• Managed Care Contract

    e CancerCare (Nashville, TN)
    …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... Job Purpose: Contract Analyst will be responsible for...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
    e CancerCare (02/04/25)
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  • Senior Analyst , Pricing - Managed

    Option Care Health (Dallas, TX)
    …degree and at least 4 years of experience in Analytics, Pricing, Managed Care , Statistics, Pharmaceuticals, or other Healthcare settings **Basic Qualifications** ... within the pharmaceutical/alternate-site healthcare sector, including both Fee-For-Service and Value-Based- Care proposals. The Senior Analyst will utilize a… more
    Option Care Health (03/07/25)
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  • Managed Care Analyst

    Nuvance Health (Danbury, CT)
    *Description* Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and reimbursement data to aid in contract negotiations for ... entities. In addition to gathering volume data and modeling of current reimbursement, the Managed Care Analyst determines the need for methodology changes… more
    Nuvance Health (03/12/25)
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  • Managed Care Provider Network…

    AmeriHealth Caritas (Washington, DC)
    …Maine Avenue, SW, Suite 1000, 10th Floor, Washington, DC 20024 **Responsibilities:** The Managed Care Provider Network Resolution Analyst is responsible for ... for par and non-par providers in our network.; The Managed Care Provider Network Resolution Analyst...functions. + Responsible for research and analysis related to contract updates, provider network or claim issues. + Responsible… more
    AmeriHealth Caritas (02/14/25)
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  • Senior Financial Analyst ( Managed

    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
    Cedars-Sinai (01/05/25)
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  • Senior QA Analyst - Managed Accounts

    Motion Recruitment Partners (St. Louis, MO)
    Senior QA Analyst - Managed Accounts St Louis, Missouri **Hybrid** Contract $53.09/hr - $59.82/hr **Job Title:** Senior QA Analyst - Managed Accounts ... **Location:** St Louis, MO or Charlotte NC **Job Type:** Contract **Duration:** 1 year **Job Overview:** We are seeking an experienced **Senior QA Analyst ** to… more
    Motion Recruitment Partners (03/15/25)
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  • Managed Care Analyst Patient…

    CommonSpirit Health (Phoenix, AZ)
    …equivalent combination of educationand/orexperience may be considered. + Experience working with managed care contracts, including contract negotiation and ... the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals to home-based care more
    CommonSpirit Health (03/07/25)
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  • Contract Management Analyst (Remote)

    Community Health Systems (Franklin, TN)
    … is responsible for accurately coding, testing and maintaining managed care contracts from assigned facilities into the contract management system in ... service definitions and reimbursement methodology. The Contract Analyst acts as a liaison for Managed ... Analyst acts as a liaison for Managed Care Financial Analysts modeling contracts and… more
    Community Health Systems (03/11/25)
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  • Contract Analyst

    HCA Healthcare (Nashville, TN)
    …be a part of our team. **Job Summary and Qualifications** Seeking a Contract Analyst , who is responsible for translating managed care terms and model ... join an organization that invests in you as a Contract Analyst ? At Parallon, you come first....**What you will do in this role:** + Model managed care contracts through the Concuity Calc… more
    HCA Healthcare (02/16/25)
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  • Senior Analyst , Contract Validation…

    J&J Family of Companies (Raritan, NJ)
    …US ECM organization, you will be responsible for timely and accurate review of contract compliance for Managed Care Organizations (MCO) and Pharmacy Benefit ... Johnson's Family of Companies, is recruiting for a **Senior Analyst , Contract Validation and Analytics (CVA)** to...trends, and problem solve **Preferred:** + Knowledge of the managed care contracting environment + Experience within… more
    J&J Family of Companies (03/14/25)
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  • Senior Contract Support Analyst

    Abbott (Livermore, CA)
    …Our 114,000 colleagues serve people in more than 160 countries. **Job Title** **Senior Contract Support Analyst ** **Working at Abbott** At Abbott, you can do ... of the World's greatest healthcare challenges. As the Senior Contract Support Analyst , you'll have the chance...to competing high priority tasks effectively + Commercial payor contract review experience + Managed Medicare and… more
    Abbott (02/07/25)
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  • Contract Modeling Analyst /Full…

    Henry Ford Health System (Detroit, MI)
    …+ Microsoft Excel required. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job + Union Code: Not ... SUMMARY: Responsible for creating and managing facility and/or physician contract models for Henry Ford Health System entities using...full continuum of services - from primary and preventative care to complex and specialty care , health… more
    Henry Ford Health System (02/07/25)
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  • Managed Care Fin Anlst

    Covenant Health Inc. (Knoxville, TN)
    Overview Managed Care Financial Analyst , ...is responsible for assisting in the coordination of the contract management process for managed care ... this position is responsible for developing and maintaining online managed care web-based tools and sites for...the DSS. + Meets regularly with Managed Care and Financial Analytics Teams regarding the contract more
    Covenant Health Inc. (01/10/25)
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  • Senior Compliance Analyst - Hybrid

    AdventHealth (Maitland, FL)
    …+ The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, and ... Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care ...service and maintain relationships with clients who include AH Managed Care Directors, Contract Denial… more
    AdventHealth (03/04/25)
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  • Sr Medical Economics Analyst - Hybrid

    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 ... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst ...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract more
    AdventHealth (02/01/25)
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  • Payer Engagement Sr Analyst

    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
    HCA Healthcare (01/30/25)
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  • Deputy Director, Mental Health (UC)…

    The County of Los Angeles (Los Angeles, CA)
    DEPUTY DIRECTOR, MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4843984)  DEPUTY DIRECTOR, ... MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Salary $176,297.52 - $274,178.64...Management. This role is responsible for budgeting, financial strategy, contract negotiations, and network management to ensure adequate service… more
    The County of Los Angeles (02/25/25)
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  • Sr. Financial Analyst

    WMCHealth (Valhalla, NY)
    …monthly statistics, and develop contract rate models in support of Managed Care contract negotiations. Responsibilities: + Responsible for maintaining ... Sr. Financial Analyst Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Managed Care -WMC Health Union: No Position: Full… more
    WMCHealth (03/04/25)
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  • Senior Financial Analyst

    Beth Israel Lahey Health (Charlestown, MA)
    …but not limited to:** 1) Designs & performs analyses and reporting in support of managed care contract negotiations including but not limited to Hospital ... Finance. This position provides key support and analyses during rate negotiations with Managed Care Plans and performs functions related to other financial… more
    Beth Israel Lahey Health (02/07/25)
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  • Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …eligibility for participation in supplemental payment programs. Coordinate data transfers between Florida managed care plans and the Agency for Health Care ... 68064297 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Mar 11,...highly preferred. LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS Florida Certified Contract Manager is highly preferred. CONTACT : JEFF MISTICH… more
    MyFlorida (03/12/25)
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