- AdventHealth (Maitland, FL)
- …**Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing… more
- Molina Healthcare (Orlando, FL)
- …Experience with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is ... required. + Must be able to work in a cross functional team. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics, Computer Science **Required Experience** + 6+ years of progressive responsibilities in Data, Finance or Systems… more
- AdventHealth (Maitland, FL)
- …(Medicare, Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care staff in all AH ... applicable rules, regulations, policies, laws, and guidelines that impact healthcare billing. ** Reimbursement -30%** + Supports Managed Care leadership in… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …a great mission and culture? Then consider joining Devereux Florida as a Finance Analyst (Contracts / Managed Care )!_ Devereux provides mental and behavioral ... **Description** _Are you a Contracts and Managed Care Professional looking for a...mental health services. + Student loan debt assistance, tuition reimbursement and continuing education assistance. + Generous time-off (start… more
- AdventHealth (Maitland, FL)
- …for analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement . The role focuses on ... ethic, trainability, communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both… more
- Molina Healthcare (Orlando, FL)
- …process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations ... Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan...concept to execution, especially in the areas of provider reimbursement and claims payment integrity. + Strong working knowledge… more
- AdventHealth (Maitland, FL)
- … Care and role related functions such as new government regulations and reimbursement methodologies. Supports AH Managed Care and AH Regional PFS ... government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application… more
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