- 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
- Northern Light Health (Brewer, ME)
- …member organizations. Reporting to the Manager of Payer Strategy & Managed Care Operations (PSMCO), the Contract Analyst will collaborate with PSMCO ... recommend solutions that are both practical and innovative. The Contract Analyst , with support from the Manager,...Monitors contract performance and payer compliance with Managed Care contracts. * Assists in providing… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …US (not just OH). **ESSENTIAL JOB FUNCTIONS** + Consults, contributes and participates in managed care contract negotiations for assigned payers (moderate to ... recognized for clinical and operational excellence. **SUMMARY** The Senior Analyst , Managed Care Analytics and...contract modeling systems. + Prior experience with health care reimbursement operations is preferred (eg revenue cycle on… more
- Hartford HealthCare (Wethersfield, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** ... *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- BayCare Health System (Clearwater, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr. performs financial ... negotiation process. + Serves as Primary Contact for contract / managed care payer claims and...be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Managed Care Financial Analyst Sr… more
- J&J Family of Companies (Horsham, PA)
- Analyst Managed Markets & Specialty - 2406189767W **Description** Johnson & Johnson Health Care Systems Inc., a member of Johnson & Johnson's Family of ... Companies, is recruiting for an ** Analyst , Managed Markets & Specialty** , in...the contracting needs for Pharmacy Benefit Managers (PBM) and Managed Care Organizations (MCO) administered by the… 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr. Contract Compliance Analyst III Date: May...placement complies with all terms and conditions of the managed care contract . Using critical ... the position is to identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with the Teva Market Access… more
- CommonSpirit Health (Englewood, CO)
- …terms in collaboration with revenue cycle partners. + Ability to identify and rectify contract compliance issues with managed care payers by leveraging ... effectively communicate issues to internal department leads, revenue cycle vendors, and managed care payers for meaningful resolution and revenue realization.… more
- Geisinger (Danville, PA)
- …and payment analysis. This role will provide ongoing support and maintenance of commercial and managed care contract terms within Epic. Job Duties + Design, ... Job Summary The Epic Payor Contract Analyst is responsible for building...of key update dates for fee schedules for the Managed Care contracts. + Communicate with payers… more
- Centene Corporation (TX)
- …provider contract implementation, contract analysis or claims analysis experience in managed care , health care or TPA setting. Proficiency in Excel ... Purpose:** Perform day to day duties and testing of contract implementation, including UAT to ensure that systems accurately...including UAT to ensure that systems accurately reflect a contract 's negotiated terms. + Perform audits of broker setup… more
- The Cigna Group (Bloomfield, CT)
- …skills to include written, oral, and group presentation. + Understanding of managed care business processes, data, systems, and applications for claims ... data analysis required. Experience with trend analysis and health care provider contract analysis preferred. + Familiarity with various data mining and… more
- MyFlorida (Tallahassee, FL)
- … managed care report guide, Medicaid contracts and amendments; Dear Managed Care Plan letters, contract interpretations, policy transmittals, and ... 68064828 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: May 22,...home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug… 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
- CommonSpirit Health (Englewood, CO)
- …**UMMARY** The Senior Analyst , Payer Analytics & Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... reimbursement and market share. Provides mentorship and guidance of Analyst contract modeling. Provides analysis findings and... contract modeling strategy and consolidation for large managed care payer negotiations. Act as a… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …of insurance concepts, plan administration, planning, principles, and managed care delivery systems. **Provider Network Performance Analyst III** **Education ... + Strong knowledge of insurance concepts, plan administration, planning, principles, and managed care delivery systems. + Knowledge of common/standard Value… more
- HCA Healthcare (Nashville, TN)
- …prevention of denials, payment discrepancies and other claims adjudication issues from HCA's managed care book of business. Note: This is a position requiring ... organization that invests in you as a Payer Engagement Analyst ? At HCA Healthcare, you come first. HCA Healthcare...Years of relevant experience + High School Graduate + Managed Care or Revenue Cycle experience, specifically… 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