- Molina Healthcare (Buffalo, NY)
- …merger and acquisition transactions and will actively contribute in advancing Molina Healthcare 's overall growth strategy. The role entails working closely with the ... members of the Corporate Development team and will actively interact with the business leaders and senior management team at Molina. The ideal candidate will have… more
- Deloitte (Rochester, NY)
- …valuation modeling, cost optimization, restructuring, government operations modernization, business design and transformation, infrastructure and real estate, ... accordance with established medical and legal requirements + Interact with healthcare professionals to provide report-specific feedback and assist in resolving… more
- Bassett Healthcare (Cooperstown, NY)
- …II serves as the first point of contact for patients within the Bassett Healthcare Network. This is a key role in the patient centered care team. Demonstrates ... that the best possible appointment selection is made for business operations and patient satisfaction. Performs edits of daily...ensure that all necessary reports, lab work or films related to appointment are available for the physician at… more
- Molina Healthcare (NY)
- …deploy workforce management strategies nationwide. Partner with leaders by strategically identifying business needs and propose solutions in line with the needs of ... role with responsibility for supporting multiple plans based on business need. + Develop templates and creating and using...creating and using complex formulas. + Provide analytical input related to trends within plans associate to call handle… more
- Molina Healthcare (Rochester, NY)
- …* Works with Claims, Configuration, Contracting, Provider Data Management, and other business partners to resolve provider concerns related to their claim's ... root cause analysis identifying top drivers and works with Health Plans and other business partners to improve and reduce claim related appeals and disputes. *… more
- Molina Healthcare (Syracuse, NY)
- …and regulatory rules. + Analyze claim outcomes and identify trends or discrepancies related to over- or underpayment. + Utilize QNXT to research claims history, ... in developing and refining internal SOPs and audit tools related to COB claim reviews. + Act as subject...review and distribution. + Accurately interprets end to end business requirements and able to confirm outcomes meet the… more
- Molina Healthcare (Syracuse, NY)
- …sanctions from Medicaid or Medicare. **PREFERRED EDUCATION:** + Master's in Business Administration, Public Health, Healthcare Administration, etc. **PREFERRED ... medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and… more
- Bassett Healthcare (Milford, NY)
- …I serves as the first point of contact for patients within the Bassett Healthcare Network. This is a key role in the patient centered care team. Demonstrates ... that the best possible appointment selection is made for business operations and patient satisfaction. Performs edits of daily...to ensure that all necessary reports, lab-work or films related to appointment are available for the physician at… more
- Molina Healthcare (Buffalo, NY)
- …and IT. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree in a related field ( Business Administration, Finance, Mathematics, Statistics, Computer ... enterprise. Validate data on provider databases and ensure adherence to business , system and regulatory requirements of Provider Data Management/Network Adequacy.… more
- Kuehne+Nagel (Jamaica, NY)
- …all Quick Enterprise Systems (QuickTrac,QuickOnline/RX and Quick Oasis),particularly, QuickTrac CS- related functions, QuickSTAT email program to include client email ... experience, skills, job location, internal pay equity, and other relevant business considerations. QuickSTAT reviews pay ranges regularly to ensure competitive and… more