- Nuvance Health (Danbury, CT)
- *Description* Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and reimbursement data to aid in contract negotiations for all ... In addition to gathering volume data and modeling of current reimbursement, the Managed Care Analyst determines the need for methodology changes and proposes… more
- Nuvance Health (Danbury, CT)
- …ie, registration. 6. Follows through with education of rules and regulations in the managed care system, as well as, State & Federal guidelines. 7. Adjusts ... account balances to specific account needs; ie, capitated labs. 8. Maintains Contract Management reporting (ie, payment errors, carve out billings ) and updates any information as needed or requested by supervisor. 9. Applies cash received to appropriate… more
- Nuvance Health (Danbury, CT)
- …ie, registration. 6. Follows through with education of rules and regulations in the managed care system, as well as, State & Federal guidelines. 7. Adjusts ... account balances to specific account needs; ie, capitated labs. 8. Maintains Contract Management reporting (ie, payment errors, carve out billings ) and updates any information as needed or requested by supervisor. 9. Applies cash received to appropriate… more
- Molina Healthcare (Yonkers, NY)
- …and experience **Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity 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** + 1-3 years formal training in Business Analysis and/or Systems Analysis… more
- Molina Healthcare (Yonkers, NY)
- …**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
- Molina Healthcare (Yonkers, NY)
- …is preferred. + Healthcare experience is required, + Experience working in a managed care environment and commercial line of business is preferred. **JOB ... QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 5-7 years of QNXT exp, config/ healthcare **Preferred Education** Graduate Degree or equivalent experience **Preferred… more
- WMCHealth (Valhalla, NY)
- …Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Managed Care -WMC Health Union: No Position: Full Time Hours: ... Qualifications/Requirements: Experience: Minimum of 5 years experience as an analyst , required. Education: Bachelor's degree in finance or accounting, required.… more