- Novo Nordisk Inc. (Plainsboro, NJ)
- …and monitoring and evaluation of contract performance for all customer segments (eg, Managed Care , Non-Federal Hospitals, Long-Term Care , Medicare Part D, ... Supports Strategic Pricing managers with the development and implementation of Managed Markets Strategy through financial modeling for deal evaluation and creation… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …and monitoring and evaluation of contract performance for all customer segments (eg, Managed Care , Non-Federal Hospitals, Long-Term Care , Medicare Part D, ... Medicaid (FFS & MM), Exchanges and Federal), including but not limited to Obesity, Diabetes, and Rare Disease products. Relationships The position reports directly to a Lead in Strategic Pricing and Contracting and provides analytical support to their account… more
- RWJBarnabas Health (Oceanport, NJ)
- Senior Managed Care Analyst (Remote/Hybrid) - Oceanport, NJReq #:0000150834 Category:Professional / Management Status:Full-Time Shift:Day ... SBC Corporation, Oceanport, Oceanport, NJ 07052 Job Overview: The Senior Managed Care Analyst assists with aspects of the fee-for-service environment… 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 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
- 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
- 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
- Rush Copley Medical Center (Aurora, IL)
- Responsible for analyzing the hospital and physician current accounts receivable for Managed Care , finding underpayments and rebilling the insurance carriers to ... device carve out billing to payers as required by the Managed Care /WorkComp contracts, following up to ensure reimbursement, reporting current status monthly.… 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
- 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
- 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 ... Business Analyst , Project Managers, Systems, Developers, Etc. All positions...managed care data including Medicaid/CHIP eligibility, premium payments, and encounter… more
- MyFlorida (Tallahassee, FL)
- …Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid ... 68064476 - MEDICAL HEALTH CARE PROGRAM ANALYST Date: Feb 14, 2025...Managed Care (SMMC) program. The bureau's primary responsibility is ensuring that… more
- Medical Mutual of Ohio (OH)
- …environment. + Health plan experience preferred. + Medicare or Medicaid managed care experience preferred. **Professional Certification(s)** + Relevant ... environment. + Health plan experience a plus. + Medicare or Medicaid managed care experience a plus. **Professional Certification(s):** + Relevant Certification… 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
- 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
- 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
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