- Highmark Health (Harrisburg, PA)
- …:** **JOB SUMMARY** This job manages contracts including negotiations, contract development, contract renewal, and financial reimbursement. Acts as the intermediary ... between the organization and outside entity. Responds to contractual and payment issues both internally and externally. Ensures compliance with contractual terms. **ESSENTIAL RESPONSIBILITIES** + Monitor activities by tracking the specific terms of each… more
- McLaren Health Care (Flint, MI)
- …1. Acts both independently and in concert with team; consistently exercises discretion and judgment in performing work which is predominantly intellectual and varied ... in nature. 2. Writes, modifies and executes various production, management, regulatory, customer and ad hoc databases and reports. 3. Provide analytical operations support using a variety of data sources. Analyze and interpret data to provide information for… more
- Molina Healthcare (Macon, GA)
- …**Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and ... interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and… more
- CareFirst (Baltimore, MD)
- …**PURPOSE:** This position is primarily responsible for preparing and maintaining fee schedules for plans that utilize the DC Medicaid reimbursement schedules and ... methodologies. This position may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also include assistance with financial analyses used in the development of reimbursement policy and workflows associated… more
- CareFirst (Baltimore, MD)
- …**PURPOSE:** This position is primarily responsible for preparing and maintaining fee schedules for plans that utilize the DC Medicaid reimbursement schedules and ... methodologies. This position may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also include assistance with financial analyses used in the development of reimbursement policy, strategies, cost of care… more
- SMBC (Sacramento, CA)
- …+ Data Pipeline Development & Management + Design, build and maintain scalable data pipelines to support risk management processes + Implement ETL / ELT processes to ... extract, transform and load data from multiple sources + Ensure data quality, integrity, and accuracy throughout the pipeline lifecycle + Monitor pipeline performance and troubleshooting issues to maintain optimal data flow + Risk Dashboards and Reporting +… more
- Beth Israel Lahey Health (Charlestown, MA)
- …implementation of application functionality. Based in Charlestown, MA the EHR Apps Analyst position is primarily remote with occasional on-site scheduling for ... making a difference in people's lives.** The EHR Application Analyst 4 performs a variety of duties related to...of information systems for the organization. The EHR Application Analyst IV must be comfortable working with multiple teams… more
- Medical Mutual of Ohio (OH)
- … remote opportunity. Eastern Time Zones preferred.** **Responsibilities** **HEDIS Analyst II** + Coordinates and collaborates interdepartmentally to produce the ... improve member health. + Orients and trains more junior-level Analyst + Participates in required trainings and performs other...keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
- PeaceHealth (Vancouver, WA)
- **Description** **PeaceHealth is seeking a HR Tech Analyst II. This remote , limited duration role is anticipated to last through November 2026 and requires the ... incumbent work & reside in OR, WA or AK.** The salary range for this job opening at PeaceHealth is $33.89 - $50.85. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable… more
- CommonSpirit Health at Home (Loveland, OH)
- …CommonSpirit Health at Home - Corporate Now Hiring Exciting ( REMOTE ) Opportunity **--Financial Analyst IV--** Offering Competitive Compensation, ... CommonSpirit Health at Home is seeking a dedicated Financial Analyst IV to join our team.The Financial Analyst...Requirements** **Candidates must reside in one of the approved remote worker states:** **AR, AZ, CO, FL, GA, IA,… more