- 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 ... In addition to gathering volume data and modeling of current reimbursement, the Managed Care Analyst determines the need for methodology changes and proposes… 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 ... Medicaid, Managed Care Reporting and Oversight Bureau is seeking a Managed Care Policy Analyst Liaison (Management Analyst 3). Summary: The Iowa… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Managed Care Rebate Analyst Date: Nov 7, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59108 **Who we ... a difference, and new people to make a difference with. **The opportunity** The Managed Care Rebate Analyst is responsible for the processing of Managed … 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 ... other internal teams with reimbursement related concerns and acting as a liaison to managed care plans. Essential Functions: . Support Managed Care team… 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
- 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
- Molina Healthcare (WI)
- …Experience** + 7+ years of business analysis or systems experience, + 6+ years managed care experience. + Demonstrates expertise in a variety of concepts, ... have worked in US Healthcare government programs such as Medicare, Medicaid, the Affordable Care Act, or similar, with experience in one or more of these programs.… more
- Centene Corporation (Des Moines, IA)
- …in particular HIPAA, and state regulations. **Preferred Skills:** + Knowledge of Managed Care and Medicaid + Reading Comprehension + Critical Thinking ... state of Iowa **Position Purpose:** With the Iowa Total Care Health Plan Compliance Team, you will assist in...Auditing and Monitoring Plan. + Oversight of Iowa Total Care business units, which may include Enterprise Teams and/or… more
- Molina Healthcare (OH)
- …and experience **Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 1-3 years formal training in Business Analysis and/or Systems Analysis… 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 ... revenue, payer contracts, and overall network strategy. The Sr. Financial Analyst works closely with Managed Care leaders to prioritize what-if modeling and… 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 , ... support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and… more
- MyFlorida (Tallahassee, FL)
- …Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid ... 68064836 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 20, 2024...Managed Care (SMMC) program. The bureau's primary responsibility is ensuring that… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Associate Health Care Management System Analyst (NY HELPS) - 61415, 61416, 61419 Occupational Category Financial, ... Programs/Division of Finance and Rate Setting / Bureau of Managed Long Term Care Rate Setting 99...cost reports and an encounter data. Duties Description The analyst for this position would be responsible for understanding… 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: Nov 12,...in the development of policy language for: the Medicaid managed care report guide, Medicaid contracts and… more
- UNC Health Care (Morrisville, NC)
- …so as to maintain system standards promoting patient access. The Business Applications Analyst will also be responsible for the recruitment and retention of Business ... template build *Provides end user support for all UNC owned and managed clinics along with Community Connects Template Optimization *Establishes and provides… 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 ... analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial… 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
- New York State Civil Service (Albany, NY)
- …& Medicaid Services. Supervisory Experience Required. Duties Description The Bureau of Managed Care Reimbursement is responsible for the calculation and ... HELP Yes Agency Health, Department of Title Associate Health Care Management System Analyst (NY HELPS) -...evaluation of Managed Care (MC) rates, additional MC reimbursement… 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