Conducts contract modeling and analysis with an understanding of population health and value-based ... risk contracting, capitation and bundled payments.
Conducts contract modeling and analysis with an understanding of population health and value-based ... risk contracting, capitation and bundled payments.
Conducts contract modeling and analysis with an understanding of population health and value-based ... risk contracting, capitation and bundled payments.
Conducts contract modeling and analysis with an understanding of population health and value-based ... risk contracting, capitation and bundled payments.
Conducts contract modeling and analysis with an understanding of population health and value-based ... based payments, risk contracting, capitation and bundled payments. Additional Information
Conducts contract modeling and analysis with an understanding of population health and value-based ... based payments, risk contracting, capitation and bundled payments. Additional Information
Risk Business Analyst III
$43 - $59.25/hr
Excellent presentation skills Risk Business Analyst III At Fifth Third, we understand the ... such payment based upon company, line of business and/or individual performance. Our extensive ...
Risk Business Analyst III
$43 - $59.25/hr
Excellent presentation skills Risk Business Analyst III At Fifth Third, we understand the ... such payment based upon company, line of business and/or individual performance. Our extensive ...
... risk and involve all appropriate Revenue Cycle team members. EDUCATION/EXPERIENCE REQUIRED ... Payment Variances, or other Healthcare Revenue Cycle experience required. * Outstanding analytical ...
... risk and involve all appropriate Revenue Cycle team members. EDUCATION/EXPERIENCE REQUIRED ... Payment Variances, or other Healthcare Revenue Cycle experience required. * Outstanding analytical ...
Serve as the payments security and risk owner, accountable for PCI-DSS scope management, annual ... Own incident management and rootcause analysis for payment outages, failed settlements, and ...
Serve as the payments security and risk owner, accountable for PCI-DSS scope management, annual ... Own incident management and rootcause analysis for payment outages, failed settlements, and ...
... risk and involve all appropriate Revenue Cycle team members. EDUCATION/EXPERIENCE REQUIRED ... Payment Variances, or other Healthcare Revenue Cycle experience required. * Outstanding analytical ...
... risk and involve all appropriate Revenue Cycle team members. EDUCATION/EXPERIENCE REQUIRED ... Payment Variances, or other Healthcare Revenue Cycle experience required. * Outstanding analytical ...
Senior Payment Analyst - ACH Processing in Troy, MI 48098 (Onsite & Full time permanent)
Troy, MI · On-site
Understanding fraud control mechanisms, OFAC/AML compliance, and risk-mitigation procedures ... payments processing environment Experience with ACH processing systems Strong knowledge of NACHA ...
Senior Payment Analyst - ACH Processing in Troy, MI 48098 (Onsite & Full time permanent)
Troy, MI · On-site
Understanding fraud control mechanisms, OFAC/AML compliance, and risk-mitigation procedures ... payments processing environment Experience with ACH processing systems Strong knowledge of NACHA ...
Credit Analyst
Dearborn, MI · On-site
Evaluate risk level associated with lending to potential borrowers by analyzing their financial history, payment habits, and overall creditworthiness. * Provide recommendations based on analysis ...
Credit Analyst
Dearborn, MI · On-site
Evaluate risk level associated with lending to potential borrowers by analyzing their financial history, payment habits, and overall creditworthiness. * Provide recommendations based on analysis ...
Serve as the payments security and risk owner, accountable for PCI-DSS scope management, annual ... Own incident management and rootcause analysis for payment outages, failed settlements, and ...
Serve as the payments security and risk owner, accountable for PCI-DSS scope management, annual ... Own incident management and rootcause analysis for payment outages, failed settlements, and ...
Functional Program Manager (Payments & AI Automation)//Dearborn, MI//W2
Dearborn, MI · On-site
$87K - $114K/yr
Provide accurate and insightful analysis by configuring and manipulating data to solve complex ... Risk & Compliance Mitigation: Identify technical, operational, and financial risks inherent to ...
Quick apply
Functional Program Manager (Payments & AI Automation)//Dearborn, MI//W2
Dearborn, MI · On-site
$87K - $114K/yr
Provide accurate and insightful analysis by configuring and manipulating data to solve complex ... Risk & Compliance Mitigation: Identify technical, operational, and financial risks inherent to ...
You will analyze financial data, evaluate risk factors, prepare credit memo write-ups, and provide ... payment history, and market conditions. * Ensure compliance with company credit policies and ...
You will analyze financial data, evaluate risk factors, prepare credit memo write-ups, and provide ... payment history, and market conditions. * Ensure compliance with company credit policies and ...
... analyses and deliverables ... Managing client stakeholder relationships across business, operations, technology, risk, compliance ...
... analyses and deliverables ... Managing client stakeholder relationships across business, operations, technology, risk, compliance ...
Credit Analyst
Dearborn, MI · On-site
Evaluate risk level associated with lending to potential borrowers by analyzing their financial history, payment habits, and overall creditworthiness. * Provide recommendations based on analysis ...
Credit Analyst
Dearborn, MI · On-site
Evaluate risk level associated with lending to potential borrowers by analyzing their financial history, payment habits, and overall creditworthiness. * Provide recommendations based on analysis ...
