- CVS Health (Tallahassee, FL)
- …**Required Qualifications** - Candidate must reside in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... - National Committee for Quality Assurance (NCQA) accreditation experience - Medicaid managed care experience - Master's Degree **Education** Bachelor's Degree… more
- Option Care Health (Bannockburn, IL)
- …compliance programs. + Direct experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines. + Proficiency with audit software ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...and brightest talent in healthcare. **Job Description Summary:** The Analyst , Compliance Auditing, Monitoring and Analytics is responsible for… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...Mount Sinai Health System. MSHP seeks a **Senior Contracting Analyst Lead** to analyze and report the financial performance… more
- HCA Healthcare (Nashville, TN)
- …team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Commonwealth Care Alliance (Boston, MA)
- …(must have):** + 5+ years of experience working within community-based health and/or managed care **Desired Experience (nice to have):** + Experience working ... 011230 CA-Provider Engagement & Performance **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality… more
- Rochester Regional Health (Rochester, NY)
- …Maintenance experience; proficiency with Microsoft Excel required + Solid knowledge of managed care requirements related to clinical quality + Experience with ... nurses, and health care administrators and health care professionals. The Clinical Analyst will participate...administrators and health care professionals. The Clinical Analyst will participate in the determination of annual Quality… more
- Hartford HealthCare (Farmington, CT)
- …Medicare LCD/NCDs. . Extensive understanding of reimbursement theories to include OPPS, MPFS, and managed care . . Extensive working knowledge of health care ... with clinical department activities. The ability to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations… more
- Amgen (Washington, DC)
- …and memberships), contracts, strategies, and rebates and fee transactions for payer ( managed care ), channel, and provider rebates. + Works cross-functionally ... patients while transforming your career. **Specialist IS Business Systems Analyst - Product Team** **What you will do** Let's...us** As we work to develop treatments that take care of others, we also work to care… more
- MyFlorida (Tallahassee, FL)
- …1115 waivers and home and community-based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review ... development of policy language for: Medicaid contracts and amendments, Medicaid managed care report guides, contract interpretations, policy transmittals, and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …the US Preferred Skills and Experience * Bachelor's degree Master's degree. * Knowledge of managed care and health care claims preferred. * Experience with ... Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area:...us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the… more