managed care analyst philadelphia

... part of the dedicated team that gets orders ready for people relying on Amazons service. From flexible part-time roles to full-time set schedules with health care benefits, Amazon has a variety of jobs. Find the right Amazon opportunity for you today. Amazon remains open as an essential business to serve our communities ... employees become leaders in operations, HR, and other areas. See where your Amazon journey can take you. Benefits: Our range of benefits can include health care starting on day one, employee discounts, 401(k) savings plans, paid time off and more! Find out which benefits you'll get after you choose your role with us. ...

Immediately hiring for a call center representative to support a faith based organization in Melbourne, FL. Duties: Providing exceptional member service Making outbound calls to explain health-care coverage program to members Explaining to members in detail the on-boarding process Navigating through multiple systems and software on a daily basis Requirements: High school diploma or equivalent Must be comfortable navigating through multiple systems, software, and dual monitors Customer service experience Pay and Schedule: $13.50/hr Monday - Friday, 8:30AM - 5PM Must be able to be present for first two weeks of paid training About Aerotek: Your success ...

... patient/client care and/or services provided to client(s) receiving contracted services, as required Initiates the plan of care when directed ... Reviews plan of care and program protocols and identifies areas for healthcare teaching/education, care coordination, goal setting ... skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and ... compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed. Maxim Healthcare ...

... Wheels (WOW) in Philadelphia. The Medical ... of providing nurse-managed, integrative health ... access to health care in underserved ... tests; and Primary care, inclusive of ... and oral health care on the van, and ... receive health care that is competent, ... Direct Patient Care: Assist in the ... and efficient care during the visit. ... provide comprehensive care. Maintain medical ... Indirect Patient Care: Prepares forms for ... orders from primary care providers (including ... care. By direct order of primary care ... Assists the primary care providers and ... comprehensive primary care, dental and ... health centers in Philadelphia - ... in the City of Philadelphia, are required to ...

... evidence (RWE) and health care economic information (HCEI) ... support of optimal patient care. Essential Functions Serve ... national managed care organizations, health care systems, ... value discussions and health care policy. Engage in credible ... gaps relevant to health care decision makers to guide ... management to provide managed markets training and ... industry or managed markets setting (Managed Care/PBM, VA/DoD, ... guidelines and health care policy In-depth knowledge of ... industry and US managed markets, including various ... reimbursement models (Managed Care, Medicare Part B, Part D ... health outcomes, health care policy, health technology ... an evolving/changing health care environment. Ability to ...

... you need special accommodation for the application process, please contact Human Resources. Know Your Rights: Responsibilities: The Analyst, Account Resolution is responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications: Education and Work Experience 1. Minimum of two years hospital managed care/commercial collector experience preferred 2. Bachelors degree or equivalent work experience preferred 3. Knowledge of ...

Job Title: Revenue Analyst II Location: Costa Mesa, CA (Direct hire/Temp to hire) Duration: 3 Months ... on managed care reporting and reimbursement. Job Summary: -The Revenue Analyst II is a ... a healthcare environment with emphasis in managed care and government reimbursement. -This role ... analyst on projects. -As part of the Finance Revenue team, this position will support Managed Care ... and tracking profitability within our managed care contracts. -This position will also prepare ... experience as an analyst in a healthcare environment with emphasis on managed care reporting and ... Terminology. -Strong understanding of Managed Care and Government reimbursement methodologies. ...

... Temp 6 months Hours: Onsite, M-F 8am-5pm Compensation: $33.65 - $54.93/hour Description: The Care Manager is responsible for the ... triage, and assess members to determine the appropriate level of care based on medical necessity criteria. The incumbent will review and ... or related field Board Certified Behavioral Analyst (BCBA) or Board Certified Behavior Analyst Doctoral (BCBA-D) required 4+ years of ABA ... experience in prior authorization/utilization review in a managed care setting preferred Previous experience with Quality Assurance ... Principles and practice of healthcare, health care systems, and managed care Medi-Cal benefits and regulations Community based ...

... concerns about dissatisfactory experiences while seeking care. Identifies facts, surveys the health care system, corrects root causes, and communicates outcomes to ... them to leadership. May serve as backup to absent Grievance & Appeals Case Analyst(s). Attends meetings as needed including but not limited to Case Conferences, ... years of related work experience, preferably in Grievances & Appeals, health care customer service, case management or health plan operations. Special Skills, ... to solve problems, be a critical thinker and detail oriented. Familiar with managed care concepts, operations, policies and procedures, including but not limited to ...

