Current jobs related to Healthcare Analyst - Canton, Ohio - Point32Health
-
Canton, Ohio, United States LanceSoft Full timeLanceSoft Travel OpportunityAre you a skilled Interventional Radiology Technologist? Do you have 2 years of experience in the field? LanceSoft is seeking a qualified professional to join our team as a travel healthcare worker in Canton, Ohio.**Job Details:**\\item Specialty: Interventions Radiology\\item Discipline: Allied Health Professional\\item Duration:...
-
Healthcare Administrative Coordinator
4 weeks ago
Canton, Ohio, United States Point32Health Full timeJob SummaryThe Healthcare Administrative Coordinator - Appeals and Grievances will play a crucial role in supporting the Appeals and Grievances department at Point32Health. This position is responsible for assisting with all operational aspects of the appeals and grievances assignment process, ensuring compliance with state and federal regulations.Key...
-
Financial Accountant
4 weeks ago
Canton, Ohio, United States Utility Pipeline Ltd Full timeAbout the Role:We are seeking a skilled Staff Financial Analyst to join our Canton, Ohio office. This is a full-time position with benefits.As a Staff Financial Analyst, you will assist in maintaining financial reports and records, providing support to the CFO and Senior Accountant.You will work independently and with a team in a fast-paced environment,...
-
Physician Opportunity in Gastroenterology
2 days ago
Canton, Ohio, United States LocumJobsOnline Full timeUnlock the potential of your medical career with a dynamic gastroenterology opportunity at LocumJobsOnline. We partner with esteemed clients, including CompHealth, to find top talent for their most pressing needs.OverviewCompHealth is one of the largest and most respected healthcare staffing companies in the United States, boasting over four decades of...
-
Canton, Ohio, United States LocumJobsOnline Careers Full timeAbout the PositionWe are seeking a qualified Gastroenterology MD to join our team in Canton, Ohio.The ideal candidate will have availability for assignments lasting anywhere from one day to one year. If you have any openings in your schedule, we encourage you to reach out so we can help you find the right fit.Job Details100% inpatient roleThursday - Tuesday,...
-
Operating Room Tech Specialist
4 days ago
Canton, Ohio, United States Supplemental Health Care Full timeAbout UsAt Supplemental Health Care, we believe in the power of caring. Our unique approach to healthcare staffing sets us apart from the rest.We're a leading provider of healthcare professionals to hospitals, schools, and other settings across the country.With over 40 years of experience, we've built a reputation for world-class service and a commitment to...
-
Actuarial Financial Analyst
2 days ago
Canton, Massachusetts, United States Point32Health, Inc. Full timeAbout the OpportunityWe are seeking a skilled Actuarial Analyst I to join our team at Point32Health, Inc. As an Actuarial Analyst I, you will play a vital role in supporting the analysis and data needs for various financial and actuarial functions. Your responsibilities will include performing analytic project work, providing input into analytic project plan...
-
Statistical Analyst II
2 days ago
Canton, Massachusetts, United States Point32Health, Inc. Full timeJob SummaryPoint32Health is seeking a skilled Actuarial Analyst II to join our team. As an essential member of our organization, you will contribute to the development of actuarial models, analyze industry trends, and provide insights to stakeholders. If you have a passion for data analysis and a drive to succeed, we encourage you to apply.Key...
-
Payment Posting Analyst
2 days ago
Canton, United States R1 RCM Full timeR1 RCM invites applications from skilled Payment Posting Analysts who can contribute to ensuring accurate payment postings and supporting the company's revenue cycle.Main ResponsibilitiesAnalyze cash posting dashboards, logs, and queues to identify areas for improvement and ensure accurate payment applications.Collaborate with the global cash applications...
-
Medical Grievance Analyst
4 weeks ago
Canton, Massachusetts, United States Point32Health, Inc Full timeAbout Our Company:Point32Health, Inc. is a leading health and wellbeing organization that prioritizes exceptional customer service and satisfaction.We strive to make healthcare more accessible and understandable for our members and communities.Job Requirements:The Dispute Resolution Specialist will be responsible for processing daily mail, distributing and...
-
Support Analyst
1 week ago
Canton, United States Diverse Lynx Full timeRole : Business Support Analyst Location: Canton, MA(Onsite) Duration: Full-time Job Description Must Have Technical/Functional Skills • Experience in working on Clinical, EDI, Claims • In deep knowledge in Healthcare Payers system • Experience in working on UM & CM clinical system • Experience in working on all EDI transitions (270, 272, 830...
-
Healthcare Rate Developer
2 days ago
Canton, Massachusetts, United States Point32Health, Inc. Full timeRole OverviewAs an Actuarial Analyst II at Point32Health, you will be responsible for analyzing complex data sets, developing predictive models, and communicating insights to stakeholders. This role requires a deep understanding of statistical modeling, advanced Excel skills, and proficiency in relational databases.ResponsibilitiesDevelop and maintain...
-
Sr Business System Analyst
1 week ago
Canton, United States Point32Health Full timeWho We Are Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and...
-
Data Analyst
1 week ago
Canton, United States Point32Health Full timeWho We Are Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and...
-
Sr. Data Analyst, Risk Adjustment
4 months ago
Canton, United States Point32Health Full timeJob SummaryUnder the oversight of the Senior Manager of Consulting and Operations, this individual will support the operations and analysis of risk adjustment strategy across Point32Health business lines. The Data Analyst will assist in managing vendor relationships, monitoring risk adjustment program operations, performing detailed analysis and synthesizing...
-
Sr. Data Analyst, Risk Adjustment
1 week ago
Canton, United States Point32Health Full timeWho We Are Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and...
