- 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
- 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
- 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
- Queen's Health System (Honolulu, HI)
- …* Assists in development, maintenance and administration of the medical centers' contracts with health insurers for services provided to members. * Performs ... negotiate optimal contractual agreements. * Responsible for maintenance of contract modules. * Serves as a liaison with selected...LICENSURE: * Bachelor's degree in Business, Finance or Health Care Administration or four (4) years with health … 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 ... of one of Elevance's Pulse Point locations. The **Provider Contract /Cost of Care Analyst Senior**...build/ maintain/ update fee schedule related to our provider contracts . * Performs varied data analyses which may include… 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
- Teva Pharmaceuticals (Parsippany, NJ)
- …event of noncompliant formulary findings. **How you'll spend your day** + Review Managed Care Contracts , Formularies, Utilization Management, and PA policies ... Sr. Contract Compliance Analyst Date: Sep 18,...and tier position for biosimilars and pharmacy drugs (Medical Claims/ Managed Care ), and Pharmaceutical contract … 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 (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 ... + Develop detailed responses to internal and regulator data requests, for managed energy contracts . + Performs related duties as assigned. **Requirements… more
- Vanderbilt University Medical Center (Nashville, TN)
- …as lead on projects. Additional responsibilities include reviewing current managed care contracts , validating contract compliance, and addressing changes ... projects. Additional responsibilities include reviewing current managed care contracts , validating contract compliance,...methodologies used in a clear manner such that another analyst could duplicate the work. + Generates New Ideas:… more
- AdventHealth (Maitland, FL)
- …or limitations of the contract management systems as they relate to building managed care government and state contracts . * Articulates escalated issues ... after identifying and quantifying the issue. * Supports the Managed Care Contract Administration, AH...and participates in applicable Epic forums related to Epic Contracts and Managed Care and… more
- AdventHealth (Maitland, FL)
- …complete financial and operational analyses of managed care contracts , proposals, analyze fee schedules, and determine contract compliance. The Medical ... + Assists in interpreting analyzed data from various sources using knowledge of healthcare managed care contracts and healthcare administrative claims data +… more
- MyFlorida (Tallahassee, FL)
- … care report guide, Medicaid contracts and amendments; Dear Managed Care Plan letters, contract interpretations, policy transmittals, and provider ... 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Sep 19,...home and community based waivers), administrative rules, coverage policies, managed care plan contracts , bill… more
- AdventHealth (Maitland, FL)
- …Must be able to complete extensive and complex financial and operational analyses of managed care contracts and proposals, analyze fee schedules, and ... determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in...analyze data from various sources using knowledge of healthcare managed care contracts and healthcare… 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)
- …degree in finance or accounting required. + Experience working with complex and sophisticated managed care contracts . + Strong analytical skills with ability ... lead on modeling contract rates throughout the managed care contract negotiation process....cost-based audit reviews. + Supports the loading of payor contracts into the contract management system and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and performs functions related to other financial aspects of Beth Israel Lahey Health's Managed Care Contracts and relationships. It also requires in-depth ... Designs & performs analyses and reporting in support of managed care contract negotiations including...and performance. 5) Performs ad hoc financial analyses of managed care contracts . 6) Incorporates… more
- The Mount Sinai Health System (New York, NY)
- …and Amendments, financial performance for all contracts , and facility, ancillary related contract negotiations. The Managed Care Team is at the forefront ... Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...and Medicare Contracts with Mount Sinai. The Contract Performance Analyst will be a liaison… more
- The Mount Sinai Health System (New York, NY)
- …and Amendments, financial performance for all contracts , and facility, ancillary related contract negotiations. The Managed Care Team is at the forefront ... within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for...Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more