- Centene Corporation (Des Moines, IA)
- …; in particular HIPAA, and state regulations. **Preferred Skills:** + Knowledge of Managed Care and Medicaid + Reading Comprehension + Critical Thinking + ... in state of Iowa **Position Purpose:** With the Iowa Total Care Health Plan Compliance Team, you will assist in maintaining Centene Corporation's Compliance… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date: Nov 10, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57682 ... to make a difference with. **The opportunity** The Senior Managed Care Rebate Analyst is...and communicate discrepancies * Works cross functionally with Formulary Compliance , Revenue Accounting, Gross to Net and Contracting to… 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
- 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
- MyFlorida (Tallahassee, FL)
- …(MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans. This OPS Medical Health Care Program ... 68900202 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 6,...responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic… 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
- MyFlorida (Tallahassee, FL)
- …waivers and home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review ... 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Sep 19,...in the development of policy language for: the Medicaid managed care report guide, Medicaid contracts and… 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
- 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …and the driving of operational effectiveness and efficiency of Emory Healthcares compliance program. The Senior Compliance Analyst will manage ... not limited to conflict of interest (COI) program, documentation standards, compliance reporting, compliance trends analysis, policies and procedure management,… more
- Guidehouse (Fort Belvoir, VA)
- …SCI (TS/SCI) **What You Will Do** **:** Our Open Source Intelligence (OSINT) Compliance and Oversight Activities Analyst will support our Department of Defense ... + Conducting OSINT Activity Audits. + Ensuring OSINT activities are in compliance with requirements from DOD Manuals, Regulations, Operations Orders, and similar… 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%) + ... SCA Health is currently seeking a Senior Payer Analytics Analyst on the Catalyst Analytics team. We are seeking...strong analytical and critical thinking skills + Experience with managed care contract terms analysis + Strong… more
- RWJBarnabas Health (Oceanport, NJ)
- …/ Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department: Managed Care Location: SBC Corporation, Oceanport, Oceanport, ... NJ 07052 Job Overview: The Senior Analyst assists with aspects of the fee-for-service environment related...accounting required. + Experience working with complex and sophisticated managed care contracts. + Strong analytical skills… more
- LA Care Health Plan (Los Angeles, CA)
- …a health care organization. Experience with QNXT, MHC or other managed care legacy system. Intermediate knowledge and experience with Hyperion, Microsoft ... Customer Solution Center Enrollment Analyst II Job Category: Customer Service Department: Enrollment...$69,045.00 (Mid.) - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- BeneLynk (Detroit, MI)
- …health plan systems, Medicare, and Medicaid benefits and/or SDoH database companies. + Managed care experience. + Extensive knowledge of software and database ... assists people in understanding how to obtain additional health care benefits and compensates well for doing so, inspire...their ability to assist others. JR. BUSINESS AND WORKFLOW ANALYST POSITION SUMMARY BeneLynk, a leading national provider in… more
- Centene Corporation (Oklahoma City, OK)
- … compliance ; in particular HIPAA, and state regulations. **Preferred Skills:** Managed Care Experience Health Plan Experience State Medicaid Experience Legal ... the state of Oklahoma** **Position Purpose:** With the Oklahoma Complete Health Compliance team, you will assist in maintaining Centene Corporation's Compliance … more
- Staffing Solutions Organization (Albany, NY)
- …and Oversight (DHPCO) in development, analysis and oversight associated with the Medicaid Managed Care Operating Cost Reports for Medicaid and Managed ... Healthcare Financial Analyst Albany, NY, USA Req #1022 Monday, September...+ Responsible for the daily activities related to ensuring Managed Care Organizations (MCOs) in New York… 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, ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare...Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… 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, ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare...Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- J&J Family of Companies (Raritan, NJ)
- …Deal Desk/Offer Development, Finance, Marketing and other partners such as Legal, Health Care Compliance , Government Compliance , Privacy, Supply Chain, IT, ... Lead Analyst , Contract Management | Multiple Locations - 2406222583W...Operations, Supply Chain, Human Resources, Corporate Risk Management, Health Care Compliance , Privacy, Commercial Programs Legal Group… more