- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + Assists… more
- CenterWell (Albany, NY)
- …Director, the Senior Strategy Advancement Professional will bring a combination of operational support , analyst skills, and strategy oversight to the role. This ... issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large....programs via the Center for Medicare and Medicaid Services ( CMS ), such as ACO REACH, MSSP, and future models.… more
- Molina Healthcare (NY)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... CMS and internal audit activities. This position contributes to...collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory… more
- Highmark Health (Albany, NY)
- …areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management ... subject matter expert, providing insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and… more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data ... strategy and execution of CMS and internal audit activities. This position is responsible...all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate… more
- Rochester Institute of Technology (Rochester, NY)
- …information. + Maintains and builds new components of the Registrar's Office website using content management system . + Manages student employees and co-op ... **9748BR** **Position Title:** Senior Information & Technology Analyst **Organization:** Office of the Registrar **Job Responsibilities:** + Creates reports using PS… more
- Heritage Financial Credit Union (Middletown, NY)
- …responsibilities of its management and employees. The Senior Lending Compliance Analyst role works with CU leadership to support the Compliance and ... support our culture of integrity, transparency, and risk management . Here's a little about us: Heritage Financial Credit...Management Program with a primary focus on the CMS and Regulatory Lending Compliance. The Analyst … more
- Centene Corporation (New York, NY)
- …Able to interpret and understand changes to voluntary disenrollment logics according to CMS requirements. + Leads in the support of business initiatives through ... support for business leaderships in the following areas: CMS disenrollment (TRR, crosswalk, competitor directories), membership, sales channel, product… more
- Intermountain Health (Albany, NY)
- …the chargemaster. + Partners with the Chargemaster Service Line Partner to support EPMO projects, enterprise and system initiatives utilizing intermediate level ... **Job Description:** The RCO Rev Integrity Chargemaster Analyst II independently handles EPIC build, maintenance, and implementation of charge codes, fee schedules,… more
- WMCHealth (Valhalla, NY)
- Revenue Integrity Analyst Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Revenue ... Applicant link Job Details: Job Summary: The Revenue Integrity Analyst reviews and revises accounts to achieve revenue enhancement...billing regarding bundling and unbundling services as delineated in CMS and CCI edits. + Coordinates and serves as… more