- Harbor Health Services, Inc. (Mattapan, MA)
- …of health care resources, with attention to the quality and appropriateness of care within a managed care environment. Additionally, the Director of UM ... additional Holidays and much more! Role: Reporting to the Senior Director of Health Plan Operations, the Director of...years of management experience in a health plan and/or managed care environment required 3 or more… more
- State of Colorado (Denver, CO)
- Managed Care Rates & Reconciliation Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5162656) Apply Managed Care Rates ... driving value for Colorado. We are looking for a Managed Care Rate & Reconciliation Analyst...reports using statistical measures or under instruction from other senior analysts. Using transaction record analysis, including SQL based… more
- Molina Healthcare (Cleveland, OH)
- …Qualifications** + At least 6 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent ... + Provides status and updates to health plan/product team partners, senior management and stakeholders. + Communicates requirement interpretations and changes to… more
- Martin's Point Health Care (Portland, ME)
- …health administration, health policy, finance or a related field required. + 5+ years of managed care or similar experience including managed care ... "Great Place to Work" since 2015. Position Summary The Senior Medical Economics Analyst - Pharmacy is...internal and external collaborative relationships. + Broad understanding of managed care business - medical expense trends,… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency People With Developmental Disabilities, Office for Title Senior Budgeting Analyst Occupational Category Other Professional Careers Salary ... spending control process.Under the direction of the Associate Budgeting Analyst , the Senior Budgeting Analyst ...Savings Plan.* Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care … more
- CommonSpirit Health (Englewood, CO)
- …system. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract modeling ... requires daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy… more
- The County of Los Angeles (Los Angeles, CA)
- …and achieve beneficial system transformation. + Cultivate and grow relationships with Medi-Cal Managed Care Plans to implement core CalAIM components related to ... SENIOR STAFF ANALYST , HEALTH / EMERGENCY...the social service systems to support delivery of effective care that improves lives and outcomes. This includes actively… more
- Elevance Health (Grand Prairie, TX)
- **Cost of Care /Provider Contracting Data Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... is granted as required by law. The **Cost of Care /Provider Contracting Data Analyst Senior **...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
- CommonSpirit Health (Rancho Cordova, CA)
- **Job Summary and Responsibilities** This is a remote position. The Senior Analyst , Payer Analytics & Economics performs managed care financial analysis, ... requires daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. The position must handle adverse and… more
- HCA Healthcare (Nashville, TN)
- …efficiently, including those managed by vendors, partners, or customers. The Senior Imaging Systems Implementation Analyst will gather and document business, ... each individual is recognized. Submit your application for the opportunity below: Senior Imaging System Implementation Analyst HCA Healthcare **Benefits** HCA… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst Lead** to analyze and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area: Data ... difference, join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing...Experience * Bachelor's degree Master's degree. * Knowledge of managed care and health care … more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** - Candidate must reside in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... - National Committee for Quality Assurance (NCQA) accreditation experience - Medicaid managed care experience - Master's Degree **Education** Bachelor's Degree… more
- Mount Sinai Health System (New York, NY)
- …sets, Epic edits, and reimbursement. + Capacity to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations ... **Job Description** ** Senior Financial Analyst , Enterprise CDM -Patient...they align with payer regulations, Medicare/Medicaid reimbursement methodologies, and managed care contracts. + Provides routine, standardized… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a… more
- Ascension Health (Glendale, WI)
- …time of the offer._ **Responsibilities** **We Are Hiring** We are hiring a full-time Senior Analyst to join the Ascension Data Sciences Institute Center of ... 2) Strategic Operations and Financial Analytics; 3) Actuarial and Managed Care Analytics; 4) Registry Abstraction Healthcare...of factors driving overall market performance and growth. The Senior Analyst will be responsible for: +… more
- Prime Therapeutics (Lansing, MI)
- …+ Advanced clinical training or certifications + Previous clinical experience in a managed care , pharmaceutical, or PBM environment + Experience working with ... purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven...of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The… more
- Mount Sinai Health System (New York, NY)
- …clinical, contracting, finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for ... Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who… more
- Robert Half (Cincinnati, OH)
- JOB REQUISITION Americas Delivery Center - Financial Crimes Compliance Senior Analyst LOCATION AMERICAS DELIVERY CENTER ADDITIONAL LOCATION(S) JOB DESCRIPTION ... is a passion. We lean into our mission: We Care . We Collaborate. We Deliver . At every level,...You The Protiviti Americas Delivery Center is seeking a Senior Analyst to join our financial crimes… more
- Indy Gov (Indianapolis, IN)
- Senior Forestry Analyst - DPW-Stormwater Engineering Print (https://www.governmentjobs.com/careers/indianapolis/jobs/newprint/5151466) Apply Senior ... Risk Assessment Qualification required. Certifications must be maintained throughout employment as Senior Forestry Analyst . Must have a strong written and verbal… more
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