1 special agent jobs found in Newark, NJ

Managed Care Analyst Position Summary: The Managed Care Analyst is responsible for assisting in the analytics, reporting, trending, and validation of reimbursement from third party plans in relation to the hospitals negotiated fees and adherence to contract terms. The Managed Care Analyst is also responsible for assisting in testing and maintenance of contract software along with host system contract build, and fee schedule loading. The Managed Care Analyst will be responsible for the preparing of reports regarding contractual variances along with payer issues to leadership and work with the Managed Care Contracting team to resolve issues with payers as it relates to contractual discrepancies. The Managed Care Analyst is responsible for maintaining relationships with payer provider representatives, as well as maintaining the provider escalation process and file maintenance. Essential Functions and Responsibilities Include the Following: Understands and...