-
Actuarial Data Specialist
2 days ago
Canton, Massachusetts, United States Point32Health, Inc. Full timeCompany OverviewPoint32Health, Inc. is a leading healthcare organization dedicated to delivering personalized health care experiences to communities across the nation. Our heritage as a nonprofit organization has enabled us to leverage our expertise and experience in developing innovative health plans and tools that make navigating healthcare easier.Job...
-
Clinical - Medical Assistant
4 months ago
Canton, United States All Medical Personnel Full timePosition: Medical Assistant Job Description: Schedule, confirm patient appointments, check-ups, and physician referrals Answer telephones and direct calls to appropriate staff Greet visitors, assess purpose of visit, and direct them to appropriate staff Compile record medical charts, reports, and correspondence. Some experience with electronic medical record...
-
Travel X-Ray Technician
3 days ago
Canton, United States FlexCare Medical Staffing Full timeFlexCare Medical Staffing is seeking an experienced X-Ray Technician for an exciting Travel Allied job in Canton, GA. Shift: 4x10 hr nights Start Date: 02/03/2025 Duration: 13 weeks Pay: $1935.2 / Week NOTE: THIS IS A TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR JOB DETAILS. Licensing, certifications, and other requirements subject to...
-
Travel Nurse
6 days ago
Canton, United States FlexCare Medical Staffing Full timeFlexCare Medical Staffing is seeking an experienced Pre-Op Registered Nurse for an exciting Travel Nursing job in Canton, GA. Shift: 4x10 hr days Start Date: ASAP Duration: 13 weeks Pay: $1706.54 / Week NOTE: THIS IS A TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR JOB DETAILS. Licensing, certifications, and other requirements subject to...
-
Travel Nurse
2 weeks ago
Canton, United States FlexCare Medical Staffing Full timeFlexCare Medical Staffing is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in Canton, OH. Shift: 3x12 hr nights Start Date: 01/17/2025 Duration: 13 weeks Pay: $1375.04 / Week NOTE: THIS IS A TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR JOB DETAILS. Licensing, certifications, and other requirements...
-
Travel Nurse
4 days ago
Canton, United States FlexCare Medical Staffing Full timeFlexCare Medical Staffing is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in Canton, OH. Shift: 3x12 hr days Start Date: 02/14/2025 Duration: 13 weeks Pay: $1710.68 / Week NOTE: THIS IS A TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR JOB DETAILS. Licensing, certifications, and other requirements...
-
Travel Surgical Tech
11 hours ago
Canton, United States FlexCare Medical Staffing Full timeFlexCare Medical Staffing is seeking an experienced Surgical Tech - CVOR for an exciting Travel Allied job in Canton, OH. Shift: 4x10 hr days Start Date: ASAP Duration: 13 weeks Pay: $1857.17 / Week NOTE: THIS IS A TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR JOB DETAILS. Licensing, certifications, and other requirements subject to...
-
Travel Nurse RN
2 days ago
Canton, United States TravelNurseSource Full timeTravelNurseSource is working with Lancesoft Inc to find a qualified OR RN in Canton, Georgia, 30115 Pay Information $2,461 to $2,482 per week About The Position To Apply, text Interested-OR-GA directly at 571-678-1095 (Recruiter- Izzy) Min of 2 years of experience within specialty. Required BLS. ACLS 26714391EXPPLAT About Lancesoft Inc Established in 2000,...
-
Canton, United States LocumJobsOnline Careers Full timeLocumJobsOnline is working with CompHealth to find a qualified Gastroenterology MD in Canton, Ohio, 44708!About The PositionCompHealth has a variety of assignments that last anywhere from one day to one year. If you have any availability, reach out, so we can help you find the right fit.100% inpatient roleThursday - Tuesday, 7 am - 7 am BC or BE required2 -...
-
Canton, United States LocumJobsOnline Careers Full timeLocumJobsOnline is working with CompHealth to find a qualified Gastroenterology MD in Canton, Ohio, 44708!About The PositionCompHealth has a variety of assignments that last anywhere from one day to one year. If you have any availability, reach out, so we can help you find the right fit.100% inpatient roleThursday - Tuesday, 7 am - 7 am BC or BE required2 -...
Healthcare Analyst
3 weeks ago
About Point32Health
Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized healthcare experience to everyone in our communities.
We are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.
Compensation & Total Rewards Overview
As part of our comprehensive total rewards program, colleagues are eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.
Our colleagues also receive a competitive salary. The estimated salary for this position is $120,000 per year.
About the Role
- Support provider negotiations, regulatory submissions, RFP/UDS submissions (as well as finding improvements) and ad hoc requests.
- Design and generate various reports and financial analytics that focus on medical cost, utilization, membership, trends, and ad hoc requirements.
- Create actionable information that results in identifying trend drivers and opportunities for improvement in Point32Health and provider performance.
- Work independently to identify and present cost avoidance and cost recovery opportunities.
- Perform financial & utilization analytics required by other departments within Point32Health including Medical Management, Contracting, Payment & Policy, etc.
- Lead the development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network.
- Responsible for ongoing communication with customers, providing project status, resolving issues, coordinating continued involvement to meet original expectations, or jointly agreed upon adjusted expectations.
Requirements
- Bachelors in Business Administration, Finance, Health Services required; Masters preferred.
- 5-7 years of business experience, preferably in managed care or provider environment.
- Advanced Excel skills; proficiency with SAS/SQL programming required.
- In-depth knowledge and understanding of managed care concepts and the financial relationship between payers and providers.
- Solid knowledge of health care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment.
- Strategic thinker, with strong analytic and problem-solving skills.
- Strong interpersonal and collaboration skills, and the ability to work in a team environment required.
Benefits
- Medical, dental and vision coverage.
- Retirement plans.
- Paid time off.
- Employer-paid life and disability insurance with additional buy-up coverage options.
- Tuition program.
- Well-being benefits.
