• Managed Care Analyst

    Nuvance Health (Danbury, CT)
    *Description* Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and reimbursement data to aid in contract negotiations for all ... In addition to gathering volume data and modeling of current reimbursement, the Managed Care Analyst determines the need for methodology changes and proposes… more
    Nuvance Health (03/12/25)
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  • Senior Financial Analyst ( Managed

    Cedars-Sinai (Beverly Hills, CA)
    …or related field of study **Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid **Department** : MNS Accounting **Business ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
    Cedars-Sinai (04/06/25)
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  • Sr Payer Analyst / Managed

    Hartford HealthCare (Hartford, CT)
    …moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** ... the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a...Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
    Hartford HealthCare (03/26/25)
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  • Analytics Managed Care

    TEKsystems (Honolulu, HI)
    …The department also performs additional services in collaboration with the managed care services department, including referral management, patient steerage, ... SQL Reporting Data Analyst Monday to Friday, On-site 5 days/week Honolulu, HI 6 months contract to hire, FTE Description The Analytics & Management department forms… more
    TEKsystems (04/23/25)
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  • Managed Care Contract Analyst

    e CancerCare (Nashville, TN)
    …related to ION network and providers. Team member will work closely with the Managed Care department team in generating and reviewing system data, while making ... other internal teams with reimbursement related concerns and acting as a liaison to managed care plans. Essential Functions: . Support Managed Care team… more
    e CancerCare (02/04/25)
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  • Analyst - Analytics Managed

    Hawaii Pacific Health (Honolulu, HI)
    …abilities, relevant experience and training, as well as internal peer equity. **Position** Analyst - Analytics Managed Care **Location** Hawaii Pacific ... The department also performs additional services in collaboration with the managed care services department including referral management, patient steerage,… more
    Hawaii Pacific Health (02/13/25)
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  • Managed Care Benefit Configuration…

    Dignity Health (Bakersfield, CA)
    care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... loading benefit information. Responsibilities may include: - Develop all hierarchy levels in managed care platform for customer setups and configuration - Review… more
    Dignity Health (03/27/25)
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  • Senior Analyst Managed Care

    CommonSpirit Health (Omaha, NE)
    …this exciting role. The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract modeling ... and pricing expertise for the evaluation, negotiation, implementation and maintenance of managed care contracts between CommonSpirit Health providers and payers.… more
    CommonSpirit Health (04/09/25)
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  • Medicaid Provider Network Resolution Claims…

    AmeriHealth Caritas (Washington, DC)
    …Maine Avenue, SW, Suite 1000, 10th Floor, Washington, DC 20024 **Responsibilities:** The Managed Care Provider Network Resolution Analyst is responsible for ... payment of claims for par and non-par providers in our network.; The Managed Care Provider Network Resolution Analyst ensures that each provider's status… more
    AmeriHealth Caritas (04/03/25)
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  • Payer Analytics and Economics Analyst

    CommonSpirit Health (Englewood, CO)
    …experience in managed care with strong EPIC experience. Must have managed care contracting experience.** The Analyst , Payer Analytics and Economics ... performs managed care payer financial analysis, strategic pricing and payer contract...expertise for the evaluation, negotiation, implementation and maintenance of managed care contracts between CommonSpirit Health providers… more
    CommonSpirit Health (04/25/25)
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