- Insight Global (Bloomington, MN)
- Job Description Insight Global is hiring a Sr. Data Analyst for a payer /provider. Data analysts are responsible for driving adoption and use of data and analytic ... services and products. Data analysts work in collaborative scrum teams with developers, data scientists, and data engineers, and may share accountabilities in order to achieve sprint goals. They maintain a working knowledge of a business domain and its… more
- UC Health (Cincinnati, OH)
- …interpretation, implementation, maintenance of the contract performance, and payer relations. The position coordinates, evaluates and oversees implementation ... of value based contracting and related responsibilities, population health/clinical integration, strategies, government contracts and partnering opportunities with regional employers. The position is responsible for coordination and communication between all… more
- HCA Healthcare (Asheville, NC)
- …payor quality initiatives + Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve the ... organization's coordination of care goals, quality goals, and financial performance goals + Conducts in-person and virtual meetings with practice managers, staff, providers and managers to communicate program goals, results, and provide education + Maintains… more
- Amazon (Seattle, WA)
- …biomedical engineering - Background in healthcare IT, clinical systems, payer , provider, life sciences R&D, or closely-related domains Preferred Qualifications ... - Bachelor's degree in Computer Science, Engineering, a related field, or equivalent experience - 3+ years of experience with cloud computing technologies, infrastructure architecture, or software development - Demonstrated ability to translate complex… more
- R1 RCM (Boise, ID)
- …of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare ... organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com . more
- HCA Healthcare (Austin, TX)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- AbbVie (Mettawa, IL)
- …HEOR strategic plans, including real-world evidence studies, economic modeling, and payer dossier to support product approval, market access, reimbursement, and ... differentiation + Develop strategic plans and budgets in collaboration with cross-functional stakeholders, ensuring alignment with portfolio priorities + Build strong partnerships with HEOR Centers of Excellence (COEs) to maintain a unified cross-functional… more
- Trinity Health (Pontiac, MI)
- …that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, ... patients, families & physician offices. **Essential Functions** **Our Trinity Health Culture** : Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. **Work Focus** :… more
- Banner Health (AZ)
- …its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized ... operational systems. Provides explanatory and reference information to internal and external customers regarding coding assignment based on clinical documentation which may require researching authoritative reference information from a variety of sources. 2.… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …computer system: Assists in complete and accurate billing of third party payer plans, Ensures accurate and safe processing of prescription information and Reviews ... patient profiles for accuracy + Assists customers with prescriptions and/or other products: Completes specialty orders to meet customer needs, Demonstrates ability to respond to customer and co-worker questions or concerns in an appropriate and… more
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