- Molina Healthcare (Sterling Heights, MI)
- …**REQUIRED QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or ... Summary** Provides lead level support as a highly capable business analyst who serves as a key...and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement… more
- Omaha Children's Hospital (Omaha, NE)
- …employer including veterans and people with disabilities. **A Brief Overview** The Sr. Managed Care Contract and Revenue Analyst will conduct complex ... and detailed analysis and modeling of managed care contracts for the organization. This...Revenue Cycle and provides recommendations in support of critical business decisions when necessary. + Performs annual fee schedule… more
- Molina Healthcare (Austin, TX)
- …5-7 years' experience preferred. + Databricks experience preferred. + Texas Medicaid and Managed Care experience strongly preferred. + Experience working in a ... used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming issues ... outcomes for the health system. Minimum Education: Bachelor's Degree in Business or related field required. Licensure, Registration and/or Certification: Obtain and… more
- Molina Healthcare (Racine, WI)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc. +… more
- JPMorgan Chase (New York, NY)
- …global business . This candidate will be a liaison to internal business partners related to traditional managed investment solutions (including mutual funds, ... **Our Team** As a part of Investment Solutions, the Managed Product Group serves as subject matter experts and is responsible for product management of traditional… more
- AdventHealth (Maitland, FL)
- …government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application ... Pivots detail for distribution to assigned Contract Manager or analyst . Contributes to the development and implementation of new...and interim updates which may impact payers and products managed by other Managed Care … more
- AdventHealth (Maitland, FL)
- …Governmental (Medicare, Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works with Managed Care staff in all ... + The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, and coding for… more
- UCLA Health (Los Angeles, CA)
- …related field required + Minimum of five years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required + Minimum ... Description The Business Data Analyst plays a key...years' experience with CMS processes in a Medicare or Managed Care environment required + Experience with… more
- LA Care Health Plan (Los Angeles, CA)
- …etc. Preferred: At least 5 years of experience working with a California Medi-Cal managed care plan or commercial health plan, medical group, or management ... Core Systems Configuration Analyst III Job Category: Administrative, HR, Business...services organization. Skills Required: Advanced understanding of managed care operations (including but not limited… more
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