- Molina Healthcare (Rochester, NY)
- …to the Health Care environment. **Knowledge/Skills/Abilities** The Operational/Regulatory Oversight Analyst works with health plans and operations departments to ... to and compliance with State and Federal regulatory guidelines. The Analyst develops and performs audits and oversight functions involving business-critical… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...impact the patient community of the Mount Sinai Health System . Serves as mentor to others in the Data… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst II collaborates with stakeholders from across the organization to develop sophisticated analytics to provide ... goal setting, and effective performance measurement. The Data Science Analyst II demonstrates sound and a more advanced understanding...impact the patient community of the Mount Sinai Health System . **Qualifications** + BA or BS degree minimum, in… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model...financial analysis to assist in delivering optimal health care management and decision making + Understanding and applying data… more
- Mount Sinai Health System (New York, NY)
- …stakeholders + Monitor compliance with CMS and third-party payer requirements ** System Administration & Regulatory Support :** + Support implementation of ... **Job Description** **Senior Financial Analyst /CDM Chargemaster -Corporate-Full-Time Days (REMOTE)** We seek an.../ CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization of the hospital… more
- Evolent (Albany, NY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Senior Scope Analyst , Scope Management ** The Specialty Scope Management team is made ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...to make healthcare better. **Collaboration Opportunities:** The Senior Scope Analyst , Scope Management plays a crucial role… more
- Highmark Health (Buffalo, NY)
- …Health **Job Description :** **JOB SUMMARY** This job works collaboratively to support of all risk and compliance assessment activities of Highmark Health across ... a broad range of frameworks including NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS , JCAHO, etc. The incumbent will partner with the organizational risk and business… more
- Independent Health (Buffalo, NY)
- …Draw together facts and input from a variety of sources; make recommendations to management . + Provide support to assist management in meeting corporate ... that fosters growth, innovation and collaboration. **Overview** As a Risk Revenue Analyst -Senior the incumbent will provide a full scope of actuarial and statistical… more
- Molina Healthcare (NY)
- …Create and maintain monthly and quarterly Key Performance Indicator (KPI) reports. + Support the management of the regulatory memo distribution process Ability ... activities at individual state health plans. **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is primarily responsibility for supporting the day to… more
- City of New York (New York, NY)
- …compliance via accreditation and regulatory bodies (ie, NYS health department, JACHO, CMS ). Conduct literature and policy reviews to support MHQIN programming ... creation and oversight of programs, policies, services, and environments that support physical and socio-emotional health, and promote primary and reproductive… more