- CVS Health (New Albany, OH)
- …management, or healthcare analytics. + Strong understanding of healthcare delivery systems, managed care , and provider contracting, and surveys. + Proficiency in ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Molina Healthcare (TX)
- …scrubbing, scrapping, and cleaning of data. * 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...standards. *Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. *Recommends, schedules… more
- AmeriHealth Caritas (Detroit, MI)
- …working with healthcare providers and provider relations + 3 years of experience in managed care or health insurance preferred. + Proficiency in Microsoft Excel ... **Role Overview:** ;The Provider Network Operations Data Analyst plays a key role in maintaining accurate...discrepancies or requests that conflict with business processes or contract terms. + Ensure timely and accurate management of… more
- University of Rochester (Rochester, NY)
- …of the individual, and internal equity considerations._ **Responsibilities:** The Financial Analyst II for Clinical Trials Office (CTO) reports to the Manager ... provides administrative oversight of financial activities for all clinical research studies managed within the CTO of the WCI. Responsible for all aspects of… more
- Aegon Asset Management (Cedar Rapids, IA)
- …Solutions, and 3) Financial Assets, which includes legacy blocks of long term care , universal life, and variable and fixed annuities. These are supported by ... Responsibilities + Research and report on routine business questions ( managed from stakeholder-aligned prioritization) including analysis of business workflows,… more
- Molina Healthcare (OH)
- …managed care operations. * Knowledge of managed care enrollment processes, encounter processes, provider and contract configuration, provider ... information management, claims processing and other related functions. **Preferred Education** Bachelor's Degree **Preferred Experience** * Six years proven analytical experience within an operations or process-focused environment. * Previous audit and/or… more
- Evolent (Atlanta, GA)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Omaha Children's Hospital (Omaha, NE)
- …various analysis to understand impact to the organization + Work with Director of Managed Care to aid in understanding of reimbursement issues and analyze payor ... to improve the life of every child through exceptional care , advocacy, research and education. As the state's only... contract changes + Coordinate with various areas in analysis… more
- Highmark Health (Concord, NH)
- …auditing, investigations, regulatory accreditation, process improvement, project management and/or managed care operations **Knowledge, Skills and Abilities** + ... Continuously monitors regulatory changes, legislative efforts, industry trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance… more
- Centene Corporation (Jefferson City, MO)
- …provider relations or contracting), provider data management, or credentialing in a managed care , insurance, or medical office environment. Experience performing ... Purpose:** Perform provider data management related activities based on plan and contract specifications and standard business rules - includes data analysis and… more