- Molina Healthcare (NY)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and… more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** Assist business teams with developing requirements for major projects of considerable complexity, prepares system design ... debug/analyze problems. + Fields direct questions from Molina Operations Staff regarding business , technical and operations rules. + Develops technical solutions to … more
- Humana (Albany, NY)
- …actuarial and business needs for specific product lines. The Actuarial Analyst 2, General work assignments are varied and frequently require interpretation and ... **Become a part of our caring community and help us put health first** The Actuarial Analyst 2, General provides actuarial support across a broad range of… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job… more
- Evolent (Albany, NY)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem...+ provide summary information to stakeholders & management answering business questions + create & maintain queries supporting precise… more
- Humana (Albany, NY)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... an integral part of the Pricer Business and System Support team responsible for administering complex...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Mount Sinai Health System (New York, NY)
- …care each year for millions of patients. We are accelerating a transition to a business model focused on population health management - our goal is to keep entire ... and product development expertise. MSHP is a fast growing business unit within Mount Sinai and is looking for...contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** As a Risk Revenue Analyst -Senior the incumbent will provide a full scope of actuarial and statistical ... analyses, specifically designed to support pricing and bidding for Medicare Advantage plans. Such projects will support both internal and external customers. The… more
- Mount Sinai Health System (New York, NY)
- …care each year for millions of patients. We are accelerating a transition to a business model focused on population health management - our goal is to keep entire ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Healthfirst (NY)
- …been responded to. + Provides support to all internal stakeholders during the annual Medicare Go to Market project in preparation for the Medicare Annual ... Requirements:** + BA/BS from an accredited institution + Knowledge of Medicare Communications and Marketing Guidelines, New York State Managed Long-Term Care… more