- Medical Mutual of Ohio (Brooklyn, OH)
- …in supporting the contracting regions with quality, utilization, and cost analysis. ** Provider Network Performance Analyst I** + Gathers and maintains data ... based contracting initiatives. + Performs other duties as assigned. ** Provider Network Performance Analyst II** + Conducts...includes: A Great Place to Work: + We will provide the equipment you need for this role, including… more
- Medical Mutual of Ohio (OH)
- …well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** ** Provider Analyst II** Provides analytical support during contract ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million...and training. . Performs other duties as assigned. **Senior Provider Analyst ** Provides analytical support during contract… more
- The Cigna Group (Houston, TX)
- **The Provider Performance Lead Analyst is a..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a ... the market that assists in the growth and development of the provider network. The Lead Analyst is the primary conduit to the providers and the individual that… more
- The Cigna Group (Bloomfield, CT)
- **Role Summary** The Provider Performance Lead Analyst is a key member of the market that assists in the growth and development of the provider network. The ... individual that represents Cigna Healthcare - Medicare Advantage. The Provider Performance Lead Analyst 's responsibilities include: +..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- Community Health Network (Indianapolis, IN)
- Sr Financial Analyst - Provider Compensation Job Ref 2401491 Category Professional & Business Support Job Family Finance Department Compensation Schedule ... - and we couldn't do it without you. **Make a Difference** The Sr Financial Analyst for the Provider Compensation team will be responsible for calculating … more
- Guthrie (Sayre, PA)
- Position Summary: Under the direction of their leadership, the Provider Compensation Analyst is primarily responsible for an expanded scope of analysis of ... and/or changes related to provider complement. Additionally, the provider compensation analyst is responsible for the preparation of the annual provider… more
- Elevance Health (Denver, CO)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Provider Data Analyst Sr** + Job Family: PND > Data Mgmt + Type: Full ... End Date:Jul 06, 2024 + Reference: JR111668 **Location:** + CO, DENVER **Description** The Provider Data Analyst Sr supports more complex provider network… more
- Elevance Health (Wilmington, DE)
- …you a check, or ask you for payment as part of consideration for employment. ** Provider Contract/Cost of Care Analyst Sr.** + Job Family: RDA > Health Economics ... Virginia, Richmond + Ohio, Mason + Delaware + Indiana, Indianapolis **Description** ** Provider Contract/Cost of Care Analyst Sr.** **Location:** This position… more
- Trinity Health (Boise, ID)
- …Saint Alphonsus Medical Group is now hiring for a collaborative and experienced Provider Financial Analyst II supporting the physician compensation area within ... Provider Contracts Team! **Position Summary & Highlights** **:** + As the Provider Financial Analyst II you will be responsible for accurately paying… more
- AmeriHealth Caritas (Manchester, NH)
- ** Provider Network Operations Data Analyst Sr (hybrid)** Location: Manchester, NH Primary Job Function: Provider Network ID**: 34151 **Job Brief** The ... Provider Network Operations Data Analyst Sr. will be responsible for supporting Provider Enrollment and Credentialing. Your career starts now. We are looking… more
- The Cigna Group (Chattanooga, TN)
- … provider groups along the engagement continuum within an assigned market. Lead Analyst will be primary contact for provider groups on Risk Adjustment topics ... act on any assigned audit educational opportunities timely and provide primary care or specialty care provider ...and provide primary care or specialty care provider trainings as necessary to educate on audit findings.… more
- Community Health Network (Indianapolis, IN)
- Provider Relations Analyst - Community Health Direct Job Ref 2402856 Category Administrative & General Support Job Family Billing & Coding Department Provider ... - and we couldn't do it without you. **Make a Difference** The Provider Relations Analyst is primarily responsible for doing provider education and serving… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... Administrators. Provider Performance Enablement (PPE) is responsible for the financial..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- Albany Medical Center (Albany, NY)
- …among Practice Departments/Divisions. Supervise and provide back up to all Provider Service Analysts and develop the analyst positions to complement and ... relationship between MCPG and the Practices. Responsibilities: + Supervise the Provider Service Representative in the generation and completion of provider… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence ... and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business… more
- The Cigna Group (Memphis, TN)
- …efficient. + Review and act on any assigned audit educational opportunities timely and provide primary care or specialty care provider trainings as necessary to ... trends or patterns identified in provider office diagnosis coding. Implement provider office education, where necessary, and provide formal training to… more
- The Mount Sinai Health System (New York, NY)
- The Provider Enrollment Analyst (I) is responsible for coordinating the provider enrollment and payer credentialing efforts for contracted FPA providers with ... Medicare and Medicaid. This individual manages all open provider enrollment tasks/ issues to ensure that providers are reimbursed for services provided and billed,… more
- UCLA Health (Los Angeles, CA)
- …You will be responsible for the accurate analysis and resolution of provider disputes. This will require extensive knowledge of CMS Medicare Advantage regulatory ... operation requirements, policies, and procedures. You will: * Review and process provider dispute resolutions according to state and federal designated timeframes *… more
- The Cigna Group (Bloomfield, CT)
- …calls an Advocate services may include but are not limited to: inquiries about provider referrals and access to care, eligibility, and benefits. Due to the wide ... a call, an Advocate may:_ + Communicate eligibility, generate a list of provider referrals, quote benefits, or advise of authorization requirements for services +… more
- Corewell Health (Southfield, MI)
- …With limited supervision, supports the timely and accurate administration of provider compensation plans for Corewell Health Medical Group East. Essential Functions ... + Performs day-to-day activities to support the administration of provider compensation plans, including resolving issues, questions, and concerns pertaining to… more