Provider Contracting Analyst II: Reimbursement Modeling & AI
CareSource
CareSource is seeking a Provider Contracting Analyst II to advance reimbursement strategies through advanced data analysis and AI-enabled tools. You will build models, run repricing analyses, and deliver insights that drive contracting decisions across Medicare, Medicaid, and commercial segments. The role emphasizes automation, data validation, and collaboration with cross-functional teams to align contract terms with system configuration and analytical outputs. #J-18808-Ljbffr CareSource
- Lexington Clinic is seeking an experienced Coding Analyst II, Advanced to ensure compliance with AMA, CMS and... ...data accuracy on status of forms to secure optimal reimbursement. The role includes reviewing claims, providing accurate price quotes, and collaborating with...ReimbursementRemote job
$115.7k - $119.5k
...Senior Analyst Locations: Dallas | Chicago | Washington | Los... ...in a uniquely collaborative model across the firm and throughout... ...data, conducts research and provides synthesized results from sources... ...and contact lenses annually • Reimbursement for gym memberships and other...ReimbursementWork at officeLocal area- ...monthly compensation calculations; reviews models and resolves issues within the models. Primary contact for providers, administrative leadership, and other internal... ...environment, mechanics of healthcare reimbursement, entity arrangement types, and overall industry...Reimbursement
- ...of performance benchmarks. The Coding Analyst II, Advanced, ensures compliance with all... ...HCPCS codes in order to secure optimal reimbursement while remaining compliant with all coding... ...rules by department for judgment/action. Provides accurate price quotes to patients and...ReimbursementWork at officeRemote workWork from home
- ...Revenue Integrity Analyst III at the INTEGRIS... ...integrity, providing advanced analysis,... ...predictive analytics models to monitor denial... ...resource on complex reimbursement and compliance challenges... ...Analysts I and II, providing... ...Experience in payer contract analysis and denial...ReimbursementContract workWork at office
- ...Location: Jersey City, NJ (Hybrid) Contract: W2 Contract (40 Hours/Week) Industry:... ...Experiment Product launch and post-launch analyst Commercial reporting in the U.S.... ...to Market Access, Contracting, or Reimbursement analyst Ability to work in a fast-paced...ReimbursementContract workTemporary work
$75.1k - $126.33k
...large volumes of data to provide cutting‑edge solutions... .... Senior Data Analyst - Ad Operations As a Senior... ...campaign management to AI‑driven optimization. Key... ...solutions (e.g., propensity models, bidding optimization,... ..., and connectivity reimbursement for remote work. A dedicated...ReimbursementRemote workWork from homeWork visa$107.45k - $199.55k
Disciplined Contract Management (DCM) is a core value-generating pillar within... ...Technology Business System Analyst (TBSA) / Senior IT Business Analyst to provide analytical continuity, requirements... ...modernization. Familiarity with AI/analytics-enabled solutions (e.g....Contract workTemporary workWork at officeLocal areaRemote workFlexible hours$75k - $95k
...Downstate College of Medicine. Overview The Analyst, Physician Contracting and Compensation is responsible for... ...the Vice President to ensure that provider contracts are developed, renewed, and... ...Evaluate programmatic compensation models Produce ad-hoc reports related to...Contract work$85.5k - $158.7k
...skills necessary provide research and expertise... ...opportunity as an Analyst, you will be... ...comply with government contract/agency or... ...You? Hybrid Work Model: We’ve adopted a flexible... ...and thrive in an AI-enabled future. Industry... ...savings, tuition reimbursement, employee...ReimbursementContract workWork experience placementWork at officeLocal areaFlexible hours$63k - $70k
...professionally and personally. We provide competitive compensation and a... ...much more. *****************This Analyst role can be filled at Analyst I, Analyst II, or Analyst III level. Please see... ...timely service activation, processing contracts and confirmations to support SOX...Work experience placement$75k - $100k
...Business (SDVOSB) that provides business and management... ...Program Office as a Junior AI Data Analyst . This effort provides Modeling, Simulation, and... ...Professional Development/Tuition Reimbursement Program Job Type: Full-... ...Start Date: Upon Contract Award (Anticipated:...Full timeContract workFor contractorsWork at officeRemote workFlexible hours- ...claims, by translating medical policies, reimbursement policies, and clinical editing policies... ...was used. Prepares correspondence to providers regarding coding and fee schedule updates... ...on system issues. Works with providers contracting staff when new/modified reimbursement...Reimbursement
$84k - $156k
...needs identifying cost cutting options and providing leadership in the operational planning... ...changes and new responsibilities Models compliance with company policies and procedures... ...Pay, adoption and surrogacy expense reimbursement, and more. You will also receive PTO...ReimbursementFull timeTemporary workPart timeLocal area- Verisk Analytics is seeking a Senior AI Governance Analyst to support the responsible, ethical, transparent... ...BusinessesUnderwriting Solutions — provides underwriting and rating solutions for... ...and Risk Solutions — provides risk modeling solutions to help individuals,...Work at office
