• Managed Care Contract

    e CancerCare (Nashville, TN)
    …data to provide in reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with ... Job Purpose: Contract Analyst will be responsible for...skills are necessary. . Years of Experience: 1-2 in Managed Care + contract negotiating… more
    e CancerCare (02/04/25)
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  • Senior Managed Care Analyst

    RWJBarnabas Health (Oceanport, NJ)
    Senior Managed Care Analyst (Remote/Hybrid)...modeling contract rates using EPIC throughout the managed care contract negotiation process. ... Corporation, Oceanport, Oceanport, NJ 07052 Job Overview: The Senior Managed Care Analyst assists with...assists with aspects of the fee-for-service environment related to contract negotiations, rate modeling and contract performance… more
    RWJBarnabas Health (01/27/25)
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  • 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 ... entities. In addition to gathering volume data and modeling of current reimbursement, the Managed Care Analyst determines the need for methodology changes… more
    Nuvance Health (12/11/24)
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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 Remote **Department** : MNS Accounting ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
    Cedars-Sinai (01/05/25)
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  • Senior Analyst Managed Care

    Emanate Health (Covina, CA)
    …United States, and the #19 ranked company in the country. Job Summary Senior Analyst , Managed Care is responsible for the acquisition, manipulation, ... at Emanate Health plays a vital role in the care we deliver. No matter what department you belong...subject to third party payor contracts; the assessment of contract /plan profitability and the development and analysis of proposed… more
    Emanate Health (12/30/24)
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  • SBO Managed Care Denial…

    Rush Copley Medical Center (Aurora, IL)
    Responsible for analyzing the hospital and physician current accounts receivable for Managed Care , finding underpayments and rebilling the insurance carriers to ... reimbursement under our contracts. Bills all special devices per contract to receive the additional reimbursement and suggests ways...carve out billing to payers as required by the Managed Care /WorkComp contracts, following up to ensure… more
    Rush Copley Medical Center (01/14/25)
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  • Managed Care Analyst IV

    Sutter Health (Sacramento, CA)
    …analysis and research to support the payer 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).… more
    Sutter Health (12/11/24)
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  • Compliance Analyst - Managed

    Centene Corporation (Oklahoma City, OK)
    …+ Serve as a company wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives. + ... Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Bachelor's degree in related field or equivalent experience. Master's or Juris Doctorate degree preferred and may be considered in lieu of experience. 1+… more
    Centene Corporation (01/10/25)
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  • Provider Contract Cost of Care

    Elevance Health (Mason, OH)
    **Provider Contract Cost of Care Analyst...a minimum of 3 years' experience in broad-based analytical, managed care payor or provider environment as ... live within 50 miles of one of our Pulse Point locations. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of … more
    Elevance Health (01/17/25)
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  • Contract Analyst

    HCA Healthcare (Nashville, TN)
    …be a part of our team. **Job Summary and Qualifications** Seeking a Contract Analyst , who is responsible for translating managed care terms and model ... join an organization that invests in you as a Contract Analyst ? At Parallon, you come first....**What you will do in this role:** + Model managed care contracts through the Concuity Calc… more
    HCA Healthcare (02/03/25)
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