Cost of Care Analyst ...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as ... 50 miles of one of Elevance's Pulse Point locations. The **Provider Contract /Cost of Care Analyst Senior** is responsible for providing analytical support to… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …to formulary access and tier position for biosimilars and pharmacy drugs (Medical Claims/ Managed Care ), and Pharmaceutical contract language. Ability to ... Sr. Contract Compliance Analyst Date: Sep 18,...identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with… more
- Elevance Health (Mason, OH)
- **Provider Contract Analyst Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of ... Louis, MO, Grand Prairie, TX, Iselin, NJ. The **Provider Contract Analyst Senior** is responsible for providing...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
- Pacificorp (Portland, OR)
- Power Purchase Contract Management Analyst (Portland, OR) - 112644 **Date:** Sep 14, 2024 **Location:** PORTLAND, OR, US, 97232 **Company:** PacifiCorp ... purchase agreements. **Responsibilities of this position include the following:** ** Contract Project Management / Long-Term Renewable Power Purchase Agreements** +… more
- AdventHealth (Maitland, FL)
- …vendors, and leadership after identifying and quantifying the issue. * Supports the Managed Care Contract Administration, AH Central Denials team, and ... issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst . * Responsible for...contract management systems as they relate to building managed care government and state contracts. *… more
- MyFlorida (Tallahassee, FL)
- …analyzing results and findings and developing compliance actions as prescribed in the managed care contract (eg, corrective action plans, sanctions, ... 68064836 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Sep 18,...Agency's contract managers responsible for the Medicaid managed care plan contract (s). The… more
- Vanderbilt University Medical Center (Nashville, TN)
- …projects. Functions as lead on projects. Additional responsibilities include reviewing current managed care contracts, validating contract compliance, and ... as lead on projects. Additional responsibilities include reviewing current managed care contracts, validating contract ...methodologies used in a clear manner such that another analyst could duplicate the work. + Generates New Ideas:… more
- AdventHealth (Maitland, FL)
- … managed care contracts, proposals, analyze fee schedules, and determine contract compliance. The Medical Economics analyst must have attention to detail ... the Florida and Multi-State Divisions of AdventHealth, as well as represent AdventHealth managed care to payers in all AdventHealth Markets. **The value you'll… 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
- 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 ... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst ...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract … more
- MyFlorida (Tallahassee, FL)
- … managed care report guide, Medicaid contracts and amendments; Dear Managed Care Plan letters, contract interpretations, policy transmittals, and ... 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Sep 19,...home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug… more
- Medical Mutual of Ohio (OH)
- …years of experience as a Provider Reimbursement Analyst or equivalent health care administration experience, preferably in managed care . . Provider ... or related field. . 3-4 years of experience as a Provider Reimbursement Analyst or equivalent progressive health care administration experience with an emphasis… more
- RWJBarnabas Health (Oceanport, NJ)
- …Essential Functions + Analytical lead on modeling contract rates throughout the managed care contract negotiation process. + Assists in varying aspects ... Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department: Managed Care Location: SBC Corporation, Oceanport, Oceanport,… more
