- AdventHealth (Maitland, FL)
- …Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing… more
- Elevance Health (Tampa, FL)
- …Elevance's Pulse Point locations. **The** **Provider Reimbursement and Financial Analytics Analyst ** ( Provider Contract/Cost of Care Analyst S **r).** ... field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical analysis… more
- AdventHealth (Maitland, FL)
- …managing revenue. Must be able to complete financial and operational analyses of managed care contracts, proposals, analyze fee schedules, and determine contract ... the Florida and Multi-State Divisions of AdventHealth, as well as represent AdventHealth managed care to payers in all AdventHealth Markets. **The value you'll… more
- MyFlorida (Tallahassee, FL)
- …1115 waivers and home and community-based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review ... 68064935 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Oct 2,...the development of policy language for: the Statewide Medicaid Managed Care report guide, contracts and amendments;… more
- AdventHealth (Maitland, FL)
- …for analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement . The role focuses on ... ethic, trainability, communicative, team player, and strong analytical skills The Senior Medical Economics Analyst will work with managed care staff for both… more
- University of Miami (Medley, FL)
- …all payers, and develops recommendations for optimal managed care reimbursement . The Revenue Cycle Payer Relations Analyst will also collaborate with ... exciting opportunity for a Full-Time Revenue Cycle Payer Relations Analyst to work Remote. The Revenue Cycle Payer Relations...the revenue stream. + Analyzes and monitors payer trends, managed care contract compliance, contract and payer… more
- Health First (Rockledge, FL)
- …Certification: None Required * Work Experience: 5 years of experience working in the managed care , administrative, legal, financial or related field with a focus ... of claims. 12. Understand the provider contracts, including any value-based reimbursement , to ensure the provider contracts are loaded correctly and providers… more
- Centene Corporation (Tallahassee, FL)
- …gathering requirements) experience in healthcare industry or 1+ years of managed care encounters experience. Advanced knowledge of Microsoft Applications, ... transactions (ie 837, 999, 824, 277) preferred. Knowledge of managed care information systems and experience in...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- Centene Corporation (Tallahassee, FL)
- …Advanced knowledge of Microsoft Applications, including Excel preferred. Knowledge of managed care information systems and experience in benefits, pricing, ... contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous experience working with claims editing and researching… more
- Banner Health (FL)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... the BOT come from emailed spreadsheets, files on Teams, analyst reviews, etc.). Analytical skill is needed to know...for contributing to our award-winning patient care . POSITION SUMMARY This position is responsible for timely… more