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Blue Cross Blue Shield of Wyoming
Cheyenne, Wyoming
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Gainesville, Georgia
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Gainesville, Georgia
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Santa Barbara, California
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Managed Care Analyst
SUMMARY: Under the direction of the Reimbursement and Managed Care Analytics Director, the Managed Care Analyst is responsible for helping ensure the financial health of NKC Health and NKC Health Medical Group through support of enterprise managed care activities. Additional responsibilities include, but are not limited to the following: Responsible for loading, modeling, support and maintenance of the managed care contracts and fee schedules within the contract management system, including both Hospital and Professional agreements. Participates in contract modeling and other financial analysis using significant amounts of data that must be interpreted to inform decision-making by the managed care contracting and operations teams. Requires a deep understanding of healthcare reimbursement f
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