- The Epic Beaker Analyst II leads the design, configuration, and optimization of Epic Beaker workflows within and across specialty areas to... ...role also contributes to standardization efforts, governance models, and mentoring of other analysts.Quest Diagnostics honors our service...Work experience placement
$69.4k - $158k
...requirements. We need a financial analyst who can quickly adapt... ...with sparing and modeling Experience in using... ...celebrate your contributions, provide you with opportunities... ...experience, as well as contract-specific affordability... ...fraud. Candidate AI Usage Policy AI is a part...Full timeContract workPart timeWork at officeLocal areaRemote work- ...adjudication specialist to translate medical policies into reimbursement rules and perform pre-adjudication reviews. You will... ...researching CMS and industry guidelines. Collaboration with providers and contracting staff is key. The role emphasizes accuracy in coding, policy...Reimbursement
- ...platforms, embrace new business models, employ breakthrough tools, and provide powerful insights that help our artists... ...of global companies. As an A&R Analyst with Sony Music Nashville, you... ...-up child and elder care, and reimbursement for adoption, surrogacy, tuition,...ReimbursementLocal areaAfternoon shift
$99k - $130k
...development. The Senior Net Revenue Analyst plays a critical role in... ...by analyzing net revenue, reimbursement structures, and trends... ...focus on data accuracy, trend modeling, and variance analysis Prepare... ...Produce managed care contract performance and trending reports...ReimbursementFull timeContract workLive in- ## Revenue Integrity Analyst Full Time DaysApplyremote type: Fully... ...and billing validation, reimbursement integrity, and revenue cycle... ...review and interpret payer contracts, billing guidelines, and regulatory... ...to clinical departments, providers, and operational leaders for...ReimbursementFull timeWork experience placement
- ...DTCC offers a flexible/hybrid model of 3 days onsite and 2 days remote... ...Senior Data Protection Analyst plays a critical role in ensuring... ...scales across DLP, DSPM, CASB, and AI‑driven data protection... ...individuals with disabilities are provided reasonable accommodation to...Remote workFlexible hours
- ...‑ Hybrid ‑ Ohio Department: Reimbursement Schedule: Full time Hours: 4... ...Overview The Senior Reimbursement Analyst optimizes the organization’s... ...by payer, service line, provider, and operational department,... ...requirements. Perform contract performance and reimbursement...ReimbursementFull timeContract workWork from home
- ...available. Continuous if date is blank. Job Posting Title Provider Contracting Specialist Agency 807 HEALTH CARE AUTHORITY Supervisory Organization... .... Public Service Loan Forgiveness eligibility and tuition reimbursement. Wellness benefits, including an on-site gym and fitness...ReimbursementHourly payFull timeContract workPart timeWork at officeMonday to FridayFlexible hours
$163.27k - $224.5k
...Business Intelligence Analyst (Finance) Divergent is... ...Quality professionals, provide strategic guidance on... ...data analytics, cost modeling, business transformation... .... Take advantage of reimbursement opportunities for learning... ...’s Office of Federal Contract Compliance Programs (...ReimbursementContract workTemporary workFor contractorsFor subcontractorWork at office- POSITION SUMMARY Client Relationship Analysts provide exceptional service to our clients and... ...their business plan and client service model Remaining current on all policies, procedures... ...expense reports and managing the reimbursement process Assisting with general in-...ReimbursementWork at officeLocal area
- ...coder to abstract, code, and interpret outpatient clinic and provider services for professional or facility billing. This role uses... ...Coders and collaboration with providers and staff to ensure accurate reimbursement and compliant coding practices. #J-18808-Ljbffr UtahReimbursementRemote job
$66.4k - $91.3k
...the future of energy is hard work, we provide competitive compensation, incentives, excellent... ...support business operations. Conduct modeling, forecasting, trending, variance... ...support Wellbeing programs such as tuition reimbursement, adoption and surrogacy assistance and...ReimbursementTemporary workShift work$45k - $58k
## Field Service Technician II - Boston, MA / Providence, RIApplylocations: PROVIDENCE, RI, USA: BOSTON, MA, USAtime type: Full timeposted on... ...coverage; all travel follows established company policy and reimbursement guidelines **Basic Qualifications** • Local candidate to...ReimbursementFull timeTemporary workLocal areaRemote workShift workNight shiftRotating shift$27.48 - $34.35 per hour
...Behavioral Healthcare Provider 1 (Mahoning County) (2... ...Preparing and submitting reimbursement materials. Attending... ...any applicable union contract and/or requirements of... ...Dependency Counselor II (LCDC II) by Ohio Chemical... ...and strives to be a model employer of...ReimbursementHourly payFull timeContract workPart timeWork at officeMonday to FridayShift work
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