- AdventHealth (Maitland, 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
- 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date:...The Senior Managed Care Rebate Analyst is responsible for managing the reimbursement process ... in the disputes process. **How you'll spend your day** * The Senior Managed Care Rebate Analyst must interpret contract language and input and maintain… 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 , ... 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
- PNC (Philadelphia, PA)
- …protection; 401(k) with PNC match, pension and stock purchase plans; dependent care reimbursement account; back-up child/elder care ; adoption, surrogacy, ... to contribute to the company's success. As a Portfolio Implementation Analyst - Managed Accounts within PNC's Asset Management Group organization, you will be… 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
- 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
- AdventHealth (Maitland, FL)
- …managing revenue. Must be able to complete financial and operational analyses of managed care contracts, proposals, analyze fee schedules, and determine contract ... the Florida and Multi-State Divisions of AdventHealth, as well as represent AdventHealth managed care to payers in all AdventHealth Markets. **The value you'll… 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 ... BI and analytics solutions, transforming data into valuable insights for our Managed Care Contracting, Revenue Cycle, and Finance teams. Implements… more
- Prime Healthcare (Harlingen, TX)
- …is responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many ... 4. Bachelor's degree preferred Connect With Us! (https://careers-primehealthcare.icims.com/jobs/173799/ reimbursement - analyst /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management Inc… 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
- MyFlorida (Tallahassee, FL)
- …waivers and home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review ... 68064934 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jul 18,...the development of policy language for: the Statewide Medicaid Managed Care report guide, contracts and amendments;… 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: Sep 19,...in the development of policy language for: the Medicaid managed care report guide, Medicaid contracts and… 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 Systems Analyst (NY HELPS) -...and evaluation of Managed Care (MC) rates, additional MC reimbursement and… 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
- LA Care Health Plan (Los Angeles, CA)
- Healthcare Financial Analyst I Job Category: Accounting/Finance Department: Finance Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...to achieve that purpose. Job Summary The Healthcare Financial Analyst I will assist with gathering medical cost data… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Portfolio Management Office Solutions Analyst III Job Category: Information Technology Department: Enterprise Portfolio Management Office Location: Los ... Range: $105,267.00 (Min.) - $139,478.00 (Mid.) - $173,689.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… 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