- Molina Healthcare (Albany, NY)
- …encompasses the end-to-end design, development, and management of large-scale data systems tailored for healthcare analytics. The ideal candidate will be responsible ... models to support analytical and operational use cases, including healthcare claims and utilization data. * Collaborate with cross-functional teams, including data… more
- Catholic Health Services (Melville, NY)
- …is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home ... conformity with the CHS Security policies and procedures. Analyze claims data with the goal of identifying and quantifying...the validation of contracts as loaded in contract management systems . Works with Managed Care team on recovery efforts… more
- World Insurance Associates, LLC. (Syosset, NY)
- …of materials and presentations, checking information, updating internal systems , delivering enrollment presentations, answering employee questions, etc. + ... transition, completes all new and renewal business documentation. + Updates agency management system with new client and renewal information. + Assists with setup of… more
- Healthfirst (NY)
- …role of a business stakeholder. + Working knowledge of how data processes through systems and system integrations work to understand and plan for addressing ... institution + Leadership experience in a high-volume production billing, enrollment, claims , call center environment or related environment. + Basic understanding of… more
- Molina Healthcare (NY)
- …and opportunities. **Job Duties** + Extract and compile information from various systems to support executive decision-making + Mine and manage information from ... large data sources. + Analyze claims and other data sources to identify early signs...financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical… more
- Molina Healthcare (Yonkers, NY)
- …analytics and reporting solutions that help track, measure, and optimize automated claims processing solutions. The role will leverage tools like Power BI, Azure ... reporting to track solution effectiveness and surface potential issues + Creating claims impact reporting to assess automation potential, issues or financial impact… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical ... tasks. Establish, manage, and communicate the process of billing medical claims for specialty facilities. **Responsibilities** **Job Duties:** + Manages the existing… more
- CVS Health (New York, NY)
- …Production Support Environment team, focusing on Non-Production Support: + Claims system : Health Rules Payer (HRP) + Enrollment systems : Market Prominence ... with business, QA, release delivery, infrastructure, and vendor partners, driving system stability and maintaining code releases. Key Responsibilities + Monitor … more
- City of New York (New York, NY)
- …The individual must also review and correct errors resulting from previously processed system transactions using various systems such as CityWide Human Resources ... records, including overtime and leave requests, using CityTime and related systems . The role involves reviewing and correcting timekeeping errors, assisting… more
- Latham, The Pool Company (Latham, NY)
- …in logic-based rule development and scripting within CPQ tools . Familiarity with system integrations involving ERP, CRM, and PLM systems Excellent communication ... focuses on designing and optimizing product models, integrating with enterprise systems , and ensuring seamless user experience in complex product configuration… more