- Mount Sinai Health System (New York, NY)
- **Job Description** ** Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement ... initiates systems to capture all inpatient and outpatient charges. Monitors managed care , commercial and federal contracts to assure the recovery of all… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding,… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...Mount Sinai Health System. MSHP seeks a **Senior Contracting Analyst Lead** to analyze and report the financial performance… more
- Catholic Health Services (Rockville Centre, NY)
- …complex data analysis. The ideal candidate possesses in-depth knowledge of Medicare/Medicaid reimbursement , managed care contracts, and healthcare finance. ... Long Island's Top Workplace! Job Details The Senior Financial Analyst reports to the Reimbursement team within...volume, case mix, or payer mix. + Partner with managed care , revenue accounting/reporting, and revenue cycle… more
- Mount Sinai Health System (New York, NY)
- …edits, and reimbursement . + Capacity to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations along ... physician service charges to ensure they align with payer regulations, Medicare/Medicaid reimbursement methodologies, and managed care contracts. + Provides… more
- Mount Sinai Health System (New York, NY)
- …clinical, contracting, finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Molina Healthcare (Rochester, NY)
- …utilized in medical coding/billing (UB04/1500 form). * Demonstrated understanding of key managed care concepts and provider reimbursement principles such ... health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Proficiency with retrieving specified… more
- Highmark Health (Albany, NY)
- …various complex potential claims with emphasis on controlling losses through effective managed care . This includes following a departmental claim checklist to ... ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for...3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate… more
- JPMorgan Chase (New York, NY)
- …alternative solutions across market cycles. Our alternative investment engines are managed by highly specialized independent teams, backed by the global reach, ... infrastructure, transportation, liquid alternatives and hedge funds. **Job Summary** As an Analyst in the Private Equity Secondary Group, you will engage broadly in… more
- Molina Healthcare (Syracuse, NY)
- …+ Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and ... Qualifications** + At least 4 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent… more
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