- WTW (New York, NY)
- **Description** As a Healthcare Financial/Actuarial Lead Associate you will contribute to a wide variety of complex analyses and projects involving the design, ... the opportunity to significantly grow your health and benefits business acumen as well as your financial, project management...position will remain posted for a minimum of three business days from the date posted or until a… more
- WMCHealth (Valhalla, NY)
- Project Manager ( Healthcare Operations) On -site Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/Management Department: ... departments. + Define project scope, goals, and deliverables that support business goals in collaboration with Hospital Leadership and various stakeholders. +… more
- Molina Healthcare (NY)
- …information. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate accuracy of ... configuration and ensure adherence to business and system requirements of customers as it pertains...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Buffalo, NY)
- …. * Fields direct questions from project and cross functional teams regarding business , technical and operations rules that may impact testing. * Develops technical ... tests to validate complex business and system problems. * Provides guidance for development...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Buffalo, NY)
- …intervention outcome and for overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex as well as large ... root cause analysis. + Do root cause analysis for business data issues as assigned by the team lead....+ 3+ Years of experience with predictive modeling in healthcare quality data. + 3+ Years of experience in… more
- Molina Healthcare (Syracuse, NY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare 's Medicare Compliance team supports Medicare operations for the Molina Medicare product lines. It is a ