- Elevance Health (Plano, TX)
- ** Managed Care Analyst ( Payor Contracting)** A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in ... 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
- Novant Health (NC)
- …prioritizing to meet critical deadlines. + Knowledge of pricing, healthcare finance, managed care , provider incentives, and risk contracting required. + ... revenue from commercial and government contracts including performance and value-based care incentives. The Payor Intelligence team provides thought leadership… more
- Parkview Health (Fort Wayne, IN)
- …or other quantitative field. Experience: Three to five+ years of experience in managed care , revenue cycle or related function. Strong understanding of ... Responsible for independently performing discretionary, special and required internal payor audits. Works within the payor audit...required internal payor audits. Works within the payor audit team to meet operating goals, objectives and… more
- RWJBarnabas Health (Oceanport, NJ)
- Senior Managed Care Analyst (Remote)...contract negotiation process. + Assists in varying aspects of managed care payor negotiations including ... Corporation, Oceanport, Oceanport, NJ 07052 Job Overview: The Senior Analyst assists with aspects of the fee-for-service environment related...revenue proformas relating to new service offerings. + Leads managed care payor projects in… more
- Emanate Health (Covina, CA)
- …United States, and the #19 ranked company in the country. Job Summary Senior Analyst , Managed Care is responsible for the acquisition, manipulation, ... at Emanate Health plays a vital role in the care we deliver. No matter what department you belong...to the provision of services subject to third party payor contracts; the assessment of contract/plan profitability and the… more
- Mount Sinai Health System (New York, NY)
- …or greater in related field or equivalent education/experience + 2 years minimum of managed care experience in claims or contracts + Advanced knowledge of Epic ... **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for...discuss ongoing trends and issues regarding the administration of managed care contracts. 11. Uses feedback and… more
- VNS Health (Manhattan, NY)
- …challenges, and to develop, design, plan, and deliver information systems solutions to meet managed care payor needs. + Functions as lead Business Systems ... visible projects to understand business needs and challenges of managed care payors and to develop innovative...responsibility for end-to-end SDLC design, development and implementation of managed healthcare payor solutions, (or two years… more
- Abbott (Livermore, CA)
- …to work independently and respond to competing high priority tasks effectively + Commercial payor contract review experience + Managed Medicare and managed ... more than 160 countries. **Job Title** **Senior Contract Support Analyst ** **Working at Abbott** At Abbott, you can do...you can do work that matters, grow, and learn, care for yourself and family, be your true self… more
- Elevance Health (Indianapolis, IN)
- …Statistics, or related field and a minimum of 3 years' experience in broad-based analytical, managed care payor or provider environment as well as experience ... **Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates… more
- UTMB Health (Galveston, TX)
- …and third party reimbursement. + Knowledge and detailed understanding of managed care fundamentals, including negotiated agreements and contract maintenance ... Senior Revenue Integrity Analyst - Revenue Integrity & Reimbursement **Galveston, Texas,...Bachelor's degree or equivalent in Finance, Business Administration, Health Care Administration, Nursing, or related field and 4 years'… more
- Sanford Health (Sioux Falls, SD)
- …related work experience, preferably in hospital, clinic or insurance finance and/or managed care reimbursement. **Benefits** Sanford Health offers an attractive ... **Salary Range:** $27.50 - $44.00 **Job Summary** The Senior Reimbursement Analyst provides critical analytical and reimbursement related guidance and support to… more
- Novant Health (NC)
- …projects, prioritizing to meet critical deadlines. + Knowledge of healthcare finance, managed care , provider incentives, and risk contracting required. + ... Job Summary Payor Intelligence's responsibilities are constantly evolving and currently...key components of Novant Health's strategic goals. The Senior Analyst , Population Performance reports to the Director, Population Performance,… more
- Mount Sinai Health System (New York, NY)
- …? Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... **Job Description** The Data Science Analyst III is a senior role, collaborating with...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or… more
- Molina Healthcare (Fort Worth, TX)
- …similar, with experience in one or more of these programs.** + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, practices, ... strong understanding of IT systems and processes.** + **Familiarity with the Core Payor systems such as QNXT, Facets, Metavance, its various modules and backend… more
- UPMC (Pittsburgh, PA)
- …practice managers. Proficiency in MS Office. Advanced knowledge of managed care , capitation and commercial third party payor billing and reimbursement ... + Directs Medical Auditor, Junior Medical Auditor and Auditor Analyst as required or as requested Compliance Manager or...to keep current on the latest trends in health care . + An associate's degree or comparable technical school… more