- Hartford HealthCare (Wethersfield, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** ... *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops...develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops… more
- 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.... Maintain various department spreadsheets and databases. . Review managed care payer contracts with… more
- Queen's Health System (Honolulu, HI)
- …* Assists in development, maintenance and administration of the medical centers' contracts with health insurers for services provided to members. * Performs ... negotiate optimal contractual agreements. * Responsible for maintenance of contract modules. * Serves as a liaison with selected...LICENSURE: * Bachelor's degree in Business, Finance or Health Care Administration or four (4) years with health … more
- Medical Mutual of Ohio (Brooklyn, OH)
- …of insurance concepts, plan administration, planning, principles, and managed care delivery systems. **Provider Network Performance Analyst III** **Education ... + Strong knowledge of insurance concepts, plan administration, planning, principles, and managed care delivery systems. + Knowledge of common/standard Value… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to federal and sponsoring agencies. + Other duties may include reviewing contracts , maintaining grant and contract files, reviewing invoices, monitoring accounts ... ensuring compliance with contract regulations and reporting requirements, and closing out contracts . + Perform other duties as assigned. + This is a central job,… more
- J&J Family of Companies (Raynham, MA)
- …and providing effective and efficient contract review and negotiation for commercial contracts . The Lead Analyst will be the expert on handling RFP/RFI ... Lead Analyst , Contract Management (Multiple Openings) -...Contract Management, responsible for driving flawless implementation of contracts and pricing strategies throughout the contract … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to federal and sponsoring agencies. + Other duties may include reviewing contracts , maintaining grant and contract files, reviewing invoices, monitoring accounts ... with contract regulations and reporting requirements, and closing out contracts . + Perform other duties as assigned. MINIMUM QUALIFICATIONS: + Bachelor's degree… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …compliance with contract regulations and reporting requirements, and closing out contracts . + May supervise professional staff. + This is a central job, ... community. **Description** We're expanding our team! Emory's Research Grants & Contracts Office, the university's central financial post award administration office,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Reporting to the Award Manager in the Office of Research, Grants and Contracts (RGC), reviews, interprets, and enters award setup data integral to the complex ... staff in the Office of Sponsored Programs (OSP), ensuring accuracy of contract /award interpretation, detailed budgets, and PeopleSoft data entry. + Specializes in… more
- Geisinger (Danville, PA)
- …and payment analysis. This role will provide ongoing support and maintenance of commercial and managed care contract terms within Epic. Job Duties + Design, ... Job Summary The Epic Payor Contract Analyst is responsible for building...of key update dates for fee schedules for the Managed Care contracts . + Communicate… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr. Contract Compliance Analyst III Date: Jun...placement complies with all terms and conditions of the managed care contract . Using critical ... the position is to identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with the Teva Market Access… more
- The Mount Sinai Health System (New York, NY)
- …and Amendments, financial performance for all contracts , and facility, ancillary related contract negotiations. The Managed Care Team is at the forefront ... within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for...Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Molina Healthcare (Louisville, KY)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency 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** + 3-5 years of formal training in Project Management + Experience… more
- AdventHealth (Maitland, FL)
- …Must be able to complete extensive and complex financial and operational analyses of managed care contracts and proposals, analyze fee schedules, and ... determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in...analyze data from various sources using knowledge of healthcare managed care contracts and healthcare… 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
- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, committed, ... Query Language (MSSQL) Database skills to lead/execute the development of the complex Managed Care / Payer Analytics platform. The Payer Analytics team is… more
- RWJBarnabas Health (Oceanport, NJ)
- …degree in finance or accounting required. + Experience working with complex and sophisticated managed care contracts . + Strong analytical skills with ability ... lead on modeling contract rates throughout the managed care contract negotiation process....cost-based audit reviews. + Supports the loading of payor contracts into the contract management system and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and performs functions related to other financial aspects of Beth Israel Lahey Health's Managed Care Contracts and relationships. It also requires in-depth ... Designs & performs analyses and reporting in support of managed care contract negotiations including...and performance. 5) Performs ad hoc financial analyses of managed care contracts . 6) Incorporates… more
- Bausch Health (Bridgewater, NJ)
- …vendors. **Areas of responsibility -** + Review and approve rebate claims data received for managed care contracts , Medicare Part D contracts , and other ... and will oversee the daily operations of the contract management function. This individual will ensure proper communication...including the impact of price protection clauses on commercial, managed care contracts and Medicate… more
- Cintas (Mason, OH)
- …of IT contracts from cradle to grave. The IT Vendor Analyst I performs activities related to: strategic sourcing, contracting, contract management, ... development and improvement. The position also develops subject matter expertise for IT contracts and related activities. The IT Vendor Analyst I coordinates the… more