- Hawaii Pacific Health (Honolulu, HI)
- …internal peer equity. Starting Hourly Rate: 30.47 **Position** Analyst - Analytics Managed Care **Category** Administrative **Employment Type** Employee ... The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage,… more
- Molina Healthcare (Georgetown, KY)
- …Provider reimbursement data. + Working on Provider analytics in a healthcare or managed care environment is required. + Experience working on SQL, Excel , ... Python or any other analytics tool is required. + Develop ad-hoc reports using...support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience… more
- Surgery Care Affiliates (Chicago, IL)
- …the growing career opportunities for YOU. Responsibilities SCA Health is currently seeking a Payer Analytics Analyst to join the Payer Analytics Team . We ... control processes to ensure data integrity + Assist in building the Managed Care budget for future years together with Payer Engagement contract negotiators. +… more
- PNC (Philadelphia, PA)
- …an opportunity to contribute to the company's success. As a Portfolio Implementation Analyst - Managed Accounts within PNC's Asset Management Group organization, ... utilizing traditional and emerging capabilities in technology, operations, and data analytics to offer customers a differentiated product experience. + Participates… more
- Molina Healthcare (Richmond, KY)
- …Target/Ranking Engine for all line of businesses. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and related financial ... **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics ...cleaning of data. + 3-5 Years of experience in Managed Care Organization executing similar techno functional… more
- Walgreens (Deerfield, IL)
- …members. + Experience with Pharmacy, Pharmaceutical Benefit Manager, Benefit Consultancy, or Managed Care company. + Experience working with pharmacy data at ... a retail pharmacy, Pharmaceutical Benefit Manager, benefit consultancy, or managed care company. + Experience with pharmaceutical industry pricing. + Experience… more
- Vanderbilt University Medical Center (Nashville, TN)
- …modifies Business Intelligence solutions independently for finance-related content, including Managed Care Contracting, Revenue Cycle, and Compliance. Designs ... data models used for reporting and analytics , develops ETL processes for data, and utilizes BI... solutions, transforming data into valuable insights for our Managed Care Contracting, Revenue Cycle, and Finance… more
- Hartford HealthCare (Wethersfield, CT)
- …Structure Query Language (MSSQL) Database skills to lead/execute the development of the complex Managed Care / Payer Analytics platform. The Payer ... programs and other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed,… more
- AdventHealth (Maitland, FL)
- …preferred + Working knowledge of population health, utilization measurement, and claims analytics strongly preferred. + Managed Care , Patient Financial ... managing revenue. Must be able to complete financial and operational analyses of managed care contracts, proposals, analyze fee schedules, and determine contract… 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 ... preferred + Working knowledge of population health, utilization measurement, and claims analytics strongly preferred. + Managed Care , Patient Financial… more
- LA Care Health Plan (Los Angeles, CA)
- …SQL server). At least 3 years of project and/or data analysis experience in Managed Care Organization, PBM or health plan Skills Required: Proficiency with ... Pharmacy Information Analyst I Job Category: Clinical Department: Pharmacy &...prior projects and experiences. Preferred: Basic working knowledge of managed care principles and/or pharmacy operations within… more
- Elevance Health (Miami, FL)
- **Provider Contract/Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must ... of Elevance's Pulse Point locations. **The Provider Contract/Cost of Care Analyst Sr.** is responsible for analytical...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
- Martin's Point Health Care (Portland, ME)
- …to reporting and analysis of health care data ideally in the areas of managed care , health care delivery, code sets, and/or reimbursement + Experience in ... Join Martin's Point Health Care - an innovative, not-for-profit health care...Position Summary **NEW REMOTE POSITION** The Senior Risk Adjustment Analyst analyzes data, reviews findings, and develops recommendations for… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- J&J Family of Companies (Raritan, NJ)
- …member of Johnson & Johnson's Family of Companies, is recruiting for a **Lead Analyst , Contract Validation & Analytics (CVA)** to support our Enterprise Contract ... Lead Analyst , CVA Validata - 2406213301W **Description** Johnson &...to ensure the efficient and compliant management of our Managed Markets contracts. This role will serve as a… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Mount Sinai Health System (New York, NY)
- …consulting actuarial, financial reporting or medical economics departments or healthcare provider analytics related to managed care contracting, population ... **Job Description** The Lead Data Science Analyst is a senior-most analyst , collaborating...as scheduled or requested. 11. Engages with the MSHP Managed Care Contracting and Commercialization teams and… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... remote.** This role will be filled as a Finance Analyst 2 or 3 level, based upon overall experience...experience and attention to detail. Knowledge of capitation and managed care is a plus. **Position Summary:**… more
- Ally (Austin, TX)
- …too? **The Opportunity** As part of the Data Solutions Support team, this Analyst will be responsible to leverage Snowflake, AWS to build best-in-class Data ... Management and Analytical pipelines for Ally's Auto Asset Management team. The Analyst at Ally will utilize analytic and technical skills to innovate, build, and… more
- Guidehouse (New York, NY)
- …sizing/ segmentation, provider profiling/targeting, provider affiliation mapping, epidemiology studies, managed care analytics , pull-through modeling / ... Science advisory teams, data teams, and our firmwide Advanced Analytics and Intelligent Automation team to shape the growth...medical and pharmacy claims (open and closed), formulary and managed care data, and EMR data. +… more