• Managed Care Analyst Patient…

    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...payments and pursues additional payment if necessary. + Researches payor medical policies for coverage issues or for contract… more
    CommonSpirit Health (03/07/25)
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  • Senior Compliance Analyst - Hybrid

    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
    AdventHealth (03/04/25)
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  • CBO Appeals Analyst

    Mount Sinai Health System (New York, NY)
    …or greater in related field or equivalent education/experience + 2 years minimum of managed care experience in claims or contracts + Advanced knowledge of Epic ... **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for...discuss ongoing trends and issues regarding the administration of managed care contracts. 11. Uses feedback and… more
    Mount Sinai Health System (03/04/25)
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  • Senior Contract Support Analyst

    Abbott (Livermore, CA)
    …to work independently and respond to competing high priority tasks effectively + Commercial payor contract review experience + Managed Medicare and managed ... more than 160 countries. **Job Title** **Senior Contract Support Analyst ** **Working at Abbott** At Abbott, you can do...you can do work that matters, grow, and learn, care for yourself and family, be your true self… more
    Abbott (02/07/25)
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  • Sr. Vulnerability Analyst

    Henry Ford Health System (Detroit, MI)
    GENERAL SUMMARY: Senior Vulnerability Analyst - Offensive Lead is a key role in advancing vulnerability management throughout the HFHS enterprise through technical ... intelligence, vulnerability management, and offensive security. The Senior Vulnerability Analyst - Offensive Lead Managing Lead, works collaboratively to support… more
    Henry Ford Health System (03/04/25)
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  • Analyst , Payer Accountability

    R1 RCM (Salt Lake City, UT)
    …when appropriate. + Analyze data for identification and monitoring of payer trends, managed care / contract compliance, and operational processes specific to R1 ... of Revenue Cycle Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payors + Proficient in Microsoft Office Suite… more
    R1 RCM (03/14/25)
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  • Data Science Analyst III - Digital…

    Mount Sinai Health System (New York, NY)
    …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... **Job Description** **Data Science Analyst III - Digital and Technology Partners -...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or… more
    Mount Sinai Health System (03/11/25)
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  • Population Perform Analyst Senior

    Novant Health (NC)
    …projects, prioritizing to meet critical deadlines. + Knowledge of healthcare finance, managed care , provider incentives, and risk contracting required. + ... Job Summary Payor Intelligence's responsibilities are constantly evolving and currently...key components of Novant Health's strategic goals. The Senior Analyst , Population Performance reports to the Manager, Population Performance,… more
    Novant Health (02/07/25)
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  • Health Plan Data Analyst

    AdventHealth (Altamonte Springs, FL)
    …are being spent to close the most critical gaps in lowering the cost of care . The Analyst uses healthcare data (claims, labs, EHR data) analytics to gain ... **Health Plan Data Analyst ** **Location:** Virtual **All the benefits and perks...focused on lowering the cost of healthcare for our managed populations by providing actionable data to the Population… more
    AdventHealth (02/18/25)
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  • Charge Description Master CDM Consultant

    Banner Health (AZ)
    …complete. Communicates government payor reimbursement information for related charges to managed care for use in contract negotiations. Completes and submits ... team is looking for an experienced **Charge Description Master Analyst ** . This highly skilled team is responsible for...billing, reimbursement and/or coding. Must possess a knowledge of managed care contract and government payor more
    Banner Health (03/04/25)
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  • Denials Mgmt PreventAnalyst

    AdventHealth (Greenwood Village, CO)
    …documentation (eg issues logs, monthly report outs). + Performs thorough review of managed care contracts and compares such contracts against patient claims to ... Greenwood Village, 80111 **The role you'll contribute:** The Prevention Analyst is primarily responsible for denials prevention, root cause...products (ie VA, Tricare, Crimes Comp, Prisoners, etc.) and Managed Care / Commercial products + Uses… more
    AdventHealth (03/13/25)
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