- Northeast Georgia Health System, Inc (Gainesville, GA)
- …managed care payors to resolve claims and related issues in order to enhance managed care contract performance. Supports multiple managed care ... but not limited to Epic data integrity, contract management system integrity, managed care contract negotiations, and managed care payer… more
- RWJBarnabas Health (Oceanport, NJ)
- …Essential Functions Analytical lead on modeling contract rates throughout the managed care contract negotiation process. Assists in varying aspects ... Job Overview: The Senior Analyst assists with aspects of the fee-for-service environment...or accounting required. Experience working with complex and sophisticated managed care contracts. Strong analytical skills with… more
- MetroPlus (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care , Medicare, Child Health Plus, Exchange, Partnership in Care ... Minimum of 4 years of experience performing claims quality audits in a managed care setting Expertise in both professional and institutional claims coding,… more
- e CancerCare (Nashville, TN)
- …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... Job Purpose: Contract Analyst will be responsible for...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
- Robert Half Accountemps (Van Nuys, CA)
- Description We are seeking an experienced Managed Care Analyst to join our Managed Care Department on a temporary basis, potentially until the end of ... CMS regulations. + Proven negotiation and leadership skills. + Experience with managed care contract rates for network providers, services, and facilities. +… more
- Hartford HealthCare (Wethersfield, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** ... *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- Queen's Health System (Honolulu, HI)
- …team to negotiate optimal contractual agreements. * Responsible for maintenance of contract modules. * Serves as a liaison with selected payers to promote ... A. EDUCATION/CERTIFICATION AND LICENSURE: * Bachelor's degree in Business, Finance or Health Care Administration or four (4) years with health care provider or… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr. Contract Compliance Analyst III Date: Jun...placement complies with all terms and conditions of the managed care contract . Using critical ... the position is to identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with the Teva Market Access… more
- J&J Family of Companies (Raynham, MA)
- Lead Analyst , Contract Management (Multiple Openings) - 2406197169W **Description** Johnson & Johnson is currently seeking a Lead Analyst , Contract ... while still supporting the objectives and strategies. The Lead Analyst , Contract Management will be part of...and policy to ensure the written word in the contract can be managed and administered throughout… more
- The Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial,… 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
- 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 ... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst ...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract … 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 ... + Strong knowledge of insurance concepts, plan administration, planning, principles, and managed care delivery systems. + Knowledge of common/standard Value… more
- Medical Mutual of Ohio (OH)
- …years of experience as a Provider Reimbursement Analyst or equivalent health care administration experience, preferably in managed care . . Provider ... or related field. . 3-4 years of experience as a Provider Reimbursement Analyst or equivalent progressive health care administration experience with an emphasis… more
- RWJBarnabas Health (Oceanport, NJ)
- …Essential Functions + Analytical lead on modeling contract rates throughout the managed care contract negotiation process. + Assists in varying aspects ... Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department: Managed Care Location: SBC Corporation, Oceanport, Oceanport,… more
- LA Care Health Plan (Los Angeles, CA)
- …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
- Beth Israel Lahey Health (Charlestown, MA)
- …but not limited to:** 1) Designs & performs analyses and reporting in support of managed care contract negotiations including but not limited to Hospital ... Finance. This position provides key support and analyses during rate negotiations with Managed Care Plans and performs functions related to other financial… more
- University of Miami (Medley, FL)
- …to resolve issues related to the revenue stream. + Analyzes and monitors payer trends, managed care contract compliance, contract and payer yield and ... reimbursement for all payers, and develops recommendations for optimal managed care reimbursement. The Revenue Cycle Payer Relations Analyst will also… more
- City of West Sacramento (West Sacramento, CA)
- Administrative Analyst I/II/Senior Print (https://www.governmentjobs.com/careers/westsacramento/jobs/newprint/4561653) Apply Administrative Analyst I/II/Senior ... developed based on the supplemental questionnaire (if applicable). The Administrative Analyst I/II/Senior position in the City Manager's Office will provide general… more
- Sacramento County (Sacramento, CA)
- …welfare plan administration including claims, utilization review, cost containment procedures, and managed care programs + Pertinent group health, dental, life, ... Employee Benefits Analyst Level I/II Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4543252) Apply Employee Benefits Analyst Level I/II… more
