- Nuvance Health (Danbury, CT)
- *Description* Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and reimbursement data to aid in contract negotiations for all ... In addition to gathering volume data and modeling of current reimbursement, the Managed Care Analyst determines the need for methodology changes and proposes… more
- AmeriHealth Caritas (Washington, DC)
- …Maine Avenue, SW, Suite 1000, 10th Floor, Washington, DC 20024 **Responsibilities:** The Managed Care Provider Network Resolution Analyst is responsible for ... payment of claims for par and non-par providers in our network.; The Managed Care Provider Network Resolution Analyst ensures that each provider's status… more
- Cedars-Sinai (Beverly Hills, CA)
- …or related field of study **Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid Remote **Department** : MNS Accounting ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- CommonSpirit Health (Phoenix, AZ)
- …combination of educationand/orexperience may be considered. + Experience working with managed care contracts, including contract negotiation and analysis ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...across the US from clinics and hospitals to home-based care and virtual care services CommonSpirit is… more
- e CancerCare (Nashville, TN)
- …related to ION network and providers. Team member will work closely with the Managed Care department team in generating and reviewing system data, while making ... other internal teams with reimbursement related concerns and acting as a liaison to managed care plans. Essential Functions: . Support Managed Care team… more
- Hawaii Pacific Health (Honolulu, HI)
- …abilities, relevant experience and training, as well as internal peer equity. **Position** Analyst - Analytics Managed Care **Location** Hawaii Pacific ... The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage,… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Managed Care Financial Analyst , Managed Care Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... seven times. Position Summary: In conjunction with others in the Managed Care Department, this position is responsible for assisting in the coordination… more
- AmeriHealth Caritas (Philadelphia, PA)
- …environment. + Minimum of five to seven years work experience with Medicaid Managed care in Business Analyst Position, Configuration, or related ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- Kelsey-Seybold Clinic (Houston, TX)
- …Preferred: Bachelor's Degree **Experience** Required: 5 years of working experience in a Managed Care environment as Senior Analyst , Coordinator, OR ... and coaching and other duties as assigned. **Job Title: Supervisor, Managed Care Claims** **Location: Pearland Administrative Office** **Department:** **Claims**… more
- AdventHealth (Maitland, FL)
- …Governmental (Medicare, Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care staff in all ... + The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, and coding for… more
- Axxum Technologies (Mclean, VA)
- … III should possess an extensive knowledge of TIERS, and ideally managed care policies and processes. The Systems Analyst III is responsible for analyzing ... Systems Analyst - MUST have TIERS experience! - REMOTE (HHS)...managed care data including Medicaid/CHIP eligibility, premium payments, and encounter data… more
- HCA Healthcare (Brentwood, TN)
- …and prevention of denials, payment discrepancies and other claims adjudication issues from HCA's managed care book of business. Note: This is a position within ... organization that invests in you as a HUB Sr Analyst ? At HCA Healthcare, you come first. HCA Healthcare...of relevant work experience + College Graduate Preferred + Managed Care or Revenue Cycle experience, specifically… more
- The County of Los Angeles (Los Angeles, CA)
- DEPUTY DIRECTOR, MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4843984) DEPUTY DIRECTOR, ... MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Salary $176,297.52 - $274,178.64...about a specific job posting should contact the exam analyst listed on the posting. Equal Employment Opportunity/Non-Discrimination Statement:… 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 ... analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on 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: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11998… more
- UNC Health Care (Morrisville, NC)
- …so as to maintain system standards promoting patient access. The Business Applications Analyst will also be responsible for the recruitment and retention of Business ... template build *Provides end user support for all UNC owned and managed clinics along with Community Connects Template Optimization *Establishes and provides… 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
- 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: Mar 11, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify… more
- MyFlorida (Tallahassee, FL)
- …of Florida's Medicaid program to federal and state agencies, Medicaid recipients, Medicaid managed care plans, and providers. The Bureau of Medicaid Quality has ... 68064974 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Mar 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify… more
- WMCHealth (Valhalla, NY)
- …Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Managed Care -WMC Health Union: No Position: Full Time Hours: ... Applicant link Job Details: Job Summary: The Senior Financial Analyst will report to the Senior Director of System...Senior Director of System Implementation & Analytics for the Managed Care Department at Westchester Medical Center… more
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