Jobs
>
Jacksonville

    Managed Care Analyst - Jacksonville, United States - Nemours

    Nemours
    Nemours Jacksonville, United States

    2 weeks ago

    Default job background
    Description

    Nemours is seeking a Managed Care Analyst (remote) to join our Nemours Children's Health team in Florida or Delaware.

    This position provides analytical support to Nemours departments in such areas as Nemours Business Operations, Administration, Strategic Planning, Finance, both Practice and Facility, and other areas across the enterprise.

    This position will construct and manipulate large databases to produce reports necessary for contract negotiations (including but not limited to: fee-for-service, value-based reimbursement, per diem, DRG, and % of Charge agreements), acquisitions, annual budgeting, price transparency, payor audits, and payor performance.



    Essential Functions

    1.

    Performs audits of existing contracts to ensure our internal processes and systems, as well as the contracted organization are all in compliance with executed contracts; provides detailed analysis of all results including full impact on finances and internal processes, of non-compliance and developments that potentially impact contract compliance.

    2. Prepares contract financial analysis for acquirement, negotiation and/or termination of contracts.

    3. Provide reports that summarize findings and provides recommendations to Management of all analyses performed, routine or otherwise.

    4.

    Reviews the different types of fees and its application to different location and insurance classifications; comparison between commercial and government payer, utilization of different codes and updates on national fee schedules.

    5. Performs routine, and ad-hoc financial reporting for other groups within Managed Care and outside departments. Providing analysis, findings and/or recommendations as requested.

    6. Develops and maintains reporting tools related to reports and databases used within the Managed Care Department.


    Performance Skills

    1.

    Standard level of comprehension of the EPIC system; with a specific emphasis on information related to patient billing and collections; managed care fee schedules; and payer information.

    2. Standard level of proficiency in Microsoft Office (i.e., Excel and Access)

    3. Knowledge and understanding of Managed Care contracts and contract negotiations.

    4. Ability to work independently

    5. Demonstrates continuous improvement and taking initiative


    Requirements

    Bachelor's degree required

    Three to five years of experience required
  • Ally Financial

    Data Analyst Ii

    2 weeks ago

    Ally Financial Jacksonville, United States

    **General information**: · - Career area · Administration- Work Location(s) · 12808 Gran Bay Parkway West, FL, 17500 Chenal Parkway, AR, 2911 Lake Vista Drive, TX, 500 Woodward Avenue, MI, 601 S. Tryon Street, NC- Remote? · No- Ref # · Posted Date · Tuesday, May 7, 2024- Working ...

  • Optimum ABA Therapy

    Registered Behavior Technician

    1 week ago

    Optimum ABA Therapy Jacksonville, United States

    Optimum ABA Therapy is seeking compassionate and dedicated ABA Therapists to join our team. As a family-run company with a focus on love and kindness, we are committed to improving the lives of individuals in our community who have been diagnosed with autism, Down syndrome, ADD, ...

  • Alliant Engineering, Inc.

    Professional Surveyor and Mapper

    2 weeks ago

    Alliant Engineering, Inc. Jacksonville, United States

    You deserve a job that you feel proud of, where you can channel your knowledge and skills into projects that positively affect communities, and where you design your own path. This is Alliant. Become an employee-owner of a growing engineering and consulting firm where we strive t ...

  • FIS Global

    Technology Business Consultant Ii

    3 days ago

    FIS Global Jacksonville, United States

    **Position Type**: · Full time · **Type Of Hire**: · Experienced (relevant combo of work and education) · **Education Desired**: · Bachelor of Commerce/Business · **Travel Percentage**: · 25 - 50% · Every day, our teams innovate across the world of finance. We collaborate to work ...

  • FlexCare Medical Staffing

    Travel Speech Language Pathologist

    1 week ago

    FlexCare Medical Staffing Jacksonville, United States

    FlexCare Medical Staffing is seeking an experienced Speech Language Pathologist for an exciting Travel Allied job in Jacksonville, TX. Shift: 5x8 hr days Start Date: 06/03/2024 Duration: 13 weeks Pay: $2339.2 / Week NOTE: THIS IS A TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR J ...

  • Sevita

    Board Certified Behavior Analyst

    6 days ago

    Sevita Jacksonville, United States

    Mentor Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You'll join a mi ...

  • Maxim Healthcare Services

    Board Certified Assistant Behavior Analyst

    3 weeks ago

    Maxim Healthcare Services Jacksonville, United States

    Maxim Healthcare Services is seeking a Board Certified Assistant Behavior Analyst (BCaBA) or a Licensed Assistant Behavior Analyst (LaBA). The mid-level LaBA/BCaBA will assist our clinical supervisor with case management and direct supervision of RBTs. The mid-level would perform ...

  • Great Strides Holdco Inc.

