- e CancerCare (Nashville, TN)
- …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... Job Purpose: Contract Analyst will be responsible for...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …customers within contractual guidelines. **How you'll spend your day** * The Managed Care Rebate Analyst must interpret contract language and input and ... Managed Care Rebate Analyst ... Managed Care Rebate Analyst Date: Nov 7,...completeness * Analyzes and resolves disputes with accounts involving contract interpretation or processing issues; engages Managed … more
- Nuvance Health (Danbury, CT)
- *Description* Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and reimbursement data to aid in contract negotiations for ... entities. In addition to gathering volume data and modeling of current reimbursement, the Managed Care Analyst determines the need for methodology changes… 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...as a company wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements… more
- Elevance Health (Columbus, OH)
- **Provider Contract /Cost of Care Analyst ...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as ... within 50 miles of one of Elevance's Pulse Point locations. **The Provider Contract /Cost of Care Analyst Sr.** is responsible for analytical support to the… more
- Elevance Health (Woburn, MA)
- **Provider Contract Cost of Care Analyst...a minimum of 3 years' experience in broad-based analytical, managed care payor or provider environment as ... Louisville, KY, Wilmington, DE, Tampa, FL or Nashville, TN. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of… more
- Abbott (Livermore, CA)
- …Our 114,000 colleagues serve people in more than 160 countries. **Job Title** **Senior Contract Support Analyst ** **Working at Abbott** At Abbott, you can do ... of the World's greatest healthcare challenges. As the Senior Contract Support Analyst , you'll have the chance...to competing high priority tasks effectively + Commercial payor contract review experience + Managed Medicare and… more
- Elevance Health (St. Louis, MO)
- **Provider Contract Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will ... MO, Grand Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior** is responsible for providing...minimum of 3 years of experience in broad-based analytical, managed care payor or provider environment as… more
- St. Luke's University Health Network (Allentown, PA)
- …with payments. The Contract Analyst is also responsible for the audit of managed care contract terms and changes within the Contract Management ... communities we serve, regardless of a patient's ability to pay for health care . The Contract Payment Analyst is responsible for monitoring the accuracy of… more
- Belcan (Whippany, NJ)
- …JOB RESPONSIBILITIES: * Processing within Order to Cash Rebate Operations, Medicaid, Managed Care , & GPOs * Support commercial and government operations ... Contract /Rebate Operations Analyst Job Number: 353409...or Finance with 1-2 yrs experience in Medicaid and Managed Care Operations preferred. * Knowledge of… more
- The Cigna Group (Jackson, MS)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... in either: Mississippi, Arkansas or Western Tennessee_** The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and… more
- CommonSpirit Health (Englewood, CO)
- …tables, based on collaboration with Payor Strategy and RRC management. + Interprets managed care contracts and government reimbursement methodologies in order to ... Assists or works directly with other business partners as it relates to managed care contracts and government reimbursement changes that impact expected payment… more
- MyFlorida (Tallahassee, FL)
- …analyzing results and findings and developing compliance actions as prescribed in the managed care contract (eg, corrective action plans, sanctions, ... 68064836 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 20,...Agency's contract managers responsible for the Medicaid managed care plan contract (s). The… 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 ... decision support by translating payer contract rates and terms, patient volume, and utilization trends...payer contracts, and overall network strategy. The Sr. Financial Analyst works closely with Managed Care… 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 ... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst ...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract … more
- MyFlorida (Tallahassee, FL)
- … managed care report guide, Medicaid contracts and amendments; Dear Managed Care Plan letters, contract interpretations, policy transmittals, and ... 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 12,...home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug… more
- Medical Mutual of Ohio (OH)
- …years of experience as a Provider Reimbursement Analyst or equivalent health care administration experience, preferably in managed care . . Provider ... or related field. . 3-4 years of experience as a Provider Reimbursement Analyst or equivalent progressive health care administration experience with an emphasis… more
- RWJBarnabas Health (Oceanport, NJ)
- …Essential Functions + Analytical lead on modeling contract rates throughout the managed care contract negotiation process. + Assists in varying aspects ... Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department: Managed Care Location: SBC Corporation, Oceanport, Oceanport,… more
- Surgery Care Affiliates (Chicago, IL)
- …attention to detail and strong analytical and critical thinking skills + Experience with managed care contract terms analysis + Strong written and verbal ... SCA Health is currently seeking a Senior Payer Analytics Analyst on the Catalyst Analytics team. We are seeking...field + 3+ years of analytical experience in a Healthcare/ Managed Care environment required + Travel to… more
- Beth Israel Lahey Health (Charlestown, MA)
- …but not limited to:** 1) Designs & performs analyses and reporting in support of managed care contract negotiations including but not limited to Hospital ... Finance. This position provides key support and analyses during rate negotiations with Managed Care Plans and performs functions related to other financial… more