- Cedars-Sinai (Beverly Hills, CA)
- …Los Angeles and beyond. **Req ID** : 12414 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid **Department** : MNS Accounting **Business ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- Hartford HealthCare (Hartford, CT)
- …moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** ... Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... years related experience. Experience with health plan insurance contracting and reimbursement for providers and facilities. Experience with Microsoft Access, data… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement ... initiates systems to capture all inpatient and outpatient charges. Monitors managed care , commercial and federal contracts to assure the recovery of all… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …hospital or professional provider reimbursement programs for traditional and managed care programs and Medicare Advantage. Contact other plans, consultants, ... Audit, Network Administration and/or Medicare Advantage staff, and entry level Reimbursement Analyst by developing and implementing project/program narratives… more
- New York State Civil Service (Albany, NY)
- …healthcare facility related to reimbursement rates, principles, and practices.Senior Health Care Fiscal Analyst (SG-18): Either 1. A bachelor's or higher ... Agency People With Developmental Disabilities, Office for Title Senior Health Care Fiscal Analyst -(Two Vacancies) Occupational Category Other Professional… more
- Centene Corporation (Austin, TX)
- …and/or operations experience is a plus + Background in healthcare or managed care is highly valued **Education/Experience:** Bachelor's degree in related ... **Position Purpose:** Compile and analyze financial information for Network Reimbursement and Contracting initiatives, playing a key role in achieving… more
- Omaha Children's Hospital (Omaha, NE)
- …to understand impact to the organization + Work with Director of Managed Care to aid in understanding of reimbursement issues and analyze payor contract ... to improve the life of every child through exceptional care , advocacy, research and education. As the state's only...and other agency reporting over net patient revenue and reimbursement . Oversees general ledger accounts and ensures accuracy of… more
- CommonSpirit Health (Englewood, CO)
- …contract modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires… more
- MyFlorida (Tallahassee, FL)
- …eligibility for participation in supplemental payment programs. Coordinate data transfers between Florida managed care plans and the Agency for Health Care ... 68064297 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jan 8,...Medicaid health plans, calculates both institutional and non-institutional Medicaid reimbursement rates, and disburses supplemental payments to Medicaid providers.… more
- CommonSpirit Health (Rancho Cordova, CA)
- …remote position. The Senior Analyst , Payer Analytics & Economics performs managed care financial analysis, strategic pricing and payer contract modeling ... maximizing reimbursement and market share. Develops new managed care products with external payers that...all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models.… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …collection processes across all payer types (Medicare A/B, Medicaid, FFS, PDGM, and Managed Care for Home Health & Hospice). + Insurance Verification: In-depth ... **POSITION SUMMARY:** The Revenue Cycle Analyst supports BAYADA Home Health Care 's...cycle, including insurance verification, authorizations, billing, payer performance, and reimbursement . This role serves as a key liaison between… more
- LA Care Health Plan (Los Angeles, CA)
- …etc. Preferred: At least 5 years of experience working with a California Medi-Cal managed care plan or commercial health plan, medical group, or management ... Core Systems Configuration Analyst III Job Category: Administrative, HR, Business Professionals...services organization. Skills Required: Advanced understanding of managed care operations (including but not limited… more
- UNC Health Care (Hendersonville, NC)
- …team. The PFS Analyst Supervisor directs the daily activities of billing, reimbursement , cashiers, refunds, urgent care , and the responsibilities of the mail ... of the unique communities we serve. **Summary:** The PFS Analyst Supervisor is a member of the Patient Financial...the proper patients accounts. Ensures that payments received on managed care accounts are paid properly Oversees… more
- CentraCare (St. Cloud, MN)
- …of payer policies, government reimbursement regulations, and healthcare legislation. The analyst partners with managed care , revenue cycle, government ... time Find your purpose as a Financial and Regulatory Analyst at CentraCare. The Financial and Regulatory Policy ...environment. + Understanding of Medicare and Medicaid payment systems, managed care contracts, and payer policies required.… more
- UNC Health Care (Hendersonville, NC)
- …monitoring key performance indicators for performance improvement activities. . Partner with Managed Care to ensure adherence to contracts and communicate ... of the unique communities we serve. **About the position** The Denials Prevention Analyst plays a crucial role in identifying and mitigating denial risks for both… more
- Community Health Systems (Franklin, TN)
- … analysis required **Knowledge, Skills and Abilities** + Strong understanding of managed care , government contracts, and reimbursement processes. + ... reimbursement by identifying variances between posted and expected revenue for managed care , government contracts, and other payers. This role includes… more
- Hartford HealthCare (Farmington, CT)
- …. Extensive understanding of reimbursement theories to include OPPS, MPFS, and managed care . . Extensive working knowledge of health care compliance. ... with clinical department activities. The ability to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Senior MyChart Analyst (Level 3) provides advanced application delivery and project-focused support for Epic MyChart and its integration with ... project and enhancement work, with day-to-day ticket-based support delivered through a managed services partner (MSP). In addition to deep Epic MyChart expertise,… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding,… more
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