- MyFlorida (Tallahassee, FL)
- …does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive ... 68064376 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jul 24,...responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic… more
- LA Care Health Plan (Los Angeles, CA)
- …in designing, developing, generating and analyzing ad hoc/production reports in Healthcare/ Managed Care setting. Preferred: Experience as a Clinical Data ... Clinical Data Analyst III (HEDIS, Tableau, SQL) Job Category: Clinical...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- LA Care Health Plan (Los Angeles, CA)
- …practices. Preferred: At least 5 years of experience working with a California Medi-Cal managed care plan or Commercial health plan, medical group, or management ... Quality Configuration Assurance Analyst III Job Category: Information Technology Department: Enterprise...services organization. Skills Required: Advanced understanding of managed care operations (including but not limited… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Iowa Department of Health and Human Services (HHS), Division of Medicaid, Bureau of Managed Care Reporting and Oversight is seeking a Member/Provider MCO ... Member/Provider MCO Analyst Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5023677) Apply Member/Provider MCO ...role, you will support the oversight and monitoring of Managed Care Organizations (MCOs) to ensure they… more
- CommonSpirit Health (Englewood, CO)
- …contract modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... on the more technical side of payer analytics and managed care ? The person in this role...reimbursement and market share. Provides mentorship and guidance of Analyst contract modeling. Provides analysis findings and education to… more
- Martin's Point Health Care (Portland, ME)
- …to reporting and analysis of health care data ideally in the areas of managed care , health care delivery, code sets, and/or reimbursement + Experience in ... Join Martin's Point Health Care - an innovative, not-for-profit health care...to Work" since 2015. Position Summary The Risk Adjustment Analyst provides analytic, technical, and decision support to the… more
- The County of Los Angeles (Los Angeles, CA)
- …effectiveness, ensuring regulatory compliance, and promoting health equity within the managed care framework. DEFINITION: Under immediate supervision, assists in ... PREDICTIVE DATA ANALYST / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4775405) Apply PREDICTIVE DATA … more
- Option Care Health (Chicago, IL)
- …**Job Description Summary:** Manage implementation of assigned payer agreements for managed care , pharmacy benefit administrators, IPA, and other third-party ... importance and/or time spent) + Implements third -party payer agreements for managed care , pharmacy benefit administrators, and other accounts for Option Care… more
- Intermountain Health (Salt Lake City, UT)
- …line leadership or both for needed edits. Cases scheduled without procedure cards will be managed by the Analyst who will build or attach the appropriate card. ... **registered nurse** **or as a** **surgical technician** **.** Procedure card Analyst is responsible for the maintenance, standardization, and analysis of effective… more
- Ada County (Boise, ID)
- IT Business Analyst I Print (https://www.governmentjobs.com/careers/adacounty/jobs/newprint/5022606) Apply IT Business Analyst I Salary $58,570.00 - $81,500.00 ... County Information Technology (https://adacounty.id.gov/informationtechnology/) POSITION GENERAL SUMMARY: The Business Analyst acts as a liaison between the county business… more