- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and validating Medicaid secondary payments to ensure alignment with internal configuration rules and regulatory guidance. The ideal candidate will bring deep… more
- CVS Health (Albany, NY)
- …Gathers requirements, business process optimization, fit-gap analysis, functional design, configuration and testing. Creates necessary documentation in each stage. + ... Collaborates with key cross-functional partners to maintain transparency, consistency in delivery, and set expectations. + Actively participates in Workday's semi-annual release process, engaging with release team on cross-functional initiatives and liaising… more
- SitusAMC (Albany, NY)
- …+ Bachelor's degree or equivalent from four-year College or technical school or equivalent combination of education and experience + Minimum of 6+ years of industry ... and/or relevant experience, typically with 1+ years in a Senior Associate level role or external equivalent. + Knowledge of the Warehouse Financing Solutions line of business; including use and support of the ProMerit technology platform, warehouse financing… more
- Molina Healthcare (Yonkers, NY)
- …analysis to resolve complex business and technical issues. Ensures system configuration aligns with business rules, regulatory requirements, and operational needs. ... (SME) on QNXT system capabilities, leveraging system knowledge to evaluate configuration options and recommend optimal solutions + Conducts in-depth research and… more
- Molina Healthcare (Buffalo, NY)
- …for this position:** * Analyze and interpret data to determine appropriate configuration . * Comprehensive understanding of contracts reviews to detect any gaps in ... as well as additional business requirements and converting these terms to configuration parameters. *Ability to interpret contract term agreements pertaining to Line… more
- Molina Healthcare (Albany, NY)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data to determine appropriate configuration changes. + Accurately interprets specific state and/or federal ... well as additional business requirements and converting these terms to configuration parameters. + Handles coding, updating and maintaining benefit plans, provider… more
- Molina Healthcare (Rochester, NY)
- …for quality and financial accuracy and provides documented feedback. + Assists in configuration issues and loading of provider information, as needed. + Assists in ... training current staff and new hires as necessary. + Generates and distributes Network Related Compliance/Regulatory/Accreditation reports. + Generates Provider Related reports to facilitate and support Provider Services/Provider Problem Research & Resolution.… more
- Molina Healthcare (Yonkers, NY)
- …**Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider ... information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system… more
- Mount Sinai Health System (New York, NY)
- …department. This individual participates in enhancement and development projects, systems configuration and testing. The analyst is understanding and responsive ... **Job Description** The Research Programmer Analyst supports research programming and data requirements, and performs maintenance, support and troubleshooting of… more
- MetaOption, LLC (Hicksville, NY)
- …Physician Billing Analyst (also known as an Epic Professional Billing Analyst ) is responsible for the configuration , maintenance, and optimization of the ... Analyst , Epic's Professional Billing Module, Charge Router, Workqueue Configuration , Collection Agency Workflows, Statement Processing, Benefit Engine, Estimates,… more
Recent Jobs
-
Structured Cabling Business Development Manager (BDM) San Diego and LA/OC/IE
- DIVAD Corporation (San Diego, CA)
-
Director, Systems Engineer
- Applied Materials (Kalispell, MT)
-
Penske - Warehouse Worker - Forklift Operator - 2nd Shift
- Penske Truck Leasing (Princeton, IN)
-
Small Business Banker
- City National Bank (Miami, FL)