- Harbor Health Services, Inc. (Mattapan, MA)
- …of health care resources, with attention to the quality and appropriateness of care within a managed care environment. Additionally, the Director of UM ... of quality measures and other data by the Quality Analyst for report to regulatory agencies, including CMS and...years of management experience in a health plan and/or managed care environment required 3 or more… more
- State of Colorado (Denver, CO)
- Managed Care Rates & Reconciliation Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5162656) Apply Managed Care Rates ... money on health care and driving value for Colorado. We are looking for a Managed Care Rate & Reconciliation Analyst to join our Managed Care … more
- Hartford HealthCare (Hartford, CT)
- …moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** ... the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a...Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- Omaha Children's Hospital (Omaha, NE)
- …employer including veterans and people with disabilities. **A Brief Overview** The Sr. Managed Care Contract and Revenue Analyst will conduct complex ... and detailed analysis and modeling of managed care contracts for the organization. This position will develop reports and perform analysis to identify root… more
- Molina Healthcare (Austin, TX)
- …5-7 years' experience preferred. + Databricks experience preferred. + Texas Medicaid and Managed Care experience strongly preferred. + Experience working in a ... emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data… more
- Molina Healthcare (Cleveland, OH)
- …Qualifications** + At least 6 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent ... including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees:… 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 ... related to rate and revenue codes operations through modification to yield maximum revenue potential for both physician and hospital contracts/reimbursement. Ensures through Epic testing that the build is developed and performing the collaborates with the Epic… more
- MyFlorida (Tallahassee, FL)
- …specifically through audits and investigations of healthcare providers, including managed care plans. This OPS Government Analyst II position will support ... the Bureau's responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care Oversight. MPI operates with dynamic and fast-paced… more
- Insight Global (Montgomery, AL)
- …Professional Business Analyst to support client delivery initiatives within the managed care space. This role requires expertise in prior authorization ... Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements Proven experience as a Business Analyst in managed care or healthcare… more
- Martin's Point Health Care (Portland, ME)
- …health administration, health policy, finance or a related field required. + 5+ years of managed care or similar experience including managed care ... of building internal and external collaborative relationships. + Broad understanding of managed care business - medical expense trends, financial risk… more
- MyFlorida (Tallahassee, FL)
- …the Bureau's responsibility: Operations, Data Detection, Investigations, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic and ... 68039493 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Dec 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify… 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 ... 68900156 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Dec 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our… 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
- CommonSpirit Health (Englewood, CO)
- …contract modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... on the more technical side of payer analytics and managed care ? The person in this role...reimbursement and market share. Provides mentorship and guidance of Analyst contract modeling. Provides analysis findings and education to… more
- Elevance Health (Grand Prairie, TX)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Cost of Care /Provider Contracting Data Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration… more
- New York State Civil Service (Newark, NY)
- …Agency People With Developmental Disabilities, Office for Title Standards Compliance Analyst 1 Developmental Disabilities Occupational Category Health Care , ... reviewing providers' plans of corrective action. The Standard Compliance Analyst 1 Developmental Disabilities (SCA 1 DD) work under...Savings Plan.* Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care … more
- The County of Los Angeles (Los Angeles, CA)
- …effectiveness, ensuring regulatory compliance, and promoting health equity within the managed care framework. DEFINITION: Under immediate supervision, assists in ... PREDICTIVE DATA ANALYST / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4775405) Apply PREDICTIVE DATA … more
- New York State Civil Service (Albany, NY)
- …Agency People With Developmental Disabilities, Office for Title Senior Budgeting Analyst Occupational Category Other Professional Careers Salary Grade 18 Bargaining ... spending control process.Under the direction of the Associate Budgeting Analyst , the Senior Budgeting Analyst will:* Assist...Savings Plan.* Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care … more
- Elevance Health (Lake Mary, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and… more
- UNC Health Care (Hendersonville, NC)
- …are applied to the proper patients accounts. Ensures that payments received on managed care accounts are paid properly Oversees the prompt and accurate ... of the unique communities we serve. **Summary:** The PFS Analyst Supervisor is a member of the Patient Financial...the daily activities of billing, reimbursement, cashiers, refunds, urgent care , and the responsibilities of the mail clerk and… more
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