- EDI Staffing (Lynbrook, NY)
- …Skills: Minimum 2-3 years previous experience as an Analyst Health Care Industry experience Strong data analytics skills Previous experience and business ... Summary:The Analyst acts as the primary liaison between IT...data sets. This includes submissions to the NYS Medicaid, Managed Care , and CMS for Medicare claims.… more
- Medline Industries LP (Northfield, IL)
- …Requirements: Mandatory 5 years of experience working in a Business Analyst role. Strong analytical skills to understand business goals, complex processes, ... skills and ability to work well within a team Ability to influence and managed expectations with business stakeholders and peers Ability to work in a fast-paced and… more
- Careerbuilder-US (Chicago, IL)
- …years project management experience including leading and planning projects. . Managed care /network management database experience including knowledge of ... JOB TITLE: Analytics & Reporting Consultant (Provider Program Administrative Analyst ) JOB LOCATION: Chicago, IL 60601 JOB DURATION: 4 months +(Possible… more
- 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
- Hartford HealthCare (Wethersfield, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** ... Summary:_* Reporting directly to the Manager of Payer Contract Analytics , the Sr. Payer Analyst develops a...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- The Cigna Group (Bloomfield, CT)
- … Healthcare experience environment required** + **4+ years Financial Analysis experience in Managed Care required** + **Ability to analyze and interpret both ... operational costs, always focusing on results. + In-depth understanding of managed care business processes, data, systems, reimbursement methodology, case-mix… more
- Ally (Austin, TX)
- …**The Opportunity** We are looking for a dynamic Sr. Business Intelligence analyst with excellent communication skills and a background in technology, business ... intelligence, and strong logic and problem solving. This Senior Analyst will utilize analytical and technical skills to innovate, build, and maintain well- managed… more
- CVS Health (Phoenix, AZ)
- …Qualifications - 2+ years' experience with PBM- Knowledge of health insurance, managed care , or pharmaceutical industry preferred- Analytical expertise and ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Healthfirst (NY)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong project management ... multiple projects in a fast-paced environment. + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… 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
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Senior Health Care Management System Analyst - 61327, 61331 (NY HELPS) Occupational Category Financial, Accounting, ... with permanent or contingent-permanent status as a Senior Health Care Management System Analyst , Grade 18 OR:...Capitation, Medicaid Advantage Plus (MAP) and Program of All-inclusive Care for the Elderly (PACE) Managed Long… 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)
- …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 Job Category: Clinical Department: Quality Improvement...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… 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 ... knowledge of health care operations or health care delivery systems. **Provider Network Performance Analyst ...knowledge of insurance concepts, plan administration, planning, principles, and managed care delivery systems. + Knowledge of… more
- HCA Healthcare (Austin, TX)
- …you want to join an organization that invests in you as a Consulting Product Analyst ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...difference. We are looking for a dedicated Consulting Product Analyst like you to be a part of our… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …the position is to identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with the Teva Market Access ... (PDL) to validate product placement complies with all terms and conditions of the managed care contract. Using critical thinking skills and data analytics ,… more
- Molina Healthcare (Florence, 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
- Walmart (Bentonville, AR)
- Position Summary What you'll do Are you a creative and driven data analyst ready to take on an exciting opportunity? As a Senior Data analyst , you'll be part of ... on cloud service and local server environments. The products managed and built by this role have a high...deadlines. **You'll make an impact by ** + **Advanced Analytics ** : In-depth investigation of key drivers of transportation… 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
- AmeriHealth Caritas (Manchester, NH)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... **Provider Network Operations Claims Analyst Sr (hybrid)** Location: Manchester, NH Primary Job...with Medicaid preferred. + Experience with Microsoft Excel. + Managed Care experience required. \#HM **Diversity, Equity,… more