- Molina Healthcare (WI)
- …+ 7+ years of business analysis or systems experience, + 6+ years managed care experience. + Demonstrates expertise in a variety of concepts, practices, and ... processes including but not limited to Enrollment, UM, Claims & Care Management. **Preferred License, Certification, Association** Certified Business Analysis… more
- Molina Healthcare (OH)
- …**Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, practices, ... **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Managed Care Policy Analyst Liaison Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4732501) Apply Managed Care Policy Analyst ... of Medicaid, Managed Care Reporting and Oversight Bureau is seeking a Managed Care Policy Analyst Liaison (Management Analyst 3). Summary: The… more
- University of Michigan (Ann Arbor, MI)
- Managed Care Payer/Operations Analyst Apply Now **Job Summary** The Managed Care Contracting and Operations (MCCO) Department is responsible for the ... Case Agreements, which are patient specific most often involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager, Managed… more
- e CancerCare (Nashville, TN)
- …related to ION network and providers. Team member will work closely with the Managed Care department team in generating and reviewing system data, while making ... reimbursement related concerns and acting as a liaison to managed care plans. Essential Functions: . Support...materials for internal and external meetings. . Act as business liaison to assigned business unit meetings… 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 all ... gathering volume data and modeling of current reimbursement, the Managed Care Analyst determines the...and policies, payer market share, etc. 6. Liaison between billing/ managed care departments, the payer, Business… more
- Hawaii Pacific Health (Honolulu, HI)
- …training, as well as internal peer equity. Starting Hourly Rate: 30.47 **Position** Analyst - Analytics Managed Care **Category** Administrative **Employment ... The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage,… more
- Molina Healthcare (NM)
- …with Provider reimbursement data. + Working on Provider analytics in a healthcare or managed care environment is required. + Experience working on SQL, Excel , ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Elevance Health (Plano, TX)
- **Risk Management Analyst ** A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and ... miles of one of our Plano, Texas PulsePoint location. The **Risk Management Analyst ** is responsible for supporting the department regarding all aspects of the… more
- Centene Corporation (Des Moines, IA)
- …and executing on our Auditing and Monitoring Plan. + Oversight of Iowa Total Care business units, which may include Enterprise Teams and/or Shared Service ... in particular HIPAA, and state regulations. **Preferred Skills:** + Knowledge of Managed Care and Medicaid + Reading Comprehension + Critical Thinking + Strong… more
- UNC Health Care (Morrisville, NC)
- …and scheduling so as to maintain system standards promoting patient access. The Business Applications Analyst will also be responsible for the recruitment and ... retention of Business Application Analysts and Specialists. Responsibilities: Epic Scheduling Build...*Provides end user support for all UNC owned and managed clinics along with Community Connects Template Optimization *Establishes… more
- VNS Health (Manhattan, NY)
- …on highly visible projects to understand business needs and challenges of managed care payors and to develop innovative solutions to meet those needs. ... and deliver information systems solutions to meet managed care payor needs. + Functions as lead Business Systems Analyst on team. Works independently on… more
- LA Care Health Plan (Los Angeles, CA)
- Business Analyst II (ALD) 2 year Job...of experience in data analysis in a health or managed care environment. Skills Required: Proven ability to ... $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...net required to achieve that purpose. Job Summary The Business Analyst II works closely with … more
- Idaho Division of Human Resources (Boise, ID)
- Business Analyst - MED Posting Begin...stakeholders to achieve defined goals. + Support the CMS Managed Care Quality Strategy, including supporting the ... Health in the Division of Medicaid is seeking a Business Analyst to manage projects and develop,...the standardization of Quality Assurance and Performance Improvement across managed care programs and data dashboards to… more
- LifePoint Health (Brentwood, TN)
- …environments where employees find purpose and fulfillment. *What you'll do:* As a *Senior Financial Analyst - Managed Care *, you will provide analytics and ... positioning of revenue, payer contracts, and overall network strategy. The Sr. Financial Analyst works closely with Managed Care leaders to prioritize… more
- BD (Becton, Dickinson and Company) (Covington, GA)
- **Job Description Summary** As Senior Marketing Business Analyst , Home Care , you will partner with cross functional teams to drive Business Intelligence ... Become a **maker of possible** with us. **BD Home Care Business :** The Home Care ...like Google Analytics, Adobe Analytics or similar + Has managed business analytics segmentation and customer and… more
- LA Care Health Plan (Los Angeles, CA)
- …in designing, developing, generating and analyzing ad hoc/production reports in Healthcare/ Managed Care setting. Preferred: Experience as a Clinical Data ... Clinical Data Analyst III (Tableau, SQL) Job Category: Clinical Department:...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Graphic Packaging International, LLC (Atlanta, GA)
- Senior Business Systems Analyst Requisition ID: 7101 Location: Atlanta, GA, US, 30328 Department: Information Technology Travel: Up to 25% **If you are a GPI ... technologies which will enable significant operational results for the corporation. The analyst formalizes As-Is and To Be business processes, formulates, and… more
- Surgery Care Affiliates (Chicago, IL)
- …Statistics, Economics or related field + 3+ years of analytical experience in a Healthcare/ Managed Care environment required + Travel to company meetings (10%) + ... of Optum and with our new Specialty Management Solutions business . + We have pioneered a physician-led, multi-site model...strong analytical and critical thinking skills + Experience with managed care contract terms analysis + Strong… more
- AON (Chicago, IL)
- …+ Effective quality and time management, code review and checklist validation + Business Analyst is ultimately responsible for the overall outcomes of the ... cooperation to avoid any conflicts across other demands being managed by the team. All projects and large demands...and time management, code review and checklist validation + Business Analyst is ultimately responsible for the… more