- 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
- 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
- CommonSpirit Health (Englewood, CO)
- … modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and… more
- AdventHealth (Maitland, FL)
- …ethic, trainability, communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both ... financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst … 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
- 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 ... **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst - Litigation...preferred **Knowledge, Skills and Abilities** + Strong understanding of managed care , government contracts, and reimbursement processes.… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …(PDL) to validate product placement complies with all terms and conditions of the managed care contract . Using critical thinking skills and data analytics, ... the position is to identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with the Teva Market Access… more
- 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
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is...the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... **Job Description** The Data Science Analyst III is a senior role, collaborating with...to inform our clinical or contracting staff to improve contract outcomes. b. Care Management Helps to… more