- 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, ... scenario impact models on pricing, profitability within key channels, contract execution Assists with analysis of net contract... contract execution Assists with analysis of net contract sales, market share, and contract pricing… 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, ... in more accurate customer profitability assessment and decision-making Supports contract profitability forecasting. Contributes to continuous improvement of methodologies… 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
- 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
- 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
- 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
- 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
- Henry Ford Health System (Detroit, MI)
- …to evaluate and create reimbursement proposals. Maintain collaborative relationships with Managed Care Contracting and Patient Accounting and Underpayment teams ... database experience preferred. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job + Union Code:… 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 (Montgomery, AL)
- …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
- 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
- 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
- MyFlorida (Tallahassee, FL)
- …analyzing results and findings and developing compliance actions as prescribed in the managed care contract (eg, corrective action plans, sanctions, ... 68064476 - MEDICAL HEALTH CARE PROGRAM ANALYST Date: Feb 14,...position is responsible for analyzing, developing, implementing and monitoring managed care plan contract services.… 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
- 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
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