Analyst Reimbursement Managed Care
2 weeks ago
Employer Industry: Healthcare Services Why consider this job opportunity Opportunity for career advancement and growth within the organization Work remotely Monday to Friday from 8:00 am to 5:00 pm Comprehensive benefits available from Day One, including mental health resources and support Engaging work environment focused on community and the well‑being of individuals Chance to contribute to meaningful projects that have a positive impact on healthcare reimbursement Job Responsibilities Ensure timely and accurate loading of providers with Managed Care contracted payers Evaluate professional fee contractual adjustments for accuracy according to payer contracts and guidelines Review and resolve claim denials related to the credentialing and enrollment status of providers Identify and analyze payment variances for professional fee contracts and government payers Liaise with payers to request provider profile updates and negotiate discounts as needed Qualifications High School diploma or equivalent required Minimum of 3 years of relevant experience in healthcare reimbursement with Commercial and Government payers required In-depth knowledge of reimbursement rules and regulations for Commercial and Government programs Proficient in payment variance software and Microsoft Office applications Strong analytical reasoning, critical thinking, and problem‑solving skills Preferred Qualifications Bachelor's degree in healthcare, business administration, or a related field Experience with Athena/Epic systems for identifying payment variances Ability to research and interpret payer rules and regulations Excellent interpersonal skills and ability to work independently Well‑organized and detail‑oriented with strong time management skills "We prioritize candidate privacy and champion equal‑opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer." #J-18808-Ljbffr
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Remote Reimbursement Analyst, Managed Care
1 week ago
Town of Florida, United States AdventHealth Full timeA leading healthcare company is seeking an Analyst for Reimbursement Managed Care to work remotely. You will ensure provider accuracy with Managed Care payers and evaluate fee adjustments. Required qualifications include a high school degree, relevant healthcare reimbursement experience, and analytical skills. If you are passionate about healthcare and...
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Remote Managed Care Reimbursement Analyst
2 weeks ago
Town of Florida, United States AdventHealth Full timeA healthcare organization is seeking an Analyst for Reimbursement Managed Care to ensure timely and accurate loading of providers with Managed Care contracts. You will evaluate fee adjustments and identify payment variances, coordinating with various teams to resolve issues. Ideal candidates have relevant experience in healthcare reimbursement, strong...
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Analyst Reimbursement Managed Care
1 week ago
Town of Florida, United States AdventHealth Full timeAnalyst Reimbursement Managed Care - Remote Join to apply for the Analyst Reimbursement Managed Care - Remote role at AdventHealth. All the benefits and perks you need for you and your family Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Job Location: Monday-Friday 8:00am to 5:00pm - Remote...
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Remote Reimbursement Analyst
2 weeks ago
Town of Florida, United States Remote Jobs Full timeA leading healthcare services organization is seeking a candidate for a remote position focused on healthcare reimbursement. Responsibilities include ensuring the accurate loading of providers with payers and evaluating contractual adjustments. The ideal applicant has at least 3 years of experience, a high school diploma, and strong analytical skills....
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Physician (Primary Care)
2 weeks ago
Town of Florida, United States Academy of Managed Care Pharmacy Full timeSummary The 2-page resume requirement doesnt apply to this occupational series. For more information - refer to "Required Documents" below The Bay Pines VA Healthcare System's Primary Care Service is seeking an experienced and dynamic Primary Care Pain Physician. Ideal applicants are those who want to contribute to the achievement of quality care standards -...
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Lead Reimbursement Analyst
2 weeks ago
City of Yonkers, United States NYC Staffing Full timeLead Analyst, Reimbursement The Lead Analyst, Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately. Supports existing lines of business and expansion into new states. The Lead Analyst, Reimbursement will be primarily responsible for implementation, maintenance, and support of provider reimbursement...
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Town of Florida, United States Academy of Managed Care Pharmacy Full timeA healthcare organization in New York is seeking a Primary Care Pain Physician to deliver comprehensive pain management for veterans. This role includes conducting evaluations, coordinating care, and working closely with clinical teams. Ideal candidates will have a medical degree, a valid license to practice, and expertise in addiction medicine. Competitive...
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Data Analyst-Clinical
5 days ago
Town of Oconomowoc, United States ProHealth Care, Inc Full time $60,000 - $120,000 per yearWe Are Hiring: Data Analyst-Clinical Begin your story with ProHealth Care. Here we offer a culture that's warm, welcoming, and vibrant. Additionally, we offer a generous benefits plan and resources to help you further your education. After all, it's the way you should be treated. Enjoy our video series featuring our own employees sharing why they...
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Mid-Level Management Analyst
2 weeks ago
Town of Florida, United States International Executive Service Corps Full timeAn international service organization is seeking analysts to support Navy surface ship modernization and maintenance. Candidates should have at least 5 years of relevant experience, ideally with DoD, and must be U.S. citizens with a secret security clearance. The role involves analyzing data, developing solutions, and reporting findings. This is a critical...
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Imaging Systems Ops Analyst
3 weeks ago
Town of Florida, United States BayCare Health System Full timeJoin to apply for the Imaging Systems Ops Analyst role at BayCare Health SystemAt BayCare, we are one of the largest employers in the Tampa Bay area. Our network consists of 16 community‑based hospitals, a long‑term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team...
