- Highmark Health (Albany, NY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role creates data-driven insights to identify actionable opportunities aligned to the ... Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes and quality of care...Coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + Project leadership… more
- Trinity Health (East Greenbush, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **MEDICAL ASSISTANT - Family Health Center - East Greenbush, NY - FT** If you are looking for a ... this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more...Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties… more
- Trinity Health (Albany, NY)
- …**Risk Management Analyst** **FT Days- M-F onsite** **Mission Statement:** We, St Peter's Health and Trinity Health , serve together in the spirit of the ... solving. **EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** Experience in health care setting. Bachelor's degree required (nursing, healthcare related… more
- Mount Sinai Health System (New York, NY)
- …the primary pharmacy benefits subject matter expert supporting Mount Sinai Health System. **Qualifications** + Registered Pharmacist required with active licensure ... of 6 years experience in the healthcare industry, with focus on Pharmacy Health Plan or Pharmacy Benefit Management. + Proven capabilities in strategic planning and… more
- Mount Sinai Health System (New York, NY)
- …pharmacies on a monthly basis 2. Performs real time audits of 340B claims in split-billing software and closely monitors prescriptions for eligibility and accuracy ... on program performance 5. Coordinates workflows with other departments throughout the health system to ensure smooth 340B operations 6. Develops processes to… more
- MVP Health Care (Schenectady, NY)
- Business Analytics, Lead Strategic Health Care Economics Analyst 625 State St, Schenectady, NY 12305, USA Req #2495 Tuesday, March 18, 2025 At MVP Health Care, ... improvement. To achieve this, we're looking for a **Business Analytics, Lead Strategic Health Care Economics Analyst** to join #TeamMVP. If you have a passion for… more
- Highmark Health (Albany, NY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job creates data-driven insights which identify actionable opportunities through analytics ... to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes from and quality of...coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 5 years… more
- BronxCare Health System (Bronx, NY)
- Overview The Community Health Worker (CHW) will be responsible for helping patients and their families to navigate and access community series, other resources, and ... outreach. As a priority, activity will promote, maintain, and improve the health of patients and their family. Provide social support and informal counseling,… more
- Cardinal Health (Albany, NY)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly ... account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely and accurate… more
- City of New York (New York, NY)
- …to deliver critical services effectively and meet DOHMH's. Position Summary: The Health insurance Biller will be reporting to the Assistant Director along with ... 6 Health Insurance Billers. The Health Insurance Biller...to fee schedule. Perform claim reviews prior to submitting claims to payers. Communicate updated patient information with clinic… more