- Centene Corporation (Oklahoma City, OK)
- …State of Oklahoma only **Position Purpose:** With the Oklahoma Complete Health Compliance team, you will assist in maintaining Centene Corporation's Compliance ... Program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement compliance auditing and monitoring… more
- RWJBarnabas Health (Oceanport, NJ)
- Senior Managed Care Analyst (Remote/Hybrid) - Oceanport, NJReq #:0000150834 Category:Professional / Management Status:Full-Time Shift:Day ... Care Location: SBC Corporation, Oceanport, Oceanport, NJ 07052 Job Overview: The Senior Managed Care Analyst assists with aspects of the fee-for-service… more
- e CancerCare (Nashville, TN)
- …reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance , along with rate modeling ... Job Purpose: Contract Analyst will be responsible for analytic support related...and providers. Team member will work closely with the Managed Care department team in generating and… more
- Cedars-Sinai (Beverly Hills, CA)
- …and financial metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, ... field of study **Req ID** : 6681 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid Remote **Department** : MNS Accounting **Business… more
- Sutter Health (Sacramento, CA)
- …contracting process and ongoing contract relationship, including payer contract compliance efforts, for all Sutter Health affiliates and/or associates, including ... hospitals (acute, skilled nursing facilities, psychiatric and rehabilitation), surgical centers, ancillary services (home health and pharmacy), medical foundations, and Independent Physicians Association (IPAs). This involves requesting and reviewing claims… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Managed Care Financial Analyst , Managed Care Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... "Best Employer" seven times. Position Summary: In conjunction with others in the Managed Care Department, this position is responsible for assisting in the… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Compliance Analyst CORPORATE COMPLIANCE ... to join Billings Clinic for our outstanding quality of care , exciting environment, interesting cases from a vast geography,...Period: 1.00 = 80 hours (Exempt) Starting Wage DOE: Compliance Analyst serves as the primary focal… more
- Community Health Systems (Franklin, TN)
- …maximizing reimbursement by identifying variances between posted and expected revenue for managed care , government contracts, and other payers. This role ... **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst ...required **Knowledge, Skills and Abilities** + Strong understanding of managed care , government contracts, and reimbursement processes.… more
- MyFlorida (Tallahassee, FL)
- …does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive ... 68063493 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jan 29,...responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care Oversight. MPI operates with dynamic… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Ongoing mentorship and leadership programs + And more! **Description** Emory Helathcare, Office of Compliance seeks a Senior Compliance Analyst who will be ... and the driving of operational effectiveness and efficiency of Emory Healthcares compliance program. The Senior Compliance Analyst will manage… more