- Mount Sinai Health System (New York, NY)
- …degree or greater in related field or equivalent education/experience Five years minimum of managed care experience in insurance claims or contracts Four to Five ... **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare...and Medicaid policies, regulations, legislation and other proposals, including managed care payer reimbursement policy changes. 8.… more
- MyFlorida (Tallahassee, FL)
- … budgets to ensure invoices are processing timely and budgets are properly managed . Oversee the entire contract lifecycle: from initial drafting and negotiation ... GOVERNMENT ANALYST II - 64081770 1 Date: Jul 24,...met? We are seeking a highly organized and detail-oriented contract management expert to join our dynamic team of… more
- CommonSpirit Health (Phoenix, AZ)
- …Strategic Initiatives Analyst plays a critical role in advancing CommonSpirit Health's managed care strategy through a blend of financial analysis, payer ... contract modeling, and strategic insights. Payer Analytics Initiatives is...Medicare, Medicaid, Health Insurance Exchange plans, and more. The Analyst leverages analytical tools such as PIC and EPIC,… 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
- Baptist Memorial (Memphis, TN)
- …Experience in decision support or managed care . In depth knowledge of managed care contract language. Minimum: Five or more years experience in ... manner. + Assists with month end close process for Managed Care . + Works to support the...an organization. Training Preferred: Epic HB Contracts Module Pathways Contract Management (PCON) experience. Minimum: Expert level Excel, including… more
- Parkview Health (Fort Wayne, IN)
- …field. MBA/MHA a plus. Experience: Minimum of five to seven years experience in managed care , plus value-based care or clinical integration arena with ... with payor contracting analytics. Acts as the senior lead analyst mentoring and guiding junior analyst co-workers....constant improvement in knowledge of trends in value based managed care . Demonstrated proficiency with software programs… more
- AmeriHealth Caritas (Detroit, MI)
- …and provider data management preferred. + 5 to 10 years of experience in managed care or the healthcare industry. + Prior experience working with healthcare ... providers; provider relations experience preferred. + Strong knowledge of managed care concepts and provider reimbursement methodologies. + Proficiency in… 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 II collaborates with stakeholders from across the...years minimum in analytics development expertise, preferably in health care , or for a health provider, health plan or… more
- Walgreens (Deerfield, IL)
- …and coordinateswith internal teams or external agencies as needed, including managed service providers. + Develops and executes security controls, defenses and ... conductingvendor assessments to ensure vendor is complying with security contract language and WBAsecurity requirements. + May conduct ...May perform as "Level 3" support in the event Managed Service provider is unable to resolve anissue. +… more
- RWJBarnabas Health (West Orange, NJ)
- …this position include, Service Line performance, Strategic Planning initiatives, Compliance, Managed Care Payor performance, Regulatory reporting, Supply Chain ... West Orange, NJ 07052 Job Title: Sr Decision Support Analyst Location: Barnabas Health Corp Department: Financial Data and...initiatives, Purchasing Contract initiatives, and Revenue capture and resource utilization. Analyses… more
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