- 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
- Bon Secours Mercy Health (Cincinnati, OH)
- …appeals, auditing pharmacy benefit claims, and analyzing pharmacy benefits data. The Pharmacy Benefits Managed Care Analyst will have a variety of job ... Diploma/GED **Work Experience** Minimum of 1-year experience in one of the following: Managed Care , Retail, Ambulatory, Outpatient, Hospital, Acute Care , or… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Managed Care Rebate Analyst Date: Nov 7, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59108 **Who we ... a difference, and new people to make a difference with. **The opportunity** The Managed Care Rebate Analyst is responsible for the processing of Managed … more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date: Nov 10, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57682 ... and new people to make a difference with. **The opportunity** The Senior Managed Care Rebate Analyst is responsible for managing the reimbursement process… more
- Sutter Health (Sacramento, CA)
- …: **EDUCATION:** _Equivalent experience will be accepted in lieu of the required degree or diploma._ + Bachelor's: Accounting, Economics, Finance or other related ... field **TYPICAL EXPERIENCE:** + 8 years recent relevant experience **SKILLS AND KNOWLEDGE:** + Must be knowledgeable and thoroughly understand the various commercial third party payers, Medicare and Medi-Cal reimbursement requirements as it relates to acute… 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)
- …training, as well as internal peer equity. Starting Hourly Rate: 30.47 **Position** Analyst - Analytics Managed Care **Category** Administrative **Employment ... The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage,… more
- Molina Healthcare (WA)
- …Experience** + 7+ years of business analysis or systems experience, + 6+ years managed care experience. + Demonstrates expertise in a variety of concepts, ... have worked in US Healthcare government programs such as Medicare, Medicaid, the Affordable Care Act, or similar, with experience in one or more of these programs.… 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...Auditing and Monitoring Plan. + Oversight of Iowa Total Care business units, which may include Enterprise Teams and/or… more
- Molina Healthcare (WI)
- …and experience **Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 1-3 years formal training in Business Analysis and/or Systems Analysis… 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 ... revenue, payer contracts, and overall network strategy. The Sr. Financial Analyst works closely with Managed Care leaders to prioritize what-if modeling and… more
- Molina Healthcare (UT)
- …with 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
- 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, ... Division of Finance and Rate Setting / Bureau of Managed Long Term Care Rate Setting One...with permanent or contingent-permanent status as a Senior Health Care Management System Analyst , Grade 18 OR:… more
- MyFlorida (Tallahassee, FL)
- …(MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans. This OPS Medical Health Care Program ... 68900202 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 6,...responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic… 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: Nov 12,...in the development of policy language for: the Medicaid managed care report guide, Medicaid contracts and… 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
- New York State Civil Service (Albany, NY)
- …& Medicaid Services. Supervisory Experience Required. Duties Description The Bureau of Managed Care Reimbursement is responsible for the calculation and ... HELP Yes Agency Health, Department of Title Associate Health Care Management System Analyst (NY HELPS) -...evaluation of Managed Care (MC) rates, additional MC reimbursement… more
- Surgery Care Affiliates (Chicago, IL)
- …Statistics, Economics or related field + 3+ years of analytical experience in a Healthcare/ Managed Care environment required + Travel to company meetings (10%) + ... SCA Health is currently seeking a Senior Payer Analytics Analyst on the Catalyst Analytics team. We are seeking...strong analytical and critical thinking skills + Experience with managed care contract terms analysis + Strong… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Finance. This position provides key support and analyses during rate negotiations with Managed Care Plans and performs functions related to other financial ... difference in people's lives.** **Job Description:** The Senior Financial Analyst reports directly to the Executive Director of Contracting...aspects of Beth Israel Lahey Health's Managed Care Contracts and relationships. It also… more
- LA Care Health Plan (Los Angeles, CA)
- …At least 3 years of experience in data analysis in a health or managed care environment. Skills Required: Proven ability to significantly impact process ... Business Analyst II (ALD) 2 year Job Category: Administrative,...$100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
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