- RWJBarnabas Health (Oceanport, NJ)
- Senior Managed Care Analyst (Remote/Hybrid) - Oceanport, NJReq #:0000150834 Category:Professional / Management Status:Full-Time Shift:Day ... Care Location: SBC Corporation, Oceanport, Oceanport, NJ 07052 Job Overview: The Senior Managed Care Analyst assists with aspects of the fee-for-service… more
- e CancerCare (Nashville, TN)
- …reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance , along with rate modeling ... Job Purpose: Contract Analyst will be responsible for analytic support related...and providers. Team member will work closely with the Managed Care department team in generating and… more
- Cedars-Sinai (Beverly Hills, CA)
- …and financial metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, ... field of study **Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid Remote **Department** : MNS Accounting **Business… more
- Sutter Health (Sacramento, CA)
- …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). This involves requesting and reviewing claims… more
- New York State Civil Service (Albany, NY)
- …With Developmental Disabilities, Office for Title Standards Compliance Analyst 1 Developmental Disabilities Occupational Category Health Care , Human/Social ... the needs of DQI and OPWDD dictate. The Standards Compliance Analyst 1 may be assigned to:...Plan. * Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care … more
- New York State Civil Service (Newark, NY)
- …With Developmental Disabilities, Office for Title Standards Compliance Analyst 1 Developmental Disabilities Occupational Category Health Care , Human/Social ... and reviewing providers' plans of corrective action. The Standard Compliance Analyst 1 Developmental Disabilities (SCA 1...Plan. * Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care … more
- MyFlorida (Tallahassee, FL)
- …for Medicaid managed care plans, including oversight analysis to identify managed care plan compliance issues and problems. The incumbent provides ... 68064476 - MEDICAL HEALTH CARE PROGRAM ANALYST Date: Feb 14,...developing compliance actions as prescribed in the managed care contract (eg, corrective action plans,… 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 ... "Best Employer" seven times. Position Summary: In conjunction with others in the Managed Care Department, this position is responsible for assisting in the… 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 ...required **Knowledge, Skills and Abilities** + Strong understanding of managed care , government contracts, and reimbursement processes.… more
- T. Rowe Price (Baltimore, MD)
- …including regulatory, prospectus, client-directed, internal investment, and operational restrictions (" Compliance Restrictions") for portfolios managed by T. ... River (CRD), and supports client reporting on these restrictions. The Investment Compliance Senior Analyst collaborates with, and provides information to a… more
- CareFirst (Baltimore, MD)
- …**Experience:** 5 years experience in health insurance industry, managed care and government programs, health insurance compliance programs, or related ... Preferred or + Lean Six Sigma Certification-IASSC Preferred or + Certified Regulation Analyst Preferred or + Certified Compliance & Ethics Professional (CCEP)… more
- HCA Healthcare (Brentwood, TN)
- …and prevention of denials, payment discrepancies and other claims adjudication issues from HCA's managed care book of business. Note: This is a position within ... organization that invests in you as a HUB Sr Analyst ? At HCA Healthcare, you come first. HCA Healthcare...of relevant work experience + College Graduate Preferred + Managed Care or Revenue Cycle experience, specifically… 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 ... financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The...contracts and proposals, analyze fee schedules, and determine contract compliance . The Senior Medical Economics analyst must… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …of insurance concepts, plan administration, planning, principles, and managed care delivery systems. **Provider Network Performance Analyst III** **Education ... knowledge of health care operations or health care delivery systems. **Provider Network Performance Analyst ...knowledge of insurance concepts, plan administration, planning, principles, and managed care delivery systems. + Knowledge of… 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 APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4541923) Apply SENIOR STAFF … more
- HCA Healthcare (Nashville, TN)
- …Qualifications** Seeking a Contract Analyst , who is responsible for translating managed care terms and model relevant parameters in Concuity/Clear Contracts ... an organization that invests in you as a Contract Analyst ? At Parallon, you come first. HCA Healthcare has...**What you will do in this role:** + Model managed care contracts through the Concuity Calc… 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 and ... required to effectively lead key strategic growth initiatives for the Home Care platform. Key responsibilities for this role will include creating and managing… more
- BeneLynk (Sunrise, FL)
- …health plan systems, Medicare, and Medicaid benefits and/or SDoH database companies. + Managed care experience. + Extensive knowledge in the execution of the ... assists people in understanding how to obtain additional health care benefits and compensates well for doing so, inspire...to thrive in their ability to assist others. BUSINESS ANALYST POSITION SUMMARY BeneLynk, a leading national provider in… more
- AmeriHealth Caritas (Washington, DC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... language for resolution. + Demonstrating a functional knowledge of provider data and managed care provider reimbursement methodologies. + Knowledge of Managed… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Senior Vulnerability Analyst - Offensive Lead is a key role in advancing vulnerability management throughout the HFHS enterprise through technical ... intelligence, vulnerability management, and offensive security. The Senior Vulnerability Analyst - Offensive Lead Managing Lead, works collaboratively to support… more