- Medical Mutual of Ohio (OH)
- …Medicare Supplement, and individual plans.** **Responsibilities** **Provider Reimbursement Analyst II** Under general supervision, supports assigned provider network ... Maintains market intelligence and analyzes network performance to provide Provider Engagement with consultative and analytical insights. . Analyzes contracted rates… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …contracting regions with quality, utilization, and cost analysis. **Provider Network Performance Analyst I** + Gathers and maintains data from multiple sources and ... contracting initiatives. + Performs other duties as assigned. **Provider Network Performance Analyst II** + Conducts quality assurance analysis on data from multiple… more
- MyFlorida (Fort Pierce, FL)
- HUMAN SERVICES ANALYST - 64006336 Date: Jun 13, 2024 Location: FORT PIERCE, FL, US, 34950 The State Personnel System is an E-Verify employer. For more information ... Requisition No: 831340 Agency: Department of Health Working Title: HUMAN SERVICES ANALYST - 64006336 Pay Plan: Career Service Position Number: 64006336 Salary:… more
- University of Rochester (Rochester, NY)
- …of setting hospital prices for all services at SMH/HH, working with payer contracting to ensure accurate pricing with supportable pricing methodology. Tracks all ... matters, such as interviewing, hiring, training, time reporting, development, engagement , performance evaluations, attendance and the corrective action and… more
- Highmark Health (Columbus, OH)
- …of documentation. + Review and interpret inherent risk assessment results, engagement risks, and developassurance plans (eg, on-site audit, contract review, ... areas (eg, Procurement, Privacy, Information Security, Legal) throughout the engagement lifecycleAssist in providing timely feedback on interpretations regarding… more
- Adelante (Phoenix, AZ)
- …You will oversee the Financial Planning and Analysis, Value Based Care and Payer Contracts teams under direct supervision of the Chief Financial Officer. This ... proformas, assisting with strategic planning for value-based care, and overseeing payer contracts and relationships. EXPECTATIONS Every Adelante Leader will strive… more
- Penn Medicine (Philadelphia, PA)
- …5,500 billable and/or employed providers, each participating in over 60 payer contracts. The Penn Medicine CVO performs delegated credentialing for employed/billable ... but not limited to leading the biannual survey effort. Supports (Sr) Compliance Analyst with regulatory surveys/audits, and ensures compliance with TJC, DoH, CMS &… more
- Universal Health Services (Aiken, SC)
- …We have a welcoming environment and believe in strong team engagement . Website: www.aikenphysicians.com POSITION SUMMARY The Population Health Quality Coordinator, ... under the direction of the Quality Coordinator RN/Quality Improvement Analyst and Market Leadership is responsible for leading the quality improvement activities… more
- Walgreens (Deerfield, IL)
- …for development/ access initiatives in segment, including internal preparation, external engagement with clients, delivery (working with relevant account team, as ... + At least 2 years consulting experience as an analyst or above at a global management consulting firm....in any sector of the US market (eg, pharma, payer , provider) + Experience with advanced databases (for example:… more