• Payer / Provider Network

    HonorHealth (Scottsdale, AZ)
    …and timely information to support the provider contract load and payer network management relationship. The Network Analyst will provide ... well-being of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Network Analyst develops, analyzes and provides quality… more
    HonorHealth (01/14/25)
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  • Provider Network Performance…

    Medical Mutual of Ohio (Brooklyn, OH)
    …Assists in supporting the contracting regions with quality, utilization, and cost analysis. ** Provider Network Performance Analyst I** + Gathers and ... to align value based contracting initiatives. + Performs other duties as assigned. ** Provider Network Performance Analyst II** + Conducts quality assurance… more
    Medical Mutual of Ohio (12/12/24)
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  • Provider Reimbursement Analyst

    Medical Mutual of Ohio (OH)
    … Reimbursement Analyst II** Under general supervision, supports assigned provider network contracting region with typically routine to moderately complex ... financial analysis. Maintains market intelligence and analyzes network performance to provide Provider ...Reimbursement Analyst ** Under limited supervision, supports assigned provider network contracting region with typically more… more
    Medical Mutual of Ohio (11/20/24)
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  • Patient Access Analyst , Oncology

    Hackensack Meridian Health (Neptune, NJ)
    …conformance to Hackensack Meridian Oncology/Radiation standards and protocols within the network . + Submits all referral information to necessary providers, as ... pocket expenses for new treatment plans. + Document both in- network and out-of- network benefits in order to...technical denials for lack of prior authorization. Understand if payer rules governing when or if a prior authorization… more
    Hackensack Meridian Health (01/24/25)
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  • Human Services Analyst

    MyFlorida (Fort Pierce, FL)
    HUMAN SERVICES ANALYST - 64006332 Date: Jan 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 843040 Agency: Department of Health Working Title: HUMAN SERVICES ANALYST - 64006332 Pay Plan: Career Service Position Number: 64006332 Salary:… more
    MyFlorida (12/12/24)
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  • Population Health Analyst

    AnMed Health (Anderson, SC)
    This advanced analyst role supports AnMed's vision and strategic population health initiatives using analytics and data integration to drive informed action to ... improve quality of care and operations. The analyst must have experience working with clinical and claims-based...with operational leaders of AnMed, the local clinically integrated network , and regional ACO to help the organization drive… more
    AnMed Health (01/22/25)
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  • Remittance Process Analyst 1 / PA Remit…

    Hartford HealthCare (Farmington, CT)
    …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... potential correction, including utilizing various tools such as system programs, official payer and/or banking websites and phone communication as need be. Works in… more
    Hartford HealthCare (01/20/25)
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  • Managed Care Contract Analyst

    e CancerCare (Nashville, TN)
    Job Purpose: Contract Analyst will be responsible for analytic support related to ION network and providers. Team member will work closely with the Managed Care ... Load contracted rates into contract management system. . Analyze relevant data to provide in reports, which includes determining the impact of adjustments to managed… more
    e CancerCare (11/05/24)
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  • Professional Billing Analyst (Shared…

    Children's Hospital Boston (Boston, MA)
    77878BRJob Posting Title:Professional Billing Analyst (Shared Service Center)Department:Shared Service CenterAutoReqId:77878BRStatus:Full-TimeStandard Hours per ... by coordinating revenue cycle policies, practices, identifying issues, trends, and provide solutions through analytic and administrative tools to meet business… more
    Children's Hospital Boston (01/03/25)
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  • Operations Analyst III - Revenue Cycle…

    Mayo Clinic (Rochester, MN)
    **Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to US News & World Report. As we work together to put the ... or reimbursement account for flexible coverage. + Vision: Affordable plan with national network . + Pre-Tax Savings: HSA and FSAs for eligible expenses. + Retirement:… more
    Mayo Clinic (01/26/25)
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  • Records Analyst (ABA)

    Robert Half Accountemps (Lauderdale Lakes, FL)
    Description We are extending an opportunity for a Records Analyst (ABA) to join our team in Lauderdale Lakes, Florida. Operating within the healthcare industry, you ... deadlines. * Maintain a strong understanding of insurance authorization processes and payer requirements. * Be familiar with Electronic Health Records (EHR) systems… more
    Robert Half Accountemps (01/24/25)
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  • Mgr Revenue Integrity Analyst / Revenue…

    Hartford HealthCare (Farmington, CT)
    …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... data to perform root cause analysis and ensure compliance with government payer requirements to determine patterns of charging that will increase the propensity… more
    Hartford HealthCare (01/17/25)
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  • Senior Financial Analyst (Bundles Revenue…

    Vanderbilt University Medical Center (Nashville, TN)
    …workflows driving bundled payments. * Serves as a liaison with payors and provider network revenue cycle teams to address bundled payment discrepancies and ... Coordinates the bundled payment billing and follow-up process between the network providers, payers and patients with minimal guidance. Recognizes, researches,… more
    Vanderbilt University Medical Center (01/18/25)
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  • Lead Analyst , Healthcare Analytics…

    Molina Healthcare (Columbus, OH)
    …complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents ... modeling, etc. + Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing, and actuarial functions + Multiple data… more
    Molina Healthcare (01/24/25)
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  • Claims Examiner

    Health Advocates Network (Folsom, CA)
    Health Advocates Network is hiring a **Denials Analyst ** **(2 Years Exp Req)** ! This is a full-time contract position at a nationally recognized hospital ... Works with the Revenue Cycle stakeholders (eg Admitting, Coding, Provider Liaisons, etc.) to provide information related...find out more about other opportunities with Health Advocates Network , visit www.hanstaff.com. We can provide you… more
    Health Advocates Network (11/27/24)
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  • Managed Care Fin Anlst

    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 region's ... top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services… more
    Covenant Health Inc. (01/10/25)
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  • Insurance Specialist II - Corporate Patient AR…

    Guthrie (Sayre, PA)
    …reports payer , system or billing issues. Works with Applications Analyst , Supervisor, Manager and/or Director to provide recommendations and resolution. ... I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a high level of… more
    Guthrie (01/16/25)
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  • AR Specialist 2 - Hybrid Position

    Methodist Health System (Dallas, TX)
    …:** **Your Job:** The ability to manage the organization's third party payer appeals through the ability to analyze, research and successfully appeal third ... party claims within timely filing timelines, provide excellent customer service, write Appeal and Recon letters...Diploma with (4) four years as an Account Receivable analyst in a Hospital setting. * Professional Certification through… more
    Methodist Health System (01/22/25)
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