- The Cigna Group (Franklin, TN)
- …necessary disclosure to / approval from Senior Segment leadership on key Medicare Advantage contract terms. + Interface with Medicare Advantage Medical ... market and will work in the Franklin, TN office several days per week** ** Medicare Advantage position** The **Provider Contracting Lead Analyst ** serves as an… more
- The Mount Sinai Health System (New York, NY)
- …Opportunity for advancement within MSHP team * Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations ... * Opportunity for mentorship from senior MSHP leaders * Opportunity to be part of...within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial,… more
- MetroLink (Los Angeles, CA)
- Senior Management Analyst Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4546555) Apply Senior Management Analyst Salary $80,824.00 ... Authority (SCRRA), operator of the METROLINK Commuter Rail System, is seeking a Senior Management Analyst who will maintain and improve project management… more
- University of Michigan (Ann Arbor, MI)
- Reimbursement Analyst Senior Apply Now **How to Apply** A cover letter is required for consideration for this position, and it should be attached as the first ... action employer. **Job Detail** **Job Opening ID** 229901 **Working Title** Reimbursement Analyst Senior **Job Title** Reimbursement Analyst Senior… more
- Scripps Health (San Diego, CA)
- …our employees have been with Scripps Health for over 10 years. The Chargemaster Senior Analyst provides assistance and analysis to all levels of clinical ... code education. **Job:** **Business Office* **Organization:** **Scripps Health Corp* **Title:** * Senior Charge Master Analyst * **Location:** *Central San Diego… more
- Advanced Systems Design (Montgomery, AL)
- Advanced Systems Design is seeking a Senior Business Analyst for our client located in Montgomery, AL. This position is onsite in Montgomery, AL and requires ... meet the business needs. This will require the Business Analyst to be very comfortable understanding the contract...Required Qualifications: + 7 years of experience as a Senior Business Analyst with 3 years working… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Technology staff, Benefits Administration staff, Provider Audit, Network Administration and/or Medicare Advantage staff, and entry level Reimbursement Analyst by ... for internal and external use. Designated staff may focus primarily on supporting the Medicare Advantage line of business. **NATURE AND SCOPE** + This role does not… 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 for ... 2. Develops modeling process to benchmark reimbursement rates to Contracted Commercial, Medicare and Medicaid reimbursement levels. 3. Builds contract terms in… more
- HCA Healthcare (Nashville, TN)
- …our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Senior Collections Analyst with Parallon you can be a part of an ... in our organization. We are looking for an enthusiastic Senior Collections Analyst to help us reach...delays from various payer products including HMO, PPO, Medicaid, Medicare , Auto and Workers' Compensation. + Effectively utilize ERA… more
- CVS Health (Hartford, CT)
- …a strong understanding of Aetna's Dental Products and market position. The Senior Analyst negotiates provider contract language and compensation. ... care more personal, convenient and affordable. Position Summary The Senior Analyst , Network Relations, is the liaison...as a resource for all dental products (DHMO, PPO, Medicare ) to DSO leadership and staff, providers, sales, and… more
- CVS Health (Woonsocket, RI)
- …care more personal, convenient and affordable. POSITION SUMMARY: The Strategic Procurement Senior Analyst Vendor Management manages Print and Direct Mail ... oversight of, and engagement with; Ariba, Contracts, Third Party Risk, Medicare Compliance, AP, Sourcing, and internal/external Auditors. Lead annual supplier… more
- Medical Mutual of Ohio (OH)
- … Supplement, and individual plans.** **Responsibilities** **Provider Reimbursement Analyst II** Under general supervision, supports assigned provider network ... ad hoc analysis as assigned. . Performs other duties as assigned. ** Senior Provider Reimbursement Analyst ** Under limited supervision, supports assigned provider… more
- Medical Mutual of Ohio (OH)
- …Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Provider Analyst II** Provides analytical support during contract negotiation ... training. . Performs other duties as assigned. ** Senior Provider Analyst ** Provides analytical support during contract negotiation process. Assists… more
- Trinity Health (Livonia, MI)
- …office third party cost reports, third party appeals, third party payer contract negotiations, analysis of financial impact of changes in third party regulations, ... potential financial impact on the member organizations of major changes in Medicare and Medicaid policies. Assists in related advocacy efforts regarding such… 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 ... value based contracting initiatives. + Orients, trains, and assists more junior level Analyst . + Performs other duties as assigned. ** Senior Provider Network… more
- CVS Health (Jefferson City, MO)
- …Position Summary Act as a primary resource for all dental products (DHMO, PPO, Medicare ) for providers, sales and marketing, and Dental Service Centers to aid in the ... understanding of Aetna's Dental Products and market position. Negotiation of contract language and provider compensation. Review quality and service reports with… more
- Rush University Medical Center (Chicago, IL)
- …PM) **Summary:** This position will create coverage analyses in accordance with Medicare 's Clinical Trial Policy (NCD 310.1) and assist research staff within the ... of related guidance and their effect on research billing processes. The analyst will provide high-level professional support in the growing efforts to conduct… more
- Rush University Medical Center (Chicago, IL)
- …Revenue Cycle, this position will create coverage analyses in accordance with Medicare 's Clinical Trial Policy (NCD 310.1) and assist research staff within the ... of related guidance and their effect on research billing processes. The analyst will provide high-level professional support in the growing efforts to conduct… more
- Navient (IN)
- …HOME). WORK MUST BE PERFORMED IN THE UNITED STATES. Our Healthcare Data Analyst - REMOTE employees have data analytics, informatics or business backgrounds. They ... assist EY's clients in complying with Medicare , Medicaid and other regulatory requirements, in addition to...Analytics, Finance, Accounting, or a related field or a senior pending graduation in 1 year. + Intermediate level… more
- Children's Hospital Boston (Boston, MA)
- …arrangements + Prepares appropriate analyses for review by various committees and senior leadership. Makes recommendations regarding contract terms and fees + ... 73900BRJob Posting Title:Financial Analyst II for Payor ContractingDepartment:Finance Case Mix Reimb...to support various reporting and contracting needs, including payer contract negotiations on behalf of the Hospital, Physicians' Organization,… more