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1,025 Managed Care Analyst Jobs Nationwide

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The Value Analysis Analyst will be responsible for developing cost effective value analysis proposals to address non-formulary products (NFPs)...
The Contract Analyst is responsible for the creation, maintenance, testing and modeling of Hospital, Transplant and Professional payer contracts...
- Operations Collaborates with internal and external stakeholders to gather, analyze, and document claims and payment data. Conducts audits...
Operations * Identify, validate, and pursue claims overpayments to ensure recovery from providers, participants, or other responsible parties...
1. Works with stakeholders across organization to clearly define IT solution requirements and assists in the selection and / or design of new or...
The Contract Analyst is responsible for the creation, maintenance, testing and modeling of Hospital, Transplant and Professional payer contracts...
The Contract Analyst is responsible for the creation, maintenance, testing and modeling of Hospital, Transplant and Professional payer contracts...
Operations * Identify, validate, and pursue claims overpayments to ensure recovery from providers, participants, or other responsible parties...
- Operations Collaborates with internal and external stakeholders to gather, analyze, and document claims and payment data. Conducts audits...
1. Works with stakeholders across organization to clearly define IT solution requirements and assists in the selection and / or design of new or...
Job Description :Shift: Monday – Friday; 8:00am – 5:00pm ESTLocation: Hybrid 2; Within 50 miles of an eastern time zone Elevance Health Pulse Point...
· The Sr. Contract Implementation Analyst serves as primary resource for provider contracting build and implementation and testing of contract...
JOB DESCRIPTION SUMMARY We are seeking an efficient and detail-oriented Revenue Cycle Analyst to enhance our company’s revenue cycle operations...
Location: Hybrid (1 day remote & 4 days onsite – Columbia SC 29201)Duration: 12 months contract (with possible extension)Company/ Department...
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about...
erve as a subject matter expert representing the Configuration workstream for projects that enhance EyeMed’s capabilities within Facets for...
Support and educate users of on the use of clinical and complementary applications. Prepare end-user training materials. • Identify and resolve...
Distill complex data into actionable insights that empower others to drive operational strategic initiatives. Design, build, and extract large...
The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the guidelines...
nalyze impact to trends and economic metrics for facility and professional contract negotiationsLeverage Hospital and Payer Transparency...
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