    Physical Therapy Assistant

    2 weeks ago

    Great Strides Holdco Inc. Jacksonville, United States

    Job Description · Job DescriptionDescription:Great Strides Rehabilitation Belfort Oaks Pl - Jacksonville, FL 32216 · Up to $3000 Sign On Bonuses Available · Are you interested in practicing with an interdisciplinary team of more than 100 highly skilled therapists to provide compr ...

  • Great Strides Holdco Inc.

    Speech Language Pathology Assistant

    2 weeks ago

    Great Strides Holdco Inc. Jacksonville, United States

    Job Description · Job DescriptionDescription: Great Strides Rehabilitation San Jose Blvd. Ste Jacksonville, FL · Up to $3000 sign on bonuses available · Are you interested in practicing with an interdisciplinary team of more than 100 highly skilled therapists to provide comprehen ...

  • HCA

    Consult EHR Suppt Analyst

    1 week ago

    HCA Jacksonville, United States

    Introduction · Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Consulting EHR Suppt Analyst -Pharmacy with HCA Florida Memorial Hospital you can be a part of an organization that is devoted to giving back · Benefits · HCA ...

  • HCA

    Consult EHR Suppt Analyst

    3 weeks ago

    HCA Jacksonville, United States

    Introduction · Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Consulting EHR Suppt Analyst -Pharmacy with HCA Florida Memorial Hospital you can be a part of an organization that is devoted to giving back · Benefits · HCA ...

  • SGS Technologie

    IT Business System Analyst

    1 week ago

    SGS Technologie Jacksonville, United States

    Position Title: IT Systems Analyst · Location: Jacksonville, FL (Remote) · Duration: 12+ months · Responsibilities: · Bachelor's degree in related field or minimum 5 years' work experience which includes progressive IT work experience in a systems/testing analyst role · Thorough ...

  • Supplemental Health Care

    Travel LPN

    3 days ago

    Supplemental Health Care Jacksonville, FL, United States

    Supplemental Health Care is seeking a LPN / LVN for a travel job in Jacksonville, Florida. · Job Description & Requirements · Specialty: LPN / LVN · Discipline: LPN / LVN · Start Date: ASAP · Duration: 13 weeks · Employment Type: Travel · Job Description: · Supplemental Health Ca ...

  • Sevita

    Board Certified Assistant Behavior Analyst

    6 days ago

    Sevita Jacksonville, United States

    Mentor Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You'll join a mi ...

  • LTIMindtree

    Business Analyst-Banking/Finance

    4 weeks ago

    LTIMindtree Jacksonville, United States

    LTIMindtree is an equal opportunity employer that is committed to diversity in the workplace. Our employment decisions are made without regard to race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), gender identity or expression, nati ...

  • Maxim Healthcare Services

    Board Certified Behavior Analyst

    6 days ago

    Maxim Healthcare Services Jacksonville, United States

    Salary: $80,000 - $95,000 Offering $5,000 Sign-on Bonus · Maxim Healthcare Services Jacksonville, FL is hiring a Board Certified Behavior Analyst to help provide clinical oversight of clients receiving behavioral services in the central and eastern Jacksonville, FL areas. · Why ...

  • Maxim Healthcare

    Experienced RBT

    6 days ago

    Maxim Healthcare Jacksonville, United States

    Salary: · Maxim Healthcare Services (insert location) is hiring for a Behavioral Technician to work one-on-one with children with Autism. · Why Join Maxim: · * Competitive Pay & Weekly Paychecks · * Health, Dental, Vision, HSA and Life Insurance · * Paid Time Off · * 401(k) Savin ...

  • Baptist Medical Center Jacksonville

    Revenue Cycle Analyst, Full Time, Baptist Metro Square

    6 days ago

    Baptist Medical Center Jacksonville Jacksonville, United States Full time

    Baptist Health is looking to add a Revenue Cycle Analyst in our Quality Assurance Department at Baptist Metro Square. · This position will be specifically supporting the Hospital Billing Follow-up Team. This is a Full Time opportunity. · To be fully engaged in providing Quality, ...

  • FlexCare Medical Staffing

    Travel Nurse

    1 week ago

    FlexCare Medical Staffing Jacksonville, United States

    FlexCare Medical Staffing is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Jacksonville, IL. Shift: 3x12 hr nights Start Date: 06/17/2024 Duration: 13 weeks Pay: $ / Week NOTE: THIS IS A TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY F ...

  • Baptist Health System

    Analyst II, Financial Accounting, Full Time, Hybrid, Baptist Jacksonville

    3 weeks ago

    Baptist Health System Jacksonville, United States Full time

    Baptist Health, founded in 1955, is North Florida's most comprehensive health care system and the area's only non-profit, mission-driven, locally governed health care provider. Baptist Health has over 200 points of care throughout the Northeast Flori Accounting, Analyst, Financia ...