- AdventHealth (Maitland, FL)
- …(Medicare, Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care staff in all AH ... Upon Hire Required + The Senior Compliance Analyst role requires extensive knowledge in Managed ... Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies,… 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
- AmeriHealth Caritas (Washington, DC)
- …Maine Avenue, SW, Suite 1000, 10th Floor, Washington, DC 20024 **Responsibilities:** The Managed Care Provider Network Resolution Analyst is responsible for ... accurate payment of claims for par and non-par providers in our network.; The Managed Care Provider Network Resolution Analyst ensures that each provider's… 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
- CVS Health (Wellesley, MA)
- …short-term, and long-term goals. + 3+ years of analytical experience within pharmacy, healthcare, managed care , or related field + 3+ years of experience using ... ensure proper functionality and de-collisioning when needed. The Sr Analyst will work cross functionally with both internal and...+ 5+ years of analytical experience within pharmacy, healthcare, managed care , or related field + 5+… more
- CommonSpirit Health (Phoenix, AZ)
- …combination of educationand/orexperience may be considered. + Experience working with managed care contracts, including contract negotiation and analysis ... more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services… 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...Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Hospital Billing) Analyst who will primarily… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Compliance Analyst CORPORATE COMPLIANCE ... to join Billings Clinic for our outstanding quality of care , exciting environment, interesting cases from a vast geography,...every two weeks (Exempt) Starting Wage DOE:$52,249 - $68,577 Compliance Analyst serves as the primary focal… 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
- MyFlorida (Tallahassee, FL)
- …does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive ... 68064697 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Mar 17,...will report to the Program Administrator, in the Bureau's Managed Care Unit. The position incorporates all… more
- Community Health Systems (Franklin, TN)
- …contractual variances between posted and expected reimbursement revenue opportunities for managed care , government contracts, and other various payers. This ... discrepancies to internal and external departments. As a Payment compliance Analyst at PCCM/CHS Shared Service Center...people get well and live healthier. CHS operates 71 acute- care hospitals and more than 1,000 other sites of… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Senior Marketing Compliance Analyst ? At HCA Healthcare, you come first. HCA Healthcare has committed up ... difference. We are looking for a dedicated Senior Marketing Compliance Analyst like you to be a...healthcare services, HCA Healthcare is made up of locally managed facilities that include approximately 300 hospitals and freestanding… more
- Molina Healthcare (Ventura, CA)
- …ensures compliance related to laws, regulations, and industry codes affecting Managed Care , including but not limited to Medicare Advantage, Prescription ... including Centers for Medicare & Medicaid Services (CMS) and Department of Managed Health Care (DMHC) regulations, False Claims Act, Anti-Kickback Statue,… 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
- The County of Los Angeles (Los Angeles, CA)
- DEPUTY DIRECTOR, MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4843984) DEPUTY DIRECTOR, ... MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Salary $176,297.52 - $274,178.64...and network management to ensure adequate service capacity and compliance with state and federal mandates. The Deputy Director… more
- VNS Health (Manhattan, NY)
- …senior management on highly visible projects to understand business needs and challenges of managed care payors and to develop innovative solutions to meet those ... business and clinical needs. Acts as lead Business Systems Analyst on team; coordinates exchanges of knowledge and ideas,...design, plan, and deliver information systems solutions to meet managed care payor needs. + Functions as… more
- MyFlorida (Tallahassee, FL)
- …of Florida's Medicaid program to federal and state agencies, Medicaid recipients, Medicaid managed care plans, and providers. The Bureau of Medicaid Quality has ... 68064974 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Mar 10,...processing and reporting tools for Medicaid services to ensure compliance with federal regulations, statutes, administrative rules, the Florida… more
- Option Care Health (Denver, CO)
- …degree and at least 4 years of experience in Analytics, Pricing, Managed Care , Statistics, Pharmaceuticals, or other Healthcare settings **Basic Qualifications** ... within the pharmaceutical/alternate-site healthcare sector, including both Fee-For-Service and Value-Based- Care proposals. The Senior Analyst will utilize a… more
- HCA Healthcare (Reston, VA)
- …team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is ... recognized. Submit your application for our Product Business Analyst opening with Parallon today and find out what it truly means to be a part of the HCA Healthcare… more