- AdventHealth (Altamonte Springs, FL)
- …Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing… more
- Nuvance Health (Danbury, CT)
- *Description* Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and reimbursement data to aid in contract negotiations for ... to gathering volume data and modeling of current reimbursement , the Managed Care Analyst determines the need for methodology changes and proposes target… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Managed Care Policy Analyst Liaison Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4732501) Apply Managed Care Policy Analyst ... Care Reporting and Oversight Bureau is seeking a Managed Care Policy Analyst Liaison...support your growth through training programs, workshops, and tuition reimbursement . Employee Assistance Program (EAP): We care … 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 analytic support related... reimbursement terms in a multi-functional approach to Managed Care strategies. . Assume other projects… more
- Novant Health (Winston Salem, NC)
- … care analytics or business office experience. Extensive knowledge of managed care reimbursement methodologies, preferred. + Additional Skills ... communicate (oral and written) with customers (ie, physicians, administrative staff, management, managed care , and third-party provider relations). + Ability to… more
- Molina Healthcare (NM)
- …Provider reimbursement data. + Working on Provider analytics in a healthcare or managed care environment is required. + Experience working on SQL, Excel , ... support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and… more
- Centene Corporation (Des Moines, IA)
- …in particular HIPAA, and state regulations. **Preferred Skills:** + Knowledge of Managed Care and Medicaid + Reading Comprehension + Critical Thinking ... state of Iowa **Position Purpose:** With the Iowa Total Care Health Plan Compliance Team, you will assist in...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- Medical Mutual of Ohio (OH)
- …experience as a Provider Reimbursement Analyst or equivalent health care administration experience, preferably in managed care . . Provider ... related field. . 3-4 years of experience as a Provider Reimbursement Analyst or equivalent progressive health care administration experience with an emphasis… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Reimbursement Analyst -Hybrid 150 East 42nd Street The Reimbursement Analyst initiates systems to capture all inpatient and ... outpatient charges. Monitors managed care , commercial and federal contracts to assure the recovery of all inpatient and outpatient charges in accordance with… more
- UTMB Health (Galveston, TX)
- …third party reimbursement . + Knowledge and detailed understanding of managed care fundamentals, including negotiated agreements and contract maintenance ... Senior Revenue Integrity Analyst - Revenue Integrity & Reimbursement ...Bachelor's degree or equivalent in Finance, Business Administration, Health Care Administration, Nursing, or related field and 4 years'… more
- Sanford Health (Grand Forks, ND)
- …of related work experience, preferably in hospital, clinic or insurance finance and/or managed care reimbursement . **Benefits** Sanford Health offers an ... Hours:** 40.00 **Salary Range:** $27.50 - $44.00 **Job Summary** The Senior Reimbursement Analyst provides critical analytical and reimbursement related… more
- Ellis Medicine (Schenectady, NY)
- The Senior Reimbursement Analyst is responsible for ensuring that all governmental and regulatory reports are filed in a timely and accurate manner; maximizes ... analyzes and General Ledger database for annual Cost Report. + Assists with managed care contract maintenance and facility credentialing activities. + Produces… more
- LifePoint Health (Brentwood, TN)
- …environments where employees find purpose and fulfillment. *What you'll do:* As a *Senior Financial Analyst - Managed Care *, you will provide analytics and ... payer contracts, and overall network strategy. The Sr. Financial Analyst works closely with Managed Care...Review and abstract contract language that significantly impacts hospital reimbursement . * Update standard managed care… more
- New York State Civil Service (Albany, NY)
- …Preferred Qualifications: An understanding of the various New York State (NYS) Mediciad Managed Long Term Care (MLTC) reimbursement methodologies. Knowledge ... HELP Yes Agency Health, Department of Title Associate Health Care Management System Analyst (NY HELPS) -... reimbursement methodologies of New York State (NYS) Managed Long Term Care (MLTC) programs, based… more
- AdventHealth (Maitland, FL)
- …for analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement . The role focuses on ... ethic, trainability, communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both… more
- LA Care Health Plan (Los Angeles, CA)
- …in designing, developing, generating and analyzing ad hoc/production reports in Healthcare/ Managed Care setting. Preferred: Experience as a Clinical Data ... Clinical Data Analyst III (Tableau, SQL) Job Category: Clinical Department:...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- New York State Civil Service (Albany, NY)
- …Medicare & Medicaid Services. Supervisory Experience Required. Duties Description The Bureau of Managed Care Reimbursement is responsible for the calculation ... HELP Yes Agency Health, Department of Title Associate Health Care Management System Analyst (NY HELPS) -...and evaluation of Managed Care (MC) rates, additional MC reimbursement and… more
- VNS Health (Manhattan, NY)
- …senior management on highly visible projects to understand business needs and challenges of managed care payors and to develop innovative solutions to meet those ... Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying...design, plan, and deliver information systems solutions to meet managed care payor needs. + Functions as… more
- RWJBarnabas Health (Oceanport, NJ)
- …in accordance with contractual terms. + Serves as a managed care resource across the organization assisting with reimbursement inquires, contractual rate ... Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department: Managed Care Location: SBC Corporation, Oceanport, Oceanport,… more
- CommonSpirit Health (Phoenix, AZ)
- …/ Purpose** The Analyst , Payer Analytics & Economics performs complex managed care payer financial analysis, strategic pricing and payer contract modeling ... and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires… more