- Catholic Health Initiatives (Lexington, KY)
- …& Training:** Provide leadership, oversight, and training for Payer Analytics & Analyst contract modeling activities. **Additional Information:** ... to CHI Saint Joseph Medical Group a full service network of primary care services specializing in family internal...meetings per year.** **Job Summary / Purpose:** The Senior Analyst , Payer Analytics & Economics performs complex… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Assists in supporting the contracting regions with quality, utilization, and cost analysis. ** Provider Network Performance Analyst I** + Gathers and ... to align value based contracting initiatives. + Performs other duties as assigned. ** Provider Network Performance Analyst II** + Conducts quality assurance… more
- Seattle Children's (Seattle, WA)
- …Children's Care Network (SCCN) is seeking a full-time Senior Data Analyst to join our strong and innovative team. This position specifically supports SCCN, ... a pediatric primary care physician network focused on being the best manager of pediatric...analytics in a healthcare setting using clinical (EMR) and/or payer (eligibility, claims) data is valuable in this role.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …conformance to Hackensack Meridian Oncology/Radiation standards and protocols within the network . + Submits all referral information to necessary providers, as ... pocket expenses for new treatment plans. + Document both in- network and out-of- network benefits in order to...technical denials for lack of prior authorization. Understand if payer rules governing when or if a prior authorization… more
- MyFlorida (Fort Pierce, FL)
- HUMAN SERVICES ANALYST - 64006332 1 Date: Jan 29, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... 845730 Agency: Department of Health Working Title: HUMAN SERVICES ANALYST - 64006332 1 Pay Plan: Career Service Position...the client's resources and strengths, including their social support network , which can be used during care planning. Needs… more
- AnMed Health (Anderson, SC)
- This advanced analyst role supports AnMed's vision and strategic population health initiatives using analytics and data integration to drive informed action to ... improve quality of care and operations. The analyst must have experience working with clinical and claims-based...with operational leaders of AnMed, the local clinically integrated network , and regional ACO to help the organization drive… more
- Hartford HealthCare (Farmington, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... potential correction, including utilizing various tools such as system programs, official payer and/or banking websites and phone communication as need be. Works in… more
- e CancerCare (Nashville, TN)
- Job Purpose: Contract Analyst will be responsible for analytic support related to ION network and providers. Team member will work closely with the Managed Care ... Load contracted rates into contract management system. . Analyze relevant data to provide in reports, which includes determining the impact of adjustments to managed… more
- Children's Hospital Boston (Boston, MA)
- 77878BRJob Posting Title:Professional Billing Analyst (Shared Service Center)Department:Shared Service CenterAutoReqId:77878BRStatus:Full-TimeStandard Hours per ... by coordinating revenue cycle policies, practices, identifying issues, trends, and provide solutions through analytic and administrative tools to meet business… more
- Robert Half Accountemps (Lauderdale Lakes, FL)
- Description We are extending an opportunity for a Records Analyst (ABA) to join our team in Lauderdale Lakes, Florida. Operating within the healthcare industry, you ... deadlines. * Maintain a strong understanding of insurance authorization processes and payer requirements. * Be familiar with Electronic Health Records (EHR) systems… more
- Hartford HealthCare (Farmington, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... data to perform root cause analysis and ensure compliance with government payer requirements to determine patterns of charging that will increase the propensity… more
- Molina Healthcare (Covington, KY)
- …complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents ... modeling, etc. + Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing, and actuarial functions + Multiple data… more
- Health Advocates Network (Folsom, CA)
- Health Advocates Network is hiring a **Denials Analyst ** **(2 Years Exp Req)** ! This is a full-time contract position at a nationally recognized hospital ... Works with the Revenue Cycle stakeholders (eg Admitting, Coding, Provider Liaisons, etc.) to provide information related...find out more about other opportunities with Health Advocates Network , visit www.hanstaff.com. We can provide you… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Managed Care Financial Analyst , Managed Care Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services… more
- Guthrie (Sayre, PA)
- …reports payer , system or billing issues. Works with Applications Analyst , Supervisor, Manager and/or Director to provide recommendations and resolution. ... I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a high level of… more
- Methodist Health System (Dallas, TX)
- …:** **Your Job:** The ability to manage the organization's third party payer appeals through the ability to analyze, research and successfully appeal third ... party claims within timely filing timelines, provide excellent customer service, write Appeal and Recon letters...Diploma with (4) four years as an Account Receivable analyst in a Hospital setting. * Professional Certification through… more
- UNC Health Care (Chapel Hill, NC)
- …related processes. This position will lead the Charge Master Support Analyst (s) (Charge Integrity Analysts) in conducting ongoing Charge Master activities (reviews, ... is achieved. Assists with charge establishment for new services and departments. Completes network entity CDM consolidation and works closely with them to ensure the… more