... be the perfect fit for our Senior Data Analyst position at Highlight Health! Who we are Highlight Health is a small, fast-growing startup with offices in Center City Philadelphia, PA and Newark, NJ. Were on a mission to ... have deep health insurance knowledge and expertise. Be part of a team that is on the cutting edge of health care reform. Work with high profile, highly regarded clients in the healthcare industry. Enjoy a smaller company ... experience. Benefits You will work under the direction of a highly accomplished health insurance data analyst / actuary / executive. We offer a competitive salary that reflects your experience, skills, training, ...

... Know Your Rights: Responsibilities: Manage Plexis Claims Manager system and other Business Office / Managed Care applications in the areas of ongoing user support/training, dictionary maintenance, system enhancements, ... to the systems. Supports Business Office / Managed Care staff with report building and tasking, file transfers. Acts as a liaison between Business Office / Managed Care, IT (Information Technology), Third Party Vendors ... experience preferred. 2. Current Microsoft SQL Certification preferred. 3. 2 years work experience in a Managed Care setting required with emphasis on Analytics, EDI, X12, FTP, and data mining, preferred. 4. Interpersonal ...

... If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: Responsibilities: The Analyst, Billing is responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BF3 Qualifications: EDUCATION, EXPERIENCE, TRAINING 1. Minimum of one year hospital managed care/commercial biller experience preferred 2. Bachelors degree or equivalent work experience preferred 3. Knowledge of ...

... leader in the senior living/hospitality industry, is seeking a highly skilled team-oriented Financial Analyst II to join our team. This full-time position will be based out of our home office in Medford, Oregon. What ... spearhead financial modeling and analysis of both financial and nonfinancial data for our affiliated and managed communities. Your role will extend to providing support for diverse development activities, budgeting ... Short-Term (if applicable)/Long-Term Disability coverage FSA (Flexible Spending Account) and Dependent Care FSA Voluntary Pet Insurance Perks at Work discount platform, life assistance benefits and virtual healthcare ...

... a Senior Integration/Operations Analyst to support the Defense Health Agency (DHA) who is committed to medical excellence, health care improvement and ensuring military ... within their health network/geographic market. The Senior Integration/Operations Analyst is responsible for the following but not limited to: Provide expertise in, but ... Monitor key performance indicators ensuring onsite IT support is effectively managed, issues and risks are identified and addressed promptly, and spend plans are ... contract compliance with DHA contractual requirements to ensure resources are managed effectively and adherence to terms and conditions. Coordinate with MTF CIOs for ...

... receive health care that is competent, ... spectrum of primary care services to patients ... infants to elderly. Care includes, but is not ... problems and health care needs. ... timely, meets acute care compliance standards ... health care team in making ... a plan of care to address health care needs. ... dynamic plan of care that can be applied ... and modifies plan of care where necessary ... interdisciplinary care team. Facilitates and ... of care across the continuum of care. May ... with quality patient care. Defined productivity ... the position (managed care organizations, ... comprehensive primary care, dental and ... health centers in Philadelphia - ... in the City of Philadelphia, are required to ...

... clinical laboratories. The Companys business lines include Hemostasis, Acute Care, and Autoimmunity diagnostics, as well as Original Equipment Manufacturing. Our ... and enhance patient care. Our North American Commercial Operations, as well as our Headquarters and Technology Center for Hemostasis and Acute Care Diagnostics, are ... in automated/white box test code Perform other related duties as assigned Budget managed (if applicable) N/A Internal Networking/Key relationships Receives assignments ... Director Communicates with IT Development Director, IT Development Manager, IT Analyst/Programmers or IT Organization Analysts to coordinate quality testing of the ...

... of providing nurse-managed, integrative health ... access to health care in underserved ... tests; and Primary care, inclusive of ... and oral health care on the van, and ... receive health care that is competent, ... spectrum of primary care to community ... health care unit setting. Care includes, ... dynamic plan of care that can be applied ... problems and health care needs. ... timely, meets acute care compliance standards ... health care team in making ... primary care provider (PCP) and/or ... health care needs. Implements and modifies ... interdisciplinary care team. Facilitates and ... of care across the continuum of care. May ... care and practice outcomes in nurse-managed ... health screenings and care coordination as ... with quality patient care Defined productivity ... comprehensive primary care, dental and ... health centers in Philadelphia - ... in the City of Philadelphia, are required to ...

... and Americas Best 250 hospitals by Healthgrades, Saint Marys Regional Medical Center is a 380-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center ... Prime Healthcare, also operates a fully-integrated Medical Group, multiple urgent care clinics, freestanding imaging, lab, and primary care clinics. For more information, visit . We are an Equal Opportunity Employer and do ... the Payment Review Specialist position is responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying ...