- Mount Sinai Health System (New York, NY)
- …degree or greater in related field or equivalent education/experience Five years minimum of managed care experience in insurance claims or contracts Four to Five ... **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare...and Medicaid policies, regulations, legislation and other proposals, including managed care payer reimbursement policy changes. 8.… more
- Mount Sinai Health System (New York, NY)
- …clinical, contracting, finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Molina Healthcare (Yonkers, NY)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Evolent (Albany, NY)
- …analytics or utilization management within a payer, provider, clinical vendor, managed care , or healthcare consulting environment. + Strong understanding ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...for the culture. **What You'll Be Doing:** **Senior Scope Analyst , Scope Management** The Specialty Scope Management team is… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …exams. + An understanding of health insurance & health insurance products, managed care , accounting principles, the competitive market, the legislative ... Job Description: Summary: The Actuarial Analyst performs actuarial services in support of Health...support of Health Plan operations and monitors and maintains financial solvency through the understanding of current data &… more
- New York State Civil Service (Albany, NY)
- …as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment, and/or managed care ; * Prior experience as a legal nurse consultant; and * ... NY HELP No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst : Medicaid Fraud Control Unit (6393) Occupational Category Legal Salary Grade NS… more
- New York State Civil Service (New York, NY)
- …as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment, and/or managed care ; * Prior experience as a legal nurse consultant; and * ... HELP No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst :Medicaid Fraud Control Unit (6388) Occupational Category Legal Salary Grade NS… more
- S&P Global (New York, NY)
- …09 **About the Role:** **The Team:** We are seeking applicants for the role of ** Analyst ** in the **Index Investment Strategy** team in the New York office of S&P ... to a fast-paced team at the center of global financial markets. Reporting to a Senior Director, you will...the world. With over USD 7.4 trillion in passively managed assets linked to our indices and over USD… more
- S&P Global (New York, NY)
- **About the Role:** **The Role:** Client Service Analyst **The Team:** As a member of our Client Services team, you will provide application and technical support ... and Impact:** OSTTRA plays a critical role in supporting global financial markets, connecting thousands of counterparties on our multi-asset networks that… more
- Molina Healthcare (NY)
- …for Medicaid, Marketplace and Medicare/MMP + Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates ... **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's...cleaning of data + 3-5 years of experience in Managed Care Organization executing similar techno functional… more