- Northern Light Health (Brewer, ME)
- …the Manager of Payer Strategy & Managed Care Operations (PSMCO), the Contract Analyst will collaborate with PSMCO leadership to identify and evaluate ... recommend solutions that are both practical and innovative. The Contract Analyst , with support from the Manager,...+ Prolonged periods of standing. + Prolonged periods of walking. Position Payer Contract AnalystLocation Req ID… more
- Hartford HealthCare (Wethersfield, CT)
- …across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling process ... to minimize payer policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops modeling process to benchmark reimbursement rates to… more
- The Cigna Group (Bloomfield, CT)
- …Contracting Administration Team and reports to the Payer Solutions Contract Advisor. The Contracting Analyst is responsible for successful execution ... **Organization Summary:** Cigna Payer Solutions sells Cigna product solutions to health...business needs. Develop draft language for legal approval. Complete contract and amendment documents that meet operational standards, accurately… more
- University of Miami (Medley, FL)
- …companies to correct errors as necessary. Documents and tracks all revenue cycle payer issues. Leads payer contract loads for underpayment recovery. ... has an exciting opportunity for a Full-Time Revenue Cycle Payer Relations Analyst to work Remote. The...related to the revenue stream. + Analyzes and monitors payer trends, managed care contract compliance, … more
- 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 ... role includes loading and maintaining reimbursement rates in ION contract management system. Additional responsibilities include collaborating with other internal… more
- Geisinger (Danville, PA)
- Job Summary The Epic Payor Contract Analyst is responsible for building and maintaining applicable modules for payment contracts while acting as a subject matter ... contracts. + Communicate with payers and maintain up to date contract inventory and payer -plan master files. + Coordinate and actively participate with other… more
- BrightSpring Health Services (Nashville, TN)
- …in contract management and working with reimbursement methodology. or payer relations. + Strong knowledge of Payer contracts, healthcare reimbursement ... Company BrightSpring Health Services Overview As a Financial Senior Analyst - Contracts within the RWW Revenue Cycle department,...Cycle department, you will play the process owner for payer plan maintenance in managing Payer contracts… more
- Medical Mutual of Ohio (OH)
- …result sets to enable accurate and robust quantitative analyses. . Analyzes payer value-based contract opportunities, including pay for performance, population ... Updates and provides quality assurance of provider rate loading. . Analyzes payer value-based contract opportunities, including pay for performance, population… more
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Senior Collections Analyst with Parallon you can be a part of an organization that is ... organization. We are looking for an enthusiastic Senior Collections Analyst to help us reach our goals. Unlock your... is responsible for resolving claim delays from various payer products, identifying problem accounts, process and trends and… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …Report Contract variance to DTS, escalate volume underpayments to payer representative. + Meets biweekly and monthly with various vendors and outside ... and serve as a leader of positive change. The **Revenue Cycle Analyst , PB** provides statistical and financial data enabling management to accurately monitor… more
- Keystone Lab (Asheville, NC)
- …but are not limited to the following: + Have working knowledge of payer determinations, contract fe es, covered or non-covered items, diagnosis, modifiers, ... and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas in the country,… more
- University of Michigan (Ann Arbor, MI)
- …perform impact contract analysis, to include price mix variance and payer mix reporting. + Prepare, monitor, and reconcile reimbursement reports. + Proactively ... Reimbursement Analyst Senior Apply Now **How to Apply** A...needed + Assist with financial reporting, including monthly third-party payer accounting for net revenue and estimated settlements +… more
- R1 RCM (Detroit, MI)
- …following up on appeals to the point of exhaustion or payment and performing contract and manual reviews between payer and providers. Prior Hospital Denials ... intelligent automation, and workflow orchestration. As our Denials Senior Analyst , you will help R1 by managing assigned accounts...on high dollar claims and inventory. + Conducts complex payer follow-up via phone, portal or email. + Writes… more
- HCA Healthcare (San Antonio, TX)
- …resolve High Dollar Technical and Top Dollar Clinical Appeals through understanding of Payer Contract Language and Clinical or Technical justification. You will ... inclusion thrive? Submit your application for our Senior Appeals Analyst opening with Parallon today and find out what...to correct the errors in a timely manner Identify contract protection that can be leveraged to overturn denials… more
- Advanced Systems Design (Montgomery, AL)
- …and approving artifacts related to the program, project, or software. + The Business Analyst must also understand the contract and be able to verify the ... contract requirements are met. + The Business Analyst will be working directly with the business areas...knowledge of Medicare, Medicaid, or with a major healthcare payer . + 3 years of experience supporting provider management… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …contracting initiatives. + Performs other duties as assigned. **Provider Network Performance Analyst III** + Develops Value Based Contract (VBC) amendments in ... contracting regions with quality, utilization, and cost analysis. **Provider Network Performance Analyst I** + Gathers and maintains data from multiple sources and… more
- Children's Hospital Boston (Boston, MA)
- …builds financial models to support various reporting and contracting needs, including payer contract negotiations on behalf of the Hospital, Physicians' ... 73900BRJob Posting Title:Financial Analyst II for Payor ContractingDepartment:Finance Case Mix Reimb...by various committees and senior leadership. Makes recommendations regarding contract terms and fees + Performs detailed analyses of… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader of positive change. The Revenue Cycle Analyst provides statistical and financial data enabling management to accurately monitor accounts ... A day in the life of a Revenue Cycle Analyst with Hackensack Meridian Health includes: + Participates &...+ Identifies problems in process flow or changes in payer 's billing rules and regulations and governmental guidelines that… more
- Community Health Network (Indianapolis, IN)
- Provider Relations Analyst - Community Health Direct Job Ref 2402856 Category Administrative & General Support Job Family Billing & Coding Department Provider ... we couldn't do it without you. **Make a Difference** The Provider Relations Analyst is primarily responsible for doing provider education and serving as a liaison… more
- AdventHealth (Maitland, FL)
- …of managed care contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention ... (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more