- HCA Healthcare (Ocala, FL)
- …be a part of our team. **Job Summary and Qualifications** Seeking a Contract Analyst , who is responsible for translating managed care terms and model ... join an organization that invests in you as a Contract Analyst ? At Parallon, you come first....**What you will do in this role:** + Model managed care contracts through the Concuity Calc… more
- AdventHealth (Maitland, FL)
- …+ The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, and ... Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care ...service and maintain relationships with clients who include AH Managed Care Directors, Contract Denial… more
- MyFlorida (Tallahassee, FL)
- …the medical or insurance field. Preference will be given to applicants with managed care and/or contract experience. LICENSURE, CERTIFICATION, OR ... 68064317 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Aug 27,...professional position in the Certificate of Need & Commercial Managed Care Unit requiring the ability to… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …a great mission and culture? Then consider joining Devereux Florida as a Finance Analyst (Contracts / Managed Care )!_ Devereux provides mental and behavioral ... **Description** _Are you a Contracts and Managed Care Professional looking for a...and conduct audit reviews for MMAs. + Coordinate with contract representatives and network providers to resolve claims issues.… more
- The Cigna Group (Sunrise, FL)
- …+ Experience in developing and managing relationships + Understanding and experience with managed care , and provider business models a plus + Team player ... Providers 3 days per week The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider...and projects financial impact of provider contracts and alternate contract terms. + Creates "HCP" agreements that meet internal… more
- Molina Healthcare (St. Petersburg, FL)
- …adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims Operations… more
- Mass Markets (FL)
- …partner in the industry. We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role is crucial in ensuring ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Evolent (Tallahassee, FL)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more