- CVS Health (Richmond, VA)
- …mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Aetna policies and procedures * Works ... includes navigating multiple systems and keyboarding. **Preferred Qualifications** * Previous Managed Care experience. * Psychology or Social Services… more
- UCLA Health (Los Angeles, CA)
- …related field required + Minimum of five years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required + Minimum ... Description The Business Data Analyst plays a key role within the Medicare...years' experience with CMS processes in a Medicare or Managed Care environment required + Experience with… more
- UCLA Health (Los Angeles, CA)
- …field required + Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required + Minimum of ... five (5) years' experience with CMS processes in a Medicare or Managed Care environment required + Experience with CMS processes is a plus + Knowledge of SQL… more
- Community Health Systems (Franklin, TN)
- …maximizing reimbursement by identifying variances between posted and expected revenue for managed care , government contracts, and other payers. This role ... analysis required **Knowledge, Skills and Abilities** + Strong understanding of managed care , government contracts, and reimbursement processes. + Proficiency… more
- MyFlorida (Tallahassee, FL)
- …into the program, Medicaid recipients receive proper coverage, enrollment into managed care plans; extracting, analyzing, and/or reporting Medicaid data; ... 68900198 - OPS HUMAN SERVICES ANALYST Date: Dec 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website… more
- Capgemini (Austin, TX)
- …L2 SOC Analyst **Location:** Austin, Texas **Responsibilities:** In the L2 SOC Analyst role you'll be entrusted to deliver managed security services to some ... from threats that actually matter to their business 24x7x365. The L1/L2 SOC Analyst will be working alongside a talented group of cybersecurity Analysts. US… more
- Insight Global (Fountain Valley, CA)
- …designing and building Enrollment File and Capitation R&R workflows. Knowledge of managed care operations and payer provider contracting Familiarity HL7, X12, ... seeking two Epic Tapestry Analysts. The first Epic Tapestry Analyst will be responsible for the build aspect of...regulations related to health IT and data exchange. The Analyst will work alongside 2 internal resources to help… more
- US Physical Therapy (Houston, TX)
- …a **Contract Manager/ Analyst .** This is a dual role that will support the ** Managed Care Operations Team** . The person in this role should have experience ... in Managed Care , WC, Replacements & Auto lines of business. They will work directly with payors to negotiate key payor contracts for the organization and must be… more
- CGI Technologies and Solutions, Inc. (Huntsville, AL)
- …Type:** Full Time **Position Description:** CGI Federal is looking for Cyber Security Analyst to support our Managed Security Services based out of Huntsville, ... **SOC Analyst ** **Category:** Cyber Security **Main location:** United States,...tools, security procedures, and services within the CGI Federal Managed Security Services (MSS). . Ensure that event analysis… more
- Mount Sinai Health System (New York, NY)
- … Analyst initiates systems to capture all inpatient and outpatient charges. Monitors managed care , commercial and federal contracts to assure the recovery of ... **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd...that updated fee schedules for Medicare, Medicaid, commercial and managed care carriers are correctly entered in… more