- Molina Healthcare (Rochester, NY)
- … health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc. **Required Qualifications** * At ... Excel, Power BI, and/or Tableau and data management. * Advanced understanding health care operations (utilization management, disease management, HEDIS quality… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams...MS-DRG, etc). This role is within the Integrated Network Payment Solutions (INPS) department which falls under the Provider… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** With over 10 million sales interactions annually, Humana understands that while great products ... connection with us and enables us to put their Health First. After all, a health services...and channel leadership, and aligning cross-functional support across compliance, operations and other HQ partners. This individual supports effective… more
- Walgreens (Valhalla, NY)
- …participating in the billing and submission of claims to government-sponsored health care programs, including Medicare, Medicaid, and all other third-party payers, ... as well as the facilitating of prior authorizations on behalf of prescribers. ** Operations ** + Works with the Pharmacy Manager toward the success of the pharmacy… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …with account team leads, commercial leaders (Marketing, Customer Engagement Operations ) and other cross-functional leadership (Field Medical, Market Access, Patient ... consistent coaching and development to field sales and field operations leadership by identifying the unique needs of the...to facilitate effective delivery of the strategy and business plan to maximize access and benefits to patients and… more
- FIFCO USA (Rochester, NY)
- …packaging, purchasing and brewing to integrate contract production within operational plan . + Assist in contract negotiations, contract pricing, annual volume ... customers' new SKU's, ensuring no interruptions to the operational plan . + Design and implement tools and techniques for...techniques for streamlined project management. + Work with the Operations and Finance group to charge back our customers… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs ... and is responsible for oversight of the Risk Adjustment Operations processes. The Risk Management Lead works on problems...initiatives and drive process excellence + Develop annual work plan for responsible areas + Understand and assist in… more
- City of New York (New York, NY)
- …- Benefits: City employees are entitled to unmatched benefits such as: oa premium-free health insurance plan that saves employees over $10K annually, per a 2024 ... college in economics, finance, accounting, business or public administration, public health , human resources management, management science, operations research,… more
- Cornell Cooperative Extension (Millbrook, NY)
- …financial and statistical records which are accurate. + Proficient in computer operations of the Windows operating system, one or more major double-entry accounting ... consolidate, and analyze facts and draw conclusions. + Ability to set goals, initiate, plan , and organize work. + Ability to work under pressure. + Ability to… more
- TD Bank (New York, NY)
- …in an incentive plan ) and several other key plans such as health and well-being benefits, savings and retirement programs, paid time off (including Vacation PTO, ... defense across US businesses (with a focus on non-card payment products). The External Fraud Risk Oversight team sits...a basis for recommending large-scale product, technical, functional or operations improvements + Serves as a source of expert… more