- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... but not limited to: Brand sales materials, Training Department materials, Managed Markets sales tools, speaker slide decks, Website materials, advertising and… more
- Erickson Senior Living (Baltimore, MD)
- …in Baltimore, Maryland is a national provider of senior living and health care with campuses in 11 states-and growing. Erickson Senior Living develops and manages ... investmentsGathers and interprets cash flow and other financial dataManage Treasury Analyst to ensure daily treasury processes are being performed and cross-training… more
- Robert Half Accountemps (Van Nuys, CA)
- Description We are seeking an experienced Managed Care Analyst to join our Managed Care Department on a temporary basis, potentially until the end of ... have excellent leadership and negotiation skills and a comprehensive understanding of managed care contracting rates for network providers, services, and… more
- Hartford HealthCare (Wethersfield, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** ... the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling process for negotiated rate changes...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- Highmark Health (Columbus, OH)
- …:** **GENERAL OVERVIEW:** This job builds and maintains hospital, professional, and ASC contracts in Epic. Identifies underpaid accounts and articulates the source of ... the processing error to the payor. **ESSENTIAL RESPONSIBILITIES** + Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. (40%) + Manages underpayment AR for assigned payors including successfully recovering on… 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
- Queen's Health System (Honolulu, HI)
- …A. EDUCATION/CERTIFICATION AND LICENSURE: * Bachelor's degree in Business, Finance or Health Care Administration or four (4) years with health care provider or ... to the educational requirement, two (2) years experience with a health care provider or payer in contracting or business operations. * Demonstrated ability… 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
- New York State Civil Service (Albany, NY)
- …Health Care Management System Analyst (AHCMSA). The Bureau of Managed Care Reimbursement is responsible for the calculation and evaluation of Medicaid ... HELP Yes Agency Health, Department of Title Senior Health Care Management System Analyst /Trainee - 80206, 80062,...with financial and systems analysts within the Bureau of Managed Care Reimbursement within OHIP's Division of… more
- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed, ... Query Language (MSSQL) Database skills to lead/execute the development of the complex Managed Care / Payer Analytics platform. The Payer Analytics team is… more
- City and County of San Francisco (San Francisco, CA)
- Behavioral Health Services (BHS) is increasingly expanding services under its Managed Care division which oversees the Office of Coordinated Care (OCC), ... psychiatric services. The Behavioral Health Services (BHS) Deputy Medical Director of Managed Care provides effective leadership and strategic direction in the… more
- New York State Civil Service (Albany, NY)
- …Principal Health Care Management System Analyst (PHCMSA). The Bureau of Managed Care Reimbursement is responsible for the calculation and evaluation of ... HELP Yes Agency Health, Department of Title Associate Health Care Management System Analyst (NYS HELPS) -...supervise financial and systems analysts within the Bureau of Managed Care Reimbursement within OHIP's Division of… 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, ... with permanent or contingent-permanent status as a Senior Health Care Management System Analyst , Grade 18 OR:...Capitation, Medicaid Advantage Plus (MAP) and Program of All-inclusive Care for the Elderly (PACE) Managed Long… 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: Quality Improvement...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- HCA Healthcare (Nashville, TN)
- …prevention of denials, payment discrepancies and other claims adjudication issues from HCA's managed care book of business. Note: This is a position requiring ... organization that invests in you as a Payer Engagement Analyst ? At HCA Healthcare, you come first. HCA Healthcare...Years of relevant experience + High School Graduate + 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
- LA Care Health Plan (Los Angeles, CA)
- Healthcare Financial Analyst I Job Category: Accounting/Finance Department: Actuarial Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...to achieve that purpose. Job Summary The Healthcare Financial Analyst I will assist with gathering medical cost data… more
- LA Care Health Plan (Los Angeles, CA)
- …of Commercial Health Insurance, Medicare, Medicaid and benefit administration in a Managed Care Services organization. Working knowledge of configuring QNXT or ... Lead Systems Configuration Product Analyst Job Category: Information Technology Department: IT Enterprise...$139,478.00 (Mid.) - $173,689.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- LA Care Health Plan (Los Angeles, CA)
- …small scale technical solutions to streamline operational processes. Must have Managed Care experience. Preferred: Medicaid, Medicare experience. Skills ... Technical Project Analyst II Job Category: Administrative, HR, Business Professionals...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
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