- Evaluate the profitability of new and existing payor contracts by analyzing complex data.
- Maintain all payor agreements and amendments, ensuring effective communication of changes and financial impacts to leadership.
- Utilize various data extracts and formats for comprehensive financial reconciliations of payor inputs.
- Analyze payor data sets to pinpoint discrepancies, irregularities, or significant financial changes and share findings with relevant stakeholders.
- Develop and manage a list of strategic initiatives with estimated financial values, overseeing the process from start to finish.
- Collaborate internally and externally to meet key deliverables promptly and ensure timely and accurate completion of all initiatives.
- Conduct ongoing audits and monitoring of payer files for analytics, promptly communicating any identified changes or discrepancies to relevant stakeholders.
- 3-5 years of financial analytical experience in a managed care/physician group environment.
- Bachelor's degree in business administration (Finance, Economics, Accounting preferred).
- Expertise in Excel, including file translation, complex formulas, and pivot tables.
- Knowledge of SQL (preferred but not mandatory).
- Ability to present financial results in summarized power point presentations with charts and visuals.
- Capable of working independently in a fast-paced environment, managing priorities, and meeting deadlines without constant supervision.
- Strong collaboration and communication skills, with the capacity to effectively discuss complex financial healthcare topics both verbally and in writing.
- Deep understanding of managed care, with a focus on Medicare Advantage population.
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Senior Proposal and Contract Analyst
1 week ago
Sitero LLC Miami, United StatesJob Description · Job DescriptionSalary: $75,000-$95,000 · Senior Proposal and Contract Analyst · Sitero is an emerging leader in Clinical services and software solutions for the life sciences industry. We have experience and expertise in a diverse range of therapeutic areas and ...
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Payor Contract Analyst
5 days ago
Palm Medical Centers Coral Gables, United StatesThe Payor Contract Analyst will support payor negotiations and strategic decisions with existing payor relationships through financial modeling and analysis. · Job Functions: · Evaluate the profitability of new and existing payor contracts by extracting, analyzing, and interpret ...
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contract analyst
1 day ago
Care Resource Doral, United StatesEssential Job Responsibilities · Administrative/Contracting Duties: · This position will prepare health center third-party contracts and agreements including, but not limited to independent contractor agreements, confidentiality agreements, business associate agreements · Resp ...
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Payor Contract Analyst
1 week ago
Palm Medical Centers Doral, United StatesJob Description · Job Description · The Payor Contract Analyst will support payor negotiations and strategic decisions with existing payor relationships through financial modeling and analysis. · Job Functions: · Evaluate the profitability of new and existing payor contracts b ...
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Analyst 2 Contract
5 days ago
VITAS Healthcare Hollywood, United StatesQualified candidates must have three to five years prior relevant experience. Proven working knowledge of Medicare/ Medicaid reimbursement methods. Excellent customer service and data entry skills. Ability to work independently with little supervisio Analyst, Contract, Technology ...
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Analyst 2 Contract
2 days ago
VITAS Healthcare Hollywood, United StatesJob Description · QUALIFICATIONSQualified candidates must have three to five years prior relevant experience. · Proven working knowledge of Medicare/Medicaid reimbursement methods. · Excellent customer service and data entry skills. · Ability to work independently with little su ...
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Contract Pricing Analyst
3 weeks ago
Boeing Distribution Services, Inc. Hialeah, United StatesAt Boeing, we innovate and collaborate to make the world a better place. From the seabed to outer space, you can contribute to work that matters with a company where diversity, equity and inclusion are shared values. We're committed to fostering an environment for every teammate ...
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Contract Pricing Analyst
4 weeks ago
Boeing Distribution Services Inc. Doral, United StatesAt Boeing, we innovate and collaborate to make the world a better place. From the seabed to outer space, you can contribute to work that matters with a company where diversity, equity and inclusion are shared values. Were committed to fostering an environment for every teammate t ...
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Board Certified Behavior Analyst
1 week ago
Center for Individual and Family Counseling, Inc. Miami, United StatesWe are seeking a highly skilled and dedicated Board Certified Behavior Analyst Or Lead Analyst to join our team. As a BCBA, you will play a crucial role in providing assessments and behavioral interventions to children and adolescents on the spectrum. Miami-Dade County. · Respon ...
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Sr Revenue Management Analyst II
3 weeks ago
Royal Caribbean Group Miami, United StatesPosition Summary The Revenue Management Senior Analyst II will assist with the creation and implementation of RCI product strategic plans to maximize ticket revenues and utilization of stateroom inventory. This plan includes determining strategic pricing throughout the deploymen ...
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Spend Analysis and Report Analyst
3 weeks ago
Norwegian Cruise Line Holdings Miami, United States Full timeResponsibilities · BASIC PURPOSE: The Spend Analysis & Reporting Analyst role will conduct data analysis to improve our supply chain operations and our Bid/Award analysis process. This position will work closely with the Senior Supply Chain Analyst to review, and analyze RFPs P ...
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Senior JD Edwards Software Engineer
3 days ago
Gravity IT Resourcing Miami, United States ContractTo Apply for this Job Click Here · Title: Senior JD Edwards E1 Software Engineer · Location: Hybrid Onsite: 3 days onsite (Various locations) · (Miami, Florida or Dallas, Texas) · Job-Type: Contract · Referral Bonus: +/- $100/Month · Must be US Citizen / Green Card Holder · ** ...
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LocumJobsOnline Miami, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Hematology and Oncology MD in Stuart, Florida, 34994 · About The Position · You will enjoy practicing on the Florida coast, just 20 minutes east of Port St Lucie. Stuart is frequently cited as one of the best small to ...
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LocumJobsOnline Miami, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Pulmonology MD in Tampa, Florida, 33607 · About The Position · Come live and practice along Florida's Gulf Coast with every avenue imaginable for the best of quality of life possible. Fine restaurants, theaters, museu ...
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Security Analyst
2 weeks ago
Apex Systems, Inc. Miami, United States Part timeJob#: · Job Description: · Apex Systems, a World-Class Technology Solutions Provider, is seeking applicants for the below position on behalf of our client. Please apply if interested and qualified. Please note that only qualified candidates will be contacted. · Position: Securit ...
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LocumJobsOnline Miami, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Hospitalist MD in Florida · About The Position · Come practice in this central Florida equestrian-friendly community that offers you all the upscale amenities you could wish for within a 30-minute drive, great golf co ...
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LocumJobsOnline Miami, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Hospitalist MD in Fort Myers, Florida, 33907 · About The Position · Fort Myers is popular for its beaches, fishing, and shopping. You and your family can experience 1-on-1 natural encounters, play on top-notch Fort My ...
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LocumJobsOnline Miami, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Obstetrics and Gynecology MD in Port Charlotte, Florida, 33952 · About The Position · Port Charlotte is a community nestled along Florida's Southwest Gulf Coast. The area features numerous upland and aquatic preserves ...
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LocumJobsOnline Miami, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Psychiatry MD in Clearwater, Florida, 33755 · About The Position · Come practice in a calm and old-fashioned area of Florida where the weather is great. You will find great family beach destinations, and Tampa is only ...
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LocumJobsOnline Miami, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Internal Medicine MD in Pensacola, Florida, 32503 · About The Position · This position is in Pensacola, renowned for having 'The World's Whitest Beaches' and home to one of the largest US Naval presences in the countr ...
Payor Contract Analyst - Miami, United States - Palm Medical Centers
Description
Job Description
The Payor Contract Analyst role involves assisting in payor negotiations and strategic decisions regarding existing payor relationships by conducting financial modeling and analysis.
Job Functions:
Experience and Skills:
Pay: Starting salary at $80,000 (open to negotiation based on experience). Palm Medical Centers promotes diversity and inclusion and is an equal opportunity employer. The company ensures a workplace free from discrimination or harassment based on various protected characteristics as outlined by laws.
This non-discriminatory policy extends to all employment practices, such as hiring, promotion, termination, compensation, and training decisions. At Palm Medical Centers, hiring is based solely on qualifications, merit, and business requirements at the time.
Payor Contract Analyst professionals in Miami
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Alfredo Quintana
Product Strategy / Business Development