Preparing ad hoc reporting and analysis to support Treasury, credit, and business decision-making ... Trade finance tools and payment security instruments used to mitigate credit risk * Principles of ...
Preparing ad hoc reporting and analysis to support Treasury, credit, and business decision-making ... Trade finance tools and payment security instruments used to mitigate credit risk * Principles of ...
Coordinating with business, operations, engineering, design, risk, compliance, and legal ... Developing analyses, status updates, workshop materials, and recommendations for client ...
Coordinating with business, operations, engineering, design, risk, compliance, and legal ... Developing analyses, status updates, workshop materials, and recommendations for client ...
A foundational understanding of risk and compliance principles, including due diligence objectives, sales processes, sourcing, contract management, and payment workflows. * Strong analytical mindset ...
A foundational understanding of risk and compliance principles, including due diligence objectives, sales processes, sourcing, contract management, and payment workflows. * Strong analytical mindset ...
A foundational understanding of risk and compliance principles, including due diligence objectives, sales processes, sourcing, contract management, and payment workflows. * Strong analytical mindset ...
A foundational understanding of risk and compliance principles, including due diligence objectives, sales processes, sourcing, contract management, and payment workflows. * Strong analytical mindset ...
Cost Analyst
$50 - $65/hr
Review progress payments to ensure there is a clear understanding of when the milestone will be met ... Working knowledge of financial & economic analysis, project & risk management. Ability to analyze ...
Cost Analyst
$50 - $65/hr
Review progress payments to ensure there is a clear understanding of when the milestone will be met ... Working knowledge of financial & economic analysis, project & risk management. Ability to analyze ...
Account Receivable Compliance Analyst (3114)
$22.75 - $28.75/hr
Manage high-risk customer accounts, including those in legal proceedings, bankruptcy, or third ... Experience with automated invoicing/payment platforms.
Account Receivable Compliance Analyst (3114)
$22.75 - $28.75/hr
Manage high-risk customer accounts, including those in legal proceedings, bankruptcy, or third ... Experience with automated invoicing/payment platforms.
Payments Risk Analyst information
See Detroit, MI salary details
$15.23 - $19.77
3% of jobs
$19.77 - $24.32
7% of jobs
$24.32 - $28.86
12% of jobs
$29.75 is the 25th percentile. Wages below this are outliers.
$28.86 - $33.40
15% of jobs
$33.40 - $37.95
13% of jobs
The median wage is $38.10 / hr.
$37.95 - $42.49
16% of jobs
$42.49 - $47.03
8% of jobs
$47.60 is the 75th percentile. Wages above this are outliers.
$47.03 - $51.57
11% of jobs
$51.57 - $56.12
6% of jobs
$56.12 - $60.66
6% of jobs
$60.66 - $65.20
3% of jobs
$15
$40
$65
How much do payments risk analyst jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Payments Risk Analyst, and why are they important?
What are some common challenges faced by Payments Risk Analysts in monitoring and mitigating transaction fraud?
What are Payments Risk Analysts?
Director Payor Contracting McLaren Physician Partners
Auburn Hills, MI • On-site
Full-time
Posted 15 days ago
McLaren Health Care rating
6.7
Based on 220 frontline employees who took The Breakroom Quiz
532nd of 890 rated healthcare providers
Job description
Essential Functions and Responsibilities As Assigned:
- Responsible for executing contracting activities with Third Party Payors as assigned. Collaborates on strategic planning of contracting activities.
- Resource for all contracting activities of MPP, MHCC and its subsidiaries, including providing ad hoc assistance and support as requested. This includes, but is not limited to review, redline, and evaluation of language of the Managed Care contracts. In addition, participates and leads negotiations, and identifies any issues and coordinates contract workflow/approval through to contract execution.
- Develops and implements policies and procedures to monitor contractual obligations and ensure compliance with such (i.e. annual performance benchmarks, payment rate changes, etc.).
- Analyzes changes in legislation, payer policies, rules and regulations impacting both facility and physician payments, including but not limited to monitoring industry developments. Communicates and educates those impacted, as necessary.
- Defines priorities and communicates to staff departmental goals and works with them to achieve them; seeks commitment from staff, encourages innovation and motivates through team building/planning.
- Acts as liaison between contracted Health Plans and MPP, MHCC, MHPN and subsidiaries, including but not limited to, research operational issues and review of payor policies needed to resolve issues.
Required:
- Bachelor's degree in business, health care or related field.
- Ten (10) years' experience in complex provider contracting and servicing in a managed care organization, Health System, Health Plan, PHO, PO or similar organization, including three (3) years in a management role with direct reports, leading or in all phases of effective supervision (i.e. Recruitment, performance management, training).
- Master's degree in health care management, Finance or related field.
- Experience with standard and innovative contract and reimbursement methodologies, including but not limited to fee for service, value-based payments, risk contracting, capitation and bundled payments.
What McLaren Health Care employees say
Pay
Benefits
Hours and flexibility
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About McLaren Port Huron
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Port Huron, MI, US