Top 12 Managed care analyst i Jobs in Bradenton Fl

Managed Care Analyst I
Sarasota Memorial Health Care System —Sarasota, FL
- 8 hour shift
- Background check
- Word processing
- Office
Analyst, Business - SQL (Remote in Florida)
Molina Healthcare —Saint Petersburg, FL
- $49,930 - $97,363 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- SQL
- Health insurance
Epic Prelude Registration and Cadence Enterprise Scheduling Analyst
Sarasota Memorial Health Care System —Sarasota, FL
- Full-time
- Hybrid work
- Background check
- Nursing
- Customer service
- Work from home
Clinical Bus Systems Analyst Sr (Hybrid - Must be FL Resident)
Sarasota Memorial Health Care System —Sarasota, FL
- Full-time
- Hybrid work
- Background check
- Nursing
- System design
Experienced PeopleSoft FSCM Functional - Technical Analyst/Developer
Sarasota Memorial Health Care System —Sarasota, FL
- Full-time
- Hybrid work
- Background check
- Computer Science
- Customer service
BCBA - Residential Clinical Lead and RBT Supervisor
Access Granted Now, Inc. —Parrish, FL
- $85,000 - $95,000 a year
- Full-time
- Background check
- School experience
- Classroom
- Paid training
- Paid holidays
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Conducts analysis to identify root cause and assist with problem management as it relates to state requirements. Policy/government legislative review knowledge.
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managed care analyst i jobs near bradenton fl

Managed Care Analyst I

Sarasota Memorial Health Care System -
Sarasota, FL

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Job Details

Full-time

Qualifications

High school diploma or GED

Full Job Description

Job Summary:

Responsible for the collection and reconciliation of underpayments on managed care contracts. Maintains a log of the current status of underpayments collected. Maintains and continually updates the department training manual. Provides a weekly and a monthly report of collections to the Manager. Responsible for completion of projects that are pro-active and focused on problem areas and high cost services to ensure maximum contractual reimbursement. Responsible for understanding the reimbursement methods by contract and knowledge of PMMC for contract management reporting. Responsible for developing a strong relationship with insurance carriers in order to address multiple underpayments by a given payer.

Required Qualifications:

Require a minimum of five (5) years of collections or healthcare-related experience within a healthcare setting. A bachelor’s degree can substitute for the required work experience.

Preferred Qualifications:

Prefer Certified Patient Account Technician (CPAT) or Certified Revenue Cycle Specialist (CRCS).
Prefer demonstrated analytic skills.
Prefer demonstrated computer skills in spreadsheet database, word processing, PMMC and any other applications.
Prefer strong interpersonal skills, including the ability to handle difficult situation in a diplomatic manner.
Prefer ability to type a minimum of forty-five (45) words per minute.

Mandatory Education:

HS EQ: High School Diploma, GED or Certificate

Preferred Education:

AD: Associate's Degree

Required License and Certs:

Preferred License and Certs:

Work Days/Shift/Start Time:

Onsite position. Monday through Friday, 8 hours per day.

Employment Screening Requirements: As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. https://info.flclearinghouse.com/

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managed care analyst i jobs in bradenton fl

Managed Care Analyst I

Analyst, Business - SQL (Remote in Florida)

Epic Prelude Registration and Cadence Enterprise Scheduling Analyst

Clinical Bus Systems Analyst Sr (Hybrid - Must be FL Resident)

Experienced PeopleSoft FSCM Functional - Technical Analyst/Developer

BCBA - Residential Clinical Lead and RBT Supervisor

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