- Omaha Children's Hospital (Omaha, NE)
- …requirements and standard practice. + Ability to review, interpret and understand managed care contracts with third-party payors. + Knowledge of the ... strategies. + Collaborate with the denial team and claim analyst to identify trends in payer denials or rejections...current healthcare climate, including managed care developments, HIPAA standards and governmental… more
- Novant Health (Winston Salem, NC)
- …degree, required. Graduate Degree, preferred. Minimum of three years of experience in Managed care contracting, operations, or Government payors (ie, Mcr, Mcd) + ... Job Summary Value Based Payor Analyst The Value Based Payor Analyst ...providers participating in shared savings programs, typically within Accountable Care Organizations (ACOs), tracking and monitoring physician participation, and… more
- embecta (Parsippany, NJ)
- …responsibilities across the embecta North America commercial teams, including Strategic Accounts ( Managed Care and Retail), Channel Management, GPO, Long-term ... embecta is a global diabetes care company that is leveraging its 100-year legacy...diverse and global employees. The Pricing & Contracts Sr. Analyst will support the analytics, operations and contracting functions… more
- CVS Health (Jefferson City, MO)
- …to use various solutions. **Preferred Qualifications** + Experience in health insurance, managed care , or the pharmaceutical industry. + Project management ... predictive models, and performance metrics that support ABHIL's Medicaid goals and cost-of- care initiatives **Job description** The **Senior Analyst , FP&A** is a… more
- Cedars-Sinai (CA)
- …contracts) to assess financial performance, revenue generation, and profitability. Analyzes managed care contracts for compliance and financial performance, ... **Job Description** The Senior Financial Analyst is responsible for assisting with the development,...is a leader in providing high-quality healthcare encompassing primary care , specialized medicine and research. Since 1902, Cedars-Sinai has… more
- Molina Healthcare (KY)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Avera (Sioux Falls, SD)
- …and our patients. Work where you matter.** **A Brief Overview** The Benefits Analyst plays a key role in supporting the administration and optimization of employee ... and in development and enhancement of benefit offerings for employees. The Analyst will work with Benefits Advisors to support enrollment, maintain HRIS data… more
- CVS Health (Indianapolis, IN)
- …Power BI and Excel. **Preferred Qualifications** + Experience in health insurance, managed care , or the pharmaceutical industry. + Project management experience ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Chiesi (Cary, NC)
- …adult populations), RARE (treatment for patients with rare and ultra-rare diseases) and CARE (products and services that support special care and consumer-facing ... Who we are looking for Purpose The Sr. Financial Analyst will play a key role on the Company's...Serving as a business partner to departments that are managed locally for financial reporting, planning, and financial control… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …or related field. + 5-7 years of experience in healthcare analytics, preferably in a managed care setting. + Proficiency in SQL and Microsoft SQL Server Suite of ... About The Role The Reporting Analyst , Population Health will be an analytically driven...Mission Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding… more