- Hartford HealthCare (Hartford, CT)
- …Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a ... moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:**… more
- Cognizant (Baton Rouge, LA)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... projects and digital transformation initiatives * Deep understanding of payer functions and Medicaid plan implementations, including enrollment, billing, claims,… more
- CommonSpirit Health (Englewood, CO)
- …requests on the more technical side of our contract modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial ... enjoy special projects on the more technical side of payer analytics and managed care? The person in this...reimbursement and market share. Provides mentorship and guidance of Analyst contract modeling. Provides analysis findings and education to… more
- CommonSpirit Health (Rancho Cordova, CA)
- **Job Summary and Responsibilities** This is a remote position. The Senior Analyst , Payer Analytics & Economics performs managed care financial analysis, ... strategic pricing and payer contract modeling activities for a defined payer portfolio. Provides analytical and pricing expertise for the evaluation,… more
- Highmark Health (Cheyenne, WY)
- …requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement ... + Plans, designs/builds, tests, implements, and supports the needs of Epic Payer Platform software. + Analyzes and determines system requirements and specifications.… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …. 8-10 years of experience as a Business Analyst or Business Systems Analyst in the healthcare payer domain. . Strong understanding of FHIR standards, HL7, ... **Senior Business System Analyst - Healthcare** **Category:** Business Analysis (functional and...a key role in driving interoperability initiatives for healthcare payer organizations. This role focuses on implementing solutions aligned… more
- Fairview Health Services (Minneapolis, MN)
- …planning, contract proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison activities. The Financial Analyst extracts ... **Job Overview** The Financial Analyst of Pharmacy Services Revenue Integrity supports pharmacy...projections. + Tracking and updating of all third party payer fee schedules, internal charge masters, and payer… more
- NTT DATA North America (Boston, MA)
- …with Enterprise Architects and delivery organizations + **Partner & Analyst Relationship Management:** Manage health plan/ payer -specific partner and ... NTT DATA's and partner capabilities to deliver high-value propositions for Health Plan/ Payer & Life Sciences + **Client Engagement:** Support sales efforts with a… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …Reporting Analyst to refine quality scoring criteria. . Recommend payer -specific quality metrics to assess process performance. . Support development of process ... **Senior Payer Process Assessment & BPM Lead** **Category:** Business...are seeking a Healthcare Subject Matter Expert (SME) - Payer who brings deep expertise in payer -domain… more
- CentraCare (St. Cloud, MN)
- …Professional Job Schedule: Full time Find your purpose as a Financial and Regulatory Analyst at CentraCare. The Financial and Regulatory Policy Analyst serves as ... a cross-functional expert supporting financial analysis, payer policy review, and regulatory compliance. This role is responsible for evaluating the financial and… more
- Mount Sinai Health System (New York, NY)
- …Contracts across the Mount Sinai Health System. MSHP seeks a **Senior Contracting Analyst Lead** to analyze and report the financial performance for all Commercial ... and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy trends, researching all… more
- BAYADA Home Health Care (Pennsauken, NJ)
- **POSITION SUMMARY:** The Revenue Cycle Analyst supports BAYADA Home Health Care's mission by analyzing, monitoring, and optimizing aspects of the revenue cycle, ... including insurance verification, authorizations, billing, payer performance, and reimbursement. This role serves as a key liaison between service offices,… more
- Commerce Bank (Kansas City, MO)
- …and competencies.) The CommerceHealthcare(R) RemitConnect(R) team is looking for an Enrollments Analyst who will be responsible for leading and managing the RCM ... dependencies of health plan and insurance payer remittance and payment enrollment activities for new client...This compensation range is for the Specialty Healthcare Enrollments Analyst - RemitConnect and Senior Specialty Healthcare Enrollments … more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- **_SUMMARY_** We are currently seeking a *PFS Contract Variance Analyst ** *to join our Denials Analysis team. This full-time role will work remotely (Days, M- F). ... *Purpose of this position:*The Contract Variance Analyst provides foundational support in managing appeals... provides foundational support in managing appeals related to payer contract variances and fatal denials. This role is… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- **_SUMMARY_** We are currently seeking a *PFS Contract Variance Analyst Senior** *to join our Denials Analysis team. This full-time role will work remotly (Days, M- ... F). *Purpose of this position:*The Contract Variance Analyst Senior is responsible for leading the end-to-end appeals process related to contract variances and fatal… more
- Beth Israel Lahey Health (Charlestown, MA)
- …job, you're making a difference in people's lives.** The Revenue Cycle Denial Analyst is charged with coordinating the analysis and effective resolution of denied ... payment and denial data down to the line item detail, identifying payer and coding trends, risks, and opportunities, to implement operational or systematic… more
- Bozeman Health (Bozeman, MT)
- Position Summary: The Payment Posting Analyst plays a critical role in the healthcare revenue cycle by ensuring all payment activities are completed accurately and ... efficiently to all payment records. The Payment Posting Analyst work closely with billing, collections, and finance areas to ensure smooth operations and revenue… more
- Center For Health Information And Analysis (Boston, MA)
- …be a driving force in health policy impact! We are seeking a Research Analyst to contribute to our growing research projects within the dynamic Strategy and Research ... team. The Research Analyst will work closely with the research team and...management tasks for large datasets such as the All Payer Claims Database (APCD), hospital discharge data (Case Mix),… more
- Aston Carter (Salem, OR)
- Job Title: Medical Coding Analyst Job Description The Medical Coding Analyst plays a critical role in ensuring accurate medical coding and compliance with ... federal, state, and payer regulations. This position serves as a subject matter...+ Minimum of 2 years experience as a Coding Analyst or Coding Supervisor. + Over 5 years of… more
- Hartford HealthCare (Farmington, CT)
- …across the system. *_Position Summary:_* The Customer Service Dispute Resolution Analyst is responsible for analysis, investigation and resolution of all customer ... and State Regulations, self-pay billing and collections, etc. The Dispute Resolution Analyst must exhibit initiative to research and resolve an issue to completion… more