- Molina Healthcare (Long Beach, CA)
- …in claims payment accuracy and claims service recovery resolutions 6+ years managed care experience (preferably in Payer Claims environment) Demonstrates ... proficiency in a variety of concepts, practices, and procedures applicable to job-related subject areas to include Provider Data, Claims Configuration, Claims Adjudication and Encounters. Preferred Education Bachelor's Degree or equivalent combination of… more
- Magellan Health, Inc. (Frisco, TX)
- …format to include 837, 999 and 277 files. Professional experience in the managed care , healthcare, Medicaid or other health insurance industries. Experience in ... 5+ years of experience in analysis. Related professional experience in the managed care , healthcare, or insurance industries. Analytical/problem solving skills,… more
- The Computer Merchant Ltd (Boston, MA)
- …of Asset Management Data Domains to join our team as an Implementation Business Analyst . Why is this role important Senior Implementation Business Analysts are ... JOB TITLE: Business Analyst JOB LOCATION: Boston, MA WAGE RANGE*: 70...new and more robust Front, Middle and Back Office managed data services - allowing our clients to focus… more
- EmblemHealth (New York, NY)
- …problems related to financial experience of the health plan, particularly related to how care is purchased, managed , or other factors influencing cost of care ... decision making on how EmblemHealth purchases, manages, and influences the cost of care for current and prospective members. Extract, analyze, and interpret data for… more
- Cetera Financial Group, Inc. (Dallas, TX)
- Job Description The Senior HR Analyst will serve as a strategic partner to HR Business Partners (HRBPs), delivering advanced analytics consulting, building ... vision and life insurance plans built to support diverse lifestyles, offer preventative care , and protect against hardship. Easy access to mental health benefits to… more
- Lumen Solutions Group, Inc. (Reston, VA)
- …years of relevant experience may be considered) CPA or MBA preferred Prior experience in managed care , health insurance, or PBM finance highly desirable ... Now Hiring: Senior Financial Analyst - PBM Financial...Now Hiring: Senior Financial Analyst - PBM Financial Modeling & Analysis SME...Analytics About the Role: We are looking for a Senior Financial Analyst - Pharmacy SME to… more
- Raytheon Technologies (Seminole, FL)
- …eligible for a security clearance Security Clearance: DoD Clearance: Secret Raytheon Company, Managed by Collins Aerospace This position is Onsite and does not offer ... program Doctor on Demand, virtual doctor visits Bright Horizons, child and elder care services Teladoc Medical Experts, second opinion program And more! Learn More &… more
- Knowesis (Falls Church, VA)
- …and consultation to the Government Point of Contact. Assist in administrating the Managed Care Support Contract (MCSC) Acquisition Program, Dental, TRICARE Dual ... Position: Senior Acquisition Policy Analyst Location: Falls...Assist in drafting source selection planning documents for Purchased Care Contracts in accordance with the latest Defense Procurement… more
- Fastly (San Francisco, CA)
- …posting may close early due to the volume of applicants. Sr. Sales Process & Systems Analyst The Senior Sales Process & Systems role will be a key contributor to ... 6Sense administration and experience Automation workflow and tools experience Managed key transformation initiatives involving multiple functional stakeholders Work… more
- Blue Shield of California (El Dorado Hills, CA)
- …in ensuring operational areas are always compliant and audit ready. The Business Analyst , Consultant will report to the Director, Enablement. In this role you will ... timely and effectively. Communicate complex concepts and findings clearly to senior leadership and stakeholders. Influence and support the process owners to… more
- Thomas Jefferson University Hospitals, Inc. (Philadelphia, PA)
- … care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage ... Job Details Under the direction of the Vice President, Connected Care Operations, this position will help support various clinical workflow, operational and quality… more
- New York City Economic Development Corporation (New York, NY)
- …and execute on requests for insurance modifications and waivers Guide and manage Senior Analyst in all facets of assigned tasks Build strong cross-functional ... new coverages, and review of the captive's risks and exposures Review contracts managed by different departments across the organization along with the NYCEDC Legal… more
- Centric Business Systems (Wilmington, NC)
- …integrations. The primary responsibilities of this position is as follows: Purpose Senior sales position calling exclusively on Strategic and Major Accounts. The ... Zoom, Face2Face Cold calling, Networking and Social Media Working with Business Analyst and Specialists to conduct client needs analysis Develop solutions for new… more
- Cedars-Sinai (Beverly Hills, CA)
- …field of study **Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid **Department** : MNS Accounting **Business Entity** ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- RWJBarnabas Health (Oceanport, NJ)
- Senior Managed Care Analyst (Hybrid/Remote) - Oceanport, NJReq #:0000205920 Category:Professional / Management Status:Full-Time Shift:Day ... the candidate's educational background, skills and professional experience, Job Overview: The Senior Managed Care Analyst assists with aspects of the… more
- Atrius Health (Newton, MA)
- …health and welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** * Senior Managed Care Analyst * ... 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
- CommonSpirit Health (Englewood, CO)
- …system. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract modeling ... requires daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy… more
- Aston Carter (Los Angeles, CA)
- …evaluate contract changes and new reimbursement models. Your role involves analyzing managed care contracts to ensure financial optimization and compliance, ... metrics and contract performance. You will support cross-functional teams with managed care analytics and forecasting, ensuring compliance with federal/state… 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 ... SENIOR STAFF ANALYST , HEALTH / EMERGENCY...the social service systems to support delivery of effective care that improves lives and outcomes. This includes actively… 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 **Education** + Bachelor's Degree OR equivalent… more
