- Tris Pharma (Monmouth Junction, NJ)
- …and other financial analysis. Perform analysis of sales, returns, Medicaid data, Managed Care data, chargebacks, wholesaler inventories & fees, voucher programs ... immediate opening for a full-time permanent Accounting/Finance Revenue/Gross to Net Analyst - BrandSUMMARY:The Revenue/Gross-to-Net Analyst - Brand provides… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... scheduling / orchestration tools (Tidal Enterprise Schedule or equivalent), enterprise Managed File Transfer tool (Cleo Harmony or equivalent). Must be able… more
- Centene Corporation (Des Moines, IA)
- …; in particular HIPAA, and state regulations. **Preferred Skills:** + Knowledge of Managed Care and Medicaid + Reading Comprehension + Critical Thinking + ... in state of Iowa **Position Purpose:** With the Iowa Total Care Health Plan Compliance Team, you will assist in maintaining Centene Corporation's Compliance… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date: Nov 10, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57682 ... to make a difference with. **The opportunity** The Senior Managed Care Rebate Analyst is...and communicate discrepancies * Works cross functionally with Formulary Compliance , Revenue Accounting, Gross to Net and Contracting to… more
- e CancerCare (Nashville, TN)
- …reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance , along with rate modeling ... Job Purpose: Contract Analyst will be responsible for analytic support related...and providers. Team member will work closely with the Managed Care department team in generating and… more
- Sutter Health (Sacramento, CA)
- …contracting process and ongoing contract relationship, including payer contract compliance efforts, for all Sutter Health affiliates and/or associates, including ... hospitals (acute, skilled nursing facilities, psychiatric and rehabilitation), surgical centers, ancillary services (home health and pharmacy), medical foundations, and Independent Physicians Association (IPAs). This involves requesting and reviewing claims… more
- MyFlorida (Tallahassee, FL)
- …(MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans. This OPS Medical Health Care Program ... 68900202 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 6,...responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic… more
- T. Rowe Price (Baltimore, MD)
- …including regulatory, prospectus, client-directed, internal investment, and operational restrictions (" Compliance Restrictions") for portfolios managed by T. ... River (CRD), and supports client reporting on these restrictions. The Investment Compliance Senior Analyst collaborates with, and provides information to a… more
- MyFlorida (Tallahassee, FL)
- …waivers and home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review ... 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 12,...in the development of policy language for: the Medicaid managed care report guide, Medicaid contracts and… more
- CareFirst (Baltimore, MD)
- …**Experience:** 5 years experience in health insurance industry, managed care and government programs, health insurance compliance programs, or related ... Preferred or + Lean Six Sigma Certification-IASSC Preferred or + Certified Regulation Analyst Preferred or + Certified Compliance & Ethics Professional (CCEP)… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and the driving of operational effectiveness and efficiency of Emory Healthcares compliance program. The Senior Compliance Analyst will manage ... not limited to conflict of interest (COI) program, documentation standards, compliance reporting, compliance trends analysis, policies and procedure management,… 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 ... financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The...contracts and proposals, analyze fee schedules, and determine contract compliance . The Senior Medical Economics analyst must… more
- Guidehouse (Fort Belvoir, VA)
- …SCI (TS/SCI) **What You Will Do** **:** Our Open Source Intelligence (OSINT) Compliance and Oversight Activities Analyst will support our Department of Defense ... + Conducting OSINT Activity Audits. + Ensuring OSINT activities are in compliance with requirements from DOD Manuals, Regulations, Operations Orders, and similar… more
- Surgery Care Affiliates (Chicago, IL)
- …Statistics, Economics or related field + 3+ years of analytical experience in a Healthcare/ Managed Care environment required + Travel to company meetings (10%) + ... SCA Health is currently seeking a Senior Payer Analytics Analyst on the Catalyst Analytics team. We are seeking...strong analytical and critical thinking skills + Experience with managed care contract terms analysis + Strong… more
- RWJBarnabas Health (Oceanport, NJ)
- …/ Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department: Managed Care Location: SBC Corporation, Oceanport, Oceanport, ... NJ 07052 Job Overview: The Senior Analyst assists with aspects of the fee-for-service environment related...accounting required. + Experience working with complex and sophisticated managed care contracts. + Strong analytical skills… more
- Centene Corporation (Oklahoma City, OK)
- … compliance ; in particular HIPAA, and state regulations. **Preferred Skills:** Managed Care Experience Health Plan Experience State Medicaid Experience Legal ... the state of Oklahoma** **Position Purpose:** With the Oklahoma Complete Health Compliance team, you will assist in maintaining Centene Corporation's Compliance … more
- BeneLynk (Detroit, MI)
- …health plan systems, Medicare, and Medicaid benefits and/or SDoH database companies. + Managed care experience. + Extensive knowledge of software and database ... assists people in understanding how to obtain additional health care benefits and compensates well for doing so, inspire...their ability to assist others. JR. BUSINESS AND WORKFLOW ANALYST POSITION SUMMARY BeneLynk, a leading national provider in… more
- HCA Healthcare (Nashville, TN)
- …diversity and inclusion thrive? Submit your application for our Senior Imaging Migration Analyst opening with HCA Healthcare today and find out what it truly means ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...by location._** We are seeking a Senior Imaging Migration Analyst for our team to ensure that we continue… more
- The County of Los Angeles (Los Angeles, CA)
- …and achieve beneficial system transformation. + Cultivate and grow relationships with Medi-Cal Managed Care Plans to implement core CalAIM components related to ... SENIOR STAFF ANALYST , HEALTH / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4541923) Apply SENIOR STAFF … more
- Staffing Solutions Organization (Albany, NY)
- …and Oversight (DHPCO) in development, analysis and oversight associated with the Medicaid Managed Care Operating Cost Reports for Medicaid and Managed ... Healthcare Financial Analyst Albany, NY, USA Req #1022 Monday, September...+ Responsible for the daily activities related to ensuring Managed Care Organizations (MCOs) in New York… more
