- 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
- CommonSpirit Health (Omaha, NE)
- …to this exciting role. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and… 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
- Cedars-Sinai (Beverly Hills, CA)
- …or related field of study **Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid **Department** : MNS Accounting **Business ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- Hartford HealthCare (Hartford, CT)
- …moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** ... *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is...Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- Motion Recruitment Partners (St. Louis, MO)
- Senior QA Analyst / Managed Accounts St Louis, Missouri **Hybrid** Contract $53.09/hr - $59.82/hr **Job Title:** Senior QA Analyst - Managed Accounts ... **Location:** St Louis, MO or Charlotte NC **Job Type:** Contract **Duration:** 1 year **Job Overview:** We are seeking an experienced **Senior QA Analyst ** to… more
- TEKsystems (Honolulu, HI)
- …The department also performs additional services in collaboration with the managed care services department, including referral management, patient steerage, ... SQL Reporting Data Analyst Monday to Friday, On-site 5 days/week Honolulu, HI 6 months contract to hire, FTE Description The Analytics & Management department… more
- Community Health Network (IN)
- …that demonstrates leadership and proven quality outcomes. The Quality and Contract Analyst will have experience in value-based care , population health, and a ... Quality and Contract Analyst IHCI Job Ref 2501280...Quality and Contract Analyst IHCI Job Ref 2501280 Category Administrative &...+ Three (3) years of experience in a health care or managed care environment… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical… more
- AmeriHealth Caritas (Southfield, MI)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... Provider Network Management in dealings with provider agreements.; The Contract Management Analyst will assist the Manager,... requirements. + 3 to 5 years in a managed care -related or healthcare industry. + Database… more
- Centene Corporation (Baton Rouge, LA)
- … contract implementation, contract analysis or claims analysis experience in managed care , health care or TPA setting. Government programs and ... flexibility. **Position Purpose:** Perform day to day duties and testing of contract implementation, including UAT to ensure that systems accurately reflect a … more
- Henry Ford Health System (Detroit, MI)
- …+ Microsoft Excel required. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job + Union Code: Not ... SUMMARY: Responsible for creating and managing facility and/or physician contract models for Henry Ford Health System entities using...full continuum of services - from primary and preventative care to complex and specialty care , health… more
- AdventHealth (Maitland, FL)
- …+ The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, and ... Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care ...service and maintain relationships with clients who include AH Managed Care Directors, Contract Denial… more
- MyFlorida (Tallahassee, FL)
- …Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid ... 68060627 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Apr 21, 2025 The State...Managed Care (SMMC) program. The bureau's primary responsibility is ensuring… more
- MyFlorida (Tallahassee, FL)
- …Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid ... 68025865 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Apr 16,...Managed Care (SMMC) program and Dual Eligible...position is responsible for providing support to the D-SNP contract managers within the Bureau of Plan Management Operations,… 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
- HCA Healthcare (Nashville, TN)
- …guidance of Director of Payer Contracting and Alignment, coordinate and administer managed care contract negotiation process for designated Division/Market ... an organization that invests in you as a Business Analyst II? At HCA Healthcare, you come first. HCA...+ 1+ year(s) of experience in managed care , preferably with prior experience in contract … more
- The County of Los Angeles (Los Angeles, CA)
- DEPUTY DIRECTOR, MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4843984) DEPUTY DIRECTOR, ... MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Salary $176,297.52 - $274,178.64...Management. This role is responsible for budgeting, financial strategy, contract negotiations, and network management to ensure adequate service… more
- CommonSpirit Health (Englewood, CO)
- …position will primarily support our UT, CO and KS regions. Strongly desire previous contract modeling experience in managed care with strong EPIC experience. ... Must have managed care contracting experience.** The Analyst , Payer Analytics...Monitor contract financial performance. Analyze and publish managed care performance statements and determine profitability.… more
- BayCare Health System (Clearwater, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr. performs financial ... during the contract negotiation process. + Serves as Primary Contact for contract / managed care payer claims and operational issues resolution for… more
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