- Molina Healthcare (Albany, NY)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Trinity Health (Troy, NY)
- …CVS and/or SPHP based services and external, community-based services) + Assists with processing of Forensic Rape Exam (FRE) reimbursement claims to NYS Office ... Type:** Full time **Shift:** Day Shift **Description:** **Position Summary:** The Project Analyst will assist with programmatic and fiscal reporting for 5-10 grants… more
- City of New York (New York, NY)
- …County District Attorney's Office (DANY) has an immediate opening for an Operations Analyst in its Operations Division. In this position the Operations Analyst ... on vehicle(s), repair estimates, creating and or responding to insurance claims . - Responsible for maintaining all DANY vehicle registration: monthly submissions… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you to apply! Job Description: Summary: The Reimbursement Configuration Programmer Analyst is responsible for utilizing system development methodologies to analyze, ... to high level business requirements. The Reimbursement Configuration Programmer Analyst is expected to understand requirements, develop work plans, translate… more
- Humana (Albany, NY)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... 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… more
- CenterLight Health System (NY)
- …This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding ... JOB RESPONSIBILITIES: + Responsible to deliver accurate and timely billing of insurance claims and patient statements for all Sites (12 sites around NYC) as well… more
- Molina Healthcare (Albany, NY)
- …have strong experience with Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience is Excel is ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- Molina Healthcare (NY)
- …Ensure that provider information is loaded accurately to allow for proper claims processing , outbound reporting and directory processes. **JOB QUALIFICATIONS** ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims… more
- Highmark Health (Albany, NY)
- …in strategy development for new strategic programs. + Research and analyze claims processing problems, perform initial problem identification and resolution ... analysis/research and prepare the specifications necessary to identify impacts to claims processing or other business logic. + May provide assistance on… more
- Highmark Health (Albany, NY)
- …+ Knowledge of multiple processing systems and workflows + Knowledge of claims processing methodologies + Ability to interpret all government regulations + ... Knowledge of company products + Excellent organizational skills + Strong verbal and written communication skills **Languages (Other than English)** None **Travel Requirement** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type**… more