- Merck & Co. (North Wales, PA)
- …management experienceKnowledge of contract lifecycle management processKnowledge of managed health care environmentKnowledge of COGNOS and SQLFamiliarity ... Job DescriptionThe Sr Specialist, Contract Analyst is responsible for contract adjudication, analysis, and customer contact and coordination activities in… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …monitoring and evaluation of contract performance for all customer segments (eg, Managed Care , Non-Federal Hospitals, Long-Term Care , Medicare Part D, ... including Contract Management, Rebate Management, Commercial Effectiveness, Government Pricing, Managed Market Strategy and the Managed Market Sales Account… more
- 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
- RWJBarnabas Health (Oceanport, NJ)
- Senior Managed Care Analyst (Remote/Hybrid)...modeling contract rates using EPIC throughout the managed care contract negotiation process. ... Corporation, Oceanport, Oceanport, NJ 07052 Job Overview: The Senior Managed Care Analyst assists with...assists with aspects of the fee-for-service environment related to contract negotiations, rate modeling and contract performance… 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 ... entities. In addition to gathering volume data and modeling of current reimbursement, the Managed Care Analyst determines the need for methodology changes… 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
- Emanate Health (Covina, CA)
- …United States, and the #19 ranked company in the country. Job Summary Senior Analyst , Managed Care is responsible for the acquisition, manipulation, ... at Emanate Health plays a vital role in the care we deliver. No matter what department you belong...subject to third party payor contracts; the assessment of contract /plan profitability and the development and analysis of proposed… 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 ... reimbursement under our contracts. Bills all special devices per contract to receive the additional reimbursement and suggests ways...carve out billing to payers as required by the Managed Care /WorkComp contracts, following up to ensure… more
- Sutter Health (Sacramento, CA)
- …analysis and research to support the payer contracting process and ongoing contract relationship, including payer contract compliance efforts, for all Sutter ... Health affiliates and/or associates, including hospitals (acute, skilled nursing facilities, psychiatric and rehabilitation), surgical centers, ancillary services (home health and pharmacy), medical foundations, and Independent Physicians Association (IPAs).… more
- Centene Corporation (Oklahoma City, OK)
- …+ Serve as a company wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives. + ... Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Bachelor's degree in related field or equivalent experience. Master's or Juris Doctorate degree preferred and may be considered in lieu of experience. 1+… more
- Elevance Health (Mason, OH)
- **Provider Contract Cost of Care Analyst...a minimum of 3 years' experience in broad-based analytical, managed care payor or provider environment as ... live within 50 miles of one of our Pulse Point locations. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of … more
- 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
- Elevance Health (Norfolk, VA)
- …live within 50 miles of one of Elevance's Pulse Point locations. The **Provider Contract /Cost of Care Analyst Sr.** is responsible for analytical support ... **Provider Contract /CofC Analyst Sr.** **Location:** This position...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
- Community Health Systems (Franklin, TN)
- …maximizing reimbursement by identifying variances between posted and expected revenue for managed care , government contracts, and other payers. This role ... **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible...required **Knowledge, Skills and Abilities** + Strong understanding of managed care , government contracts, and reimbursement processes.… more
- 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
- Merck (North Wales, PA)
- …experience + Knowledge of contract lifecycle management process + Knowledge of managed health care environment + Knowledge of COGNOS and SQL + Familiarity ... **Job Description** The Sr Specialist, Contract Analyst is responsible for contract adjudication, analysis, and customer contact and coordination activities… more
- RLDatix (UT)
- …UT | Hybrid ( Contract ) RLDatix is on a mission to transform care delivery worldwide, ensuring every patient receives the safest, highest-quality care . ... We're searching for a Lehi, UT based Service Desk Analyst to join our Computer Information Systems team for...join our Computer Information Systems team for a 6-month contract to provide hands-on assistance with the IT integration… more
- The Cigna Group (Jackson, MS)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... in either: Mississippi, Arkansas or Western Tennessee_** The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and… more
- Highmark Health (Buffalo, NY)
- … development **Preferred** + 3 years in the Healthcare industry + 3 years in Managed Care + 3 years of Pharmacy benefitmanagement + 3 years in Procurement ... Pharmacy Benefit Manager, Specialty Pharmacies) to help manage the end-to-end contract lifecycle, including contract renewals, negotiations, terminations and… more
- 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
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