- LA Care Health Plan (Los Angeles, CA)
- …practices. Preferred: At least 5 years of experience working with a California Medi-Cal managed care plan or Commercial health plan, medical group, or management ... Quality Configuration Assurance Analyst III Job Category: Information Technology Department: Enterprise...services organization. Skills Required: Advanced understanding of managed care operations (including but not limited… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …In this role, you will support the oversight and monitoring of Managed Care Organizations (MCOs) to ensure they meet contractual requirements related to ... Member/Provider MCO Analyst Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5023677) Apply Member/Provider MCO ...and Human Services (HHS), Division of Medicaid, Bureau of Managed Care Reporting and Oversight is seeking… more
- Premier Health (Dayton, OH)
- …This position will work-from-home. However, successful candidate must live in Ohio** The Managed Care Contract Analyst is responsible for analyzing financial ... 110 N MAIN STREET DAYTON, OH 45402 DEPT: MANAGED CARE CONTRACTING Full-Time / DAY...analyze problems and make appropriate recommendations and decisions in support of contract negotiations. | Maintain a high degree… more
- CommonSpirit Health (Englewood, CO)
- …contract modeling system. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... serve and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position… more
- Martin's Point Health Care (Portland, ME)
- …to reporting and analysis of health care data ideally in the areas of managed care , health care delivery, code sets, and/or reimbursement + Experience in ... Join Martin's Point Health Care - an innovative, not-for-profit health care...to Work" since 2015. Position Summary The Risk Adjustment Analyst provides analytic, technical, and decision support … more
- Intermountain Health (Salt Lake City, UT)
- …line leadership or both for needed edits. Cases scheduled without procedure cards will be managed by the Analyst who will build or attach the appropriate card. ... of effective operating room procedure card processes for their care site(s). The focus of this role includes daily...**OR Leadership Support ** . Analyst will attend weekly huddles… more
- The County of Los Angeles (Los Angeles, CA)
- …effectiveness, ensuring regulatory compliance, and promoting health equity within the managed care framework. DEFINITION: Under immediate supervision, assists in ... PREDICTIVE DATA ANALYST / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4775405) Apply PREDICTIVE DATA … more
- RWJBarnabas Health (West Orange, NJ)
- …95 Old Short Hills Road, West Orange, NJ 07052 Job Title: Sr Decision Support Analyst Location: Barnabas Health Corp Department: Financial Data and Reporting ... this position include, Service Line performance, Strategic Planning initiatives, Compliance, Managed Care Payor performance, Regulatory reporting, Supply Chain… more
- Option Care Health (Chicago, IL)
- …**Job Description Summary:** Manage implementation of assigned payer agreements for managed care , pharmacy benefit administrators, IPA, and other third-party ... of importance and/or time spent) + Implements third -party payer agreements for managed care , pharmacy benefit administrators, and other accounts for Option … more
- Banner Health (Phoenix, AZ)
- …you belong at Banner Health. Banner Health is currently seeking an RN Clinical Support Analyst I responsible for supporting the clinical applications needs of ... design, data management, and related processes. The RN Clinical Support Analyst I serve as a liaison...background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll… more