- Hartford HealthCare (Wethersfield, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** ... the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling process for negotiated rate changes...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- Highmark Health (Columbus, OH)
- …:** **GENERAL OVERVIEW:** This job builds and maintains hospital, professional, and ASC contracts in Epic. Identifies underpaid accounts and articulates the source of ... the processing error to the payor. **ESSENTIAL RESPONSIBILITIES** + Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. (40%) + Manages underpayment AR for assigned payors including successfully recovering on… more
- e CancerCare (Nashville, TN)
- …related to ION network and providers. Team member will work closely with the Managed Care department team in generating and reviewing system data, while making ... other internal teams with reimbursement related concerns and acting as a liaison to managed care plans. Essential Functions: . Support Managed Care team… more
- Hawaii Pacific Health (Honolulu, HI)
- …training, as well as internal peer equity. Starting Hourly Rate: 30.47 **Position** Analyst - Analytics Managed Care **Category** Administrative **Employment ... The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage,… more
- Queen's Health System (Honolulu, HI)
- …A. EDUCATION/CERTIFICATION AND LICENSURE: * Bachelor's degree in Business, Finance or Health Care Administration or four (4) years with health care provider or ... to the educational requirement, two (2) years experience with a health care provider or payer in contracting or business operations. * Demonstrated ability… more
- Northern Light Health (Brewer, ME)
- …organizations. Reporting to the Manager of Payer Strategy & Managed Care Operations (PSMCO), the Contract Analyst will collaborate with PSMCO leadership ... Northern Light Health Department: Managed Care Contracting Position is located:...solutions that are both practical and innovative. The Contract Analyst , with support from the Manager, will establish, build,… 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 ... knowledge of health care operations or health care delivery systems. **Provider Network Performance Analyst ...knowledge of insurance concepts, plan administration, planning, principles, and managed care delivery systems. + Knowledge of… more
- JPMorgan Chase (New York, NY)
- …Strategists and Due Diligence professionals to develop an expert understanding of managed solutions for our clients worldwide. You will work alongside dedicated ... from senior leaders to projects that engage your skills. **Our Team** The Managed Solutions Specialist Team is a global team sitting within JPM Investment Solutions… 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
- MyFlorida (Tallahassee, FL)
- …does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive ... 68019462 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jun 17,...responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic… more
- City and County of San Francisco (San Francisco, CA)
- Behavioral Health Services (BHS) is increasingly expanding services under its Managed Care division which oversees the Office of Coordinated Care (OCC), ... psychiatric services. The Behavioral Health Services (BHS) Deputy Medical Director of Managed Care provides effective leadership and strategic direction in the… more
- MyFlorida (Tallahassee, FL)
- …does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive ... 68063493 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jun 5,...responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic… more
- LA Care Health Plan (Los Angeles, CA)
- …implementation, and administration of Community Health department initiatives that improve both the managed care performance of the LA County safety net and the ... As part of the Community Health Department, the Program Analyst will help LA Care and its...issues. Experience working with Los Angeles safety net providers. Managed health care experience. Skills Required: Demonstrated… more
- HCA Healthcare (Nashville, TN)
- …the Legal Department to support all phases of the arbitration and/or litigation of managed care disputes. This paralegal position will have responsibility for a ... wide variety of managed care litigation tasks, including: handling service...attorneys currently are supported by one litigation paralegal, one analyst and eight contract attorneys. Litigation paralegals are assigned… more
- LA Care Health Plan (Los Angeles, CA)
- …in designing, developing, generating and analyzing ad hoc/production reports in Healthcare/ Managed Care setting. Preferred: Experience as a Clinical Data ... Clinical Data Analyst III Job Category: Clinical Department: Quality Improvement...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… 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 ... analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial… more
- LA Care Health Plan (Los Angeles, CA)
- …of experience in contract and/or regulatory and/or accreditation requirements analysis in managed care or other related industry; or, experience in external ... Operational Assurance Business Analyst III Job Category: Administrative, HR, Business Professionals...complex business setting, local, State, or Federal government entity, managed care , or other related industry. Skills… more
- LA Care Health Plan (Los Angeles, CA)
- Healthcare Financial Analyst I Job Category: Accounting/Finance Department: Actuarial Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...to achieve that purpose. Job Summary The Healthcare Financial Analyst I will assist with gathering medical cost data… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Health, Department of Title Associate Health Care Fiscal Analyst - 61415, 61416, 61419 Occupational Category Financial, Accounting, Auditing ... permanent or contingent-permanent competitive service as an Associate Health Care Fiscal Analyst , SG-23; OR a current...various Medicaid reimbursement methodologies of New York State (NYS) Managed Long Term Care (MLTC). Duties Description… more
- State of Colorado (Denver, CO)
- …Office consists of the Chief Financial Officer, the Budget Division, Controller Division, Managed Care and Payment Reform Division, Fee for Service Division, ... Access to Care Reports and Operations Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4543195) Apply Access to Care Reports… more