- Molina Healthcare (Yonkers, NY)
- …maintain contract, benefit or reference table information into the claim payment system and other applicable systems . + Participates in defect resolution for ... claims databases. Synchronizes data among operational and claims systems and application of business rules...housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Highmark Health (Albany, NY)
- …performs business analysis tasks by supporting stakeholders of a specific system application(s), handling user inquiries/issues, and enhancements to the system ... of applications he/she supports, how users use the application, and what other systems integrate with the application. Understands how work is being conducted, and… more
- MTA (New York, NY)
- …provides varying levels of support and analysis to Senior OCIP Administration Claims Analyst , Assistant Director, and Deputy Director; actively contributes to ... Analyst , Owner Controlled Insurance Programs Job ID: 13288...and commuter rail cars than all other US transit systems combined. MTA strives to provide a safe and… more
- Molina Healthcare (Albany, NY)
- …experience and knowledge to research and resolve claim /encounter issues, pended claims and update system (s) as necessary. + Works with fluctuating volumes ... claims databases. Synchronizes data among operational and claims systems and application of business rules...housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Baylor Scott & White Health (Albany, NY)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- Seton Education Partners (Bronx, NY)
- …on Special Education to provide mandated services to Students with Disabilities. The Analyst develops and maintains data systems that track the academic outcomes ... Elementary School Special Education Compliance and Billing Analyst Bronx, New York Seton Education Partners seeks a mission-driven, detail-oriented leader to serve… more
- City of New York (New York, NY)
- …distribution of expense and claiming data for data entry into multiple database systems for agency claims submitted annually for Federal and State reimbursement. ... fill two (2) Community Coordinators to function as an Associate/ Analyst who will: - Prepare, maintain, and perform comparative...- Analyze fiscal year claims , revenue, invoices and payment vouchers to ensure alignment… more
- Molina Healthcare (Albany, NY)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +...quality. + Assists in planning and coordination of the claim payment system upgrades and releases, including… more
- Molina Healthcare (NY)
- **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, ... rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed, to remediate… more
- WMCHealth (Valhalla, NY)
- …while collaborating with pharmacy leadership, finance, IT, and compliance teams. The analyst will gain experience in policy development, system optimization, and ... Compliance Analyst , 340B Program ( On-Site ) Company: WMC...regulatory changes and their impact on workflows, processes, and systems . + Collaborate with Finance, IT, and other departments… more
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