- UPMC (Pittsburgh, PA)
- UPMC Corporate is hiring a Payor Contract Analyst , Senior to join our team! This role will be a hybrid position with in office days and work from home. ... Friday during the hours of 8:00 AM to 4:30 PM. Under minimal supervision, the Payor Contract Analyst , Senior is responsible for evaluating and negotiating… more
- Walgreens (Deerfield, IL)
- …is available at www.walgreensbootsalliance.com . **Job ID:** 1549516BR **Title:** Analyst , Payor Operations and Solutions **Company Indicator:** Walgreens ... opportunities, immediate needs related to contracted terms and programs, resolves contract compliance issues and tracks financial impact. + Escalates issues as… more
- Abbott (Livermore, CA)
- …contribute by bringing a comprehensive knowledge in the specific area of commercial payor contract support by executing highly complex and specialized projects, ... people in more than 160 countries. **Job Title** **Senior Contract Support Analyst ** **Working at Abbott** At...respond to competing high priority tasks effectively + Commercial payor contract review experience + Managed Medicare… more
- Henry Ford Health System (Detroit, MI)
- …EPIC contract modeling software, create and maintain complete and accurate reimbursement models based on payor agreements including Medicare, Medicaid, Blue ... within the contract models. Support contract negotiations using contract modeling software to evaluate and create reimbursement proposals. Maintain… more
- Mount Sinai Health System (New York, NY)
- …by provider, to specified payor and monitors progress for proper reimbursement through established follow-up protocols. 5. Provides contract rate analysis to ... **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for...Outlook **Responsibilities** 1. Monitors and reports the accuracy of contract reimbursements per payor , for both under… more
- RWJBarnabas Health (Oceanport, NJ)
- …, strongly preferred. + Experience solving difficult problems relating to reimbursement , contract modeling and revenue cycle functions, strongly preferred. ... rebalancing, language review and communication with insurance companies. + Evaluate payor performance relating to profitability, benchmarking, denials, contract … more
- BrightSpring Health Services (Denver, CO)
- …to support payor negotiations + Develops financial models to project reimbursement rates, financial impacts, and potential risks associated with contract ... through our growing network of branches and healthcare professionals. The Senior Analyst - Revenue Management is responsible for the day-to-day analysis and… more
- Scripps Health (San Diego, CA)
- … reimbursement practices of third-party payors. Develops reports to evaluate the reimbursement effect of third-party payor contract proposals as requested ... billing reimbursement regulations. Reviews Medicare intermediary and other third-party payor bulletins to keep current on billing requirements. Reimbursement … more
- Beth Israel Lahey Health (Charlestown, MA)
- …accurate capture of all Lahey Health System revenue. The Revenue Integrity Analyst seeks to improve workflow, efficiency, accuracy, reimbursement , and overall ... Director or Manager of Revenue Integrity, the Revenue Integrity Analyst serves as a primary point of contact for...9. Responsible for keeping abreast of all government and payor level coding, billing, reimbursement rules, regulations,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and accurate capture of all Lahey Health System revenue. The Revenue Integrity Analyst seeks to improve workflow, efficiency, accuracy, reimbursement and overall ... Director or Manager of Revenue Integrity, the Revenue Integrity Analyst serves as a primary point of contact for...9. Responsible for keeping abreast of all government and payor level coding, billing, reimbursement rules, regulations,… more
- Aveanna Healthcare (Atlanta, GA)
- Financial Analyst ApplyRefer a FriendBack Job Details Requisition #: 200056 Location: Atlanta, GA 30339 Category: Accounting/Finance Salary: $80,000.00 - $85,000.00 ... careers here, with the support of our leaders, mentors, and our tuition reimbursement program. + Celebrating Diversity:Aveanna has been recognized by Newsweek as one… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …Alignment Group. Ensures every physician payment is reconciled back to the contract . Executes month end close with finance team to prepare physician payment ... marketing, human resources, employee benefits, finance, billing, talent acquisition/development, payor relations, IT, project management, community benefit and more.… more
- CVS Health (Salem, OR)
- …understanding of Aetna's Dental Products and market position. Negotiation of contract language and provider compensation. Review quality and service reports with ... limited to termination requests, tax id changes, hold requests, claim reimbursement , system, directory accuracy and various contractual issues. Documented resolution… more
- Spectrum Billing Solutions (Skokie, IL)
- …100% fully remote. Your Responsibilities: + Complete provider credentialing and contract applications with third-party carriers and government health plans. + Review ... in credentialing and contracting. + Knowledge of Commercial Insurance and Government Payor guidelines. + Ability to plan, organize, and complete work with competing… more