- AmeriHealth Caritas (Detroit, MI)
- … managed health care requirements + 3 to 5 years in a managed care -related or healthcare industry + Proven experience with contract management tools ... Contract Manager, Emptpros) + Proficiency in researching regulatory requirements and managed care industry best practices **Skills & Abilities;** + Database… more
- J&J Family of Companies (Titusville, NJ)
- …a person who can learn quickly. + Experience in public accounting, pharmaceuticals, managed care , or government healthcare programs (Medicaid, 340B, etc.) are ... Johnson & Johnson Innovative Medicine is recruiting for a **Senior Financial Analyst , Government Contract Compliance Finance (GCC)** . This position is… more
- 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
- 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 ... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst ...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract … 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
- Baptist Memorial (Memphis, TN)
- …payment term changes that achieve net revenue targets developed by the Regional Managed Care Directors and Contract negotiators. + Ad-hoc reporting, ... Overview Summary The Medical Health Economics Analyst conducts and interprets complex healthcare data analysis,...presenting findings to stakeholders. Responsibilities + Research and analyzes managed care data from the various financial… 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
- Aston Carter (Los Angeles, CA)
- …metrics and contract performance, supporting cross-functional teams with managed care analytics and forecasting. Responsibilities + Perform financial ... Job Title: Financial Analyst Job Description As a Financial Analyst...contract changes and new reimbursement models. + Analyze managed care contracts to ensure financial optimization… 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 **Education** + Bachelor's Degree OR equivalent… more
- J&J Family of Companies (Raritan, NJ)
- …member of Johnson & Johnson's Family of Companies, is recruiting for a **Senior Analyst , Contract Validation & Analytics (CVA)** to support our Enterprise ... at https://www.jnj.com **Job Function:** Sales Enablement **Job Sub** **Function:** Contract Administration and Management **Job Category:** Professional **All Job… more
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