- Molina Healthcare (Albany, NY)
- …provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other ... policies and procedures pertaining to department functions. * Produces reports related to provider network information. * Collaborates with local and corporate… more
- Molina Healthcare (Syracuse, NY)
- **JOB DESCRIPTION** **Job Summary** Provides support to the business by making sure proper ICD-10 and CPT codes are reported accurately to maintain compliance and to ... to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment + Builds positive relationships between providers and Molina… more
- Molina Healthcare (Buffalo, NY)
- …resolution of appeals, grievances, and/or complaints from Molina members, providers and related outside agencies. + Trains new employees and provides guidance to ... detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of… more
- Molina Healthcare (Syracuse, NY)
- …appeals, dispute, grievances, and/or complaints from Molina members, providers and related outside agencies to ensure that internal and/or regulatory timelines are ... detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of… more
- Crouse Hospital (Syracuse, NY)
- …of employment in this position. + Bachelor's degree in Business Administration, Healthcare Administration, Nursing or related field preferred and 1 year of ... + OR Associate's degree in Business Administration, Healthcare Administration, Nursing or related field preferred and 2 or more years of marketing/community… more
- Molina Healthcare (Yonkers, NY)
- …accurate for defined region. + Subject matter expert for projects and / or new business related to areas of oversight. + Oversees maintenance of policies and ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …as assigned **Qualifications** **Education:** + Minimum: AS Degree or higher in Accounting, Business Administration or related field + Preferred: BA, BS or ... meeting completion dates, complying with internal compliance and external healthcare industry regulatory requirements, creating and updating periodic reporting,...higher in Accounting or related **Experience:** + Preferred: 5 Years or more of… more
- Molina Healthcare (Buffalo, NY)
- …in the daily operations of all aspects of risk adjustment data validation related activities, including, but not limited to: progress tracking, chart retrieval, file ... and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, milestones and deliverables are met *… more
- Kyndryl (New York, NY)
- …and our communities. **The Role** Kyndryl Consult is the fastest-growing business within the organization and instrumental to the company's strategic growth ... meet the needs of clients facing their most complex technology challenges-especially those related to unlocking the full value of the cloud. Many clients have… more
- Datavant (Albany, NY)
- …at a technical level + BS degree in business , technology or related field + Knowledge of healthcare industry, payment models, risk adjustment, medical ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...+ Manage coordination, tracking and reporting of all things related to client projects. + Lead (coordinate, motivate and… more