- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance… more
- Centene Corporation (Montpelier, VT)
- …provider relations or other related experience preferably in a healthcare, managed care , or insurance related environment. **License/Certification:** Valid ... expected and meet the objectives of the company and approximate the State's reimbursement to the provider + Facilitate and provide oversight to the provider set-up… more
- Nuvance Health (Danbury, CT)
- …ie, registration. 5. Follows through with education of rules and regulations in the managed care system, as well as State & Federal guidelines. 6. Adjusts ... application, denial management, and account follow-up to ensure optimal reimbursement . Responsibilities: 1. Accurately processes claims, payments, rejections, refunds,… more
- Crane Aerospace & Electronics (Burbank, CA)
- …**Sr. Quality Analyst** at our **Burbank, CA** location for 1 year contract . **About Crane:** Crane Aerospace & Electronics supplies critical systems and components ... and corrective actions are in place and being properly managed to assure root cause analysis and corrective action...Crane Aerospace and Electronics, you'll enjoy:** + Benefits: Health care , dental or life insurance starting the first day… more
- CommonSpirit Health (Englewood, CO)
- …and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires ... daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and… more
- Nuvance Health (Danbury, CT)
- …ie, registration. 6. Follows through with education of rules and regulations in the managed care system, as well as, State & Federal guidelines. 7. Adjusts ... inquiries, denials, correspondence & telephone inquires. 4. Maintains all reports ( contract management) files and records as needed; ie, medical records, referrals,… more
- CommonSpirit Health (Rancho Cordova, CA)
- …position. The Senior Analyst, Payer Analytics & Economics performs managed care financial analysis, strategic pricing and payer contract modeling activities ... Recommends strategies for maximizing reimbursement and market share. Develops new managed care products with external payers that are consistent with… more
- Sharp HealthCare (San Diego, CA)
- …and compliance through an integrated effort with the Business Services Department and Managed Care Finance through contract monitoring and information ... industry analysis, contract analysis, consultation in new program development, contract reimbursement modeling for the annual budgeting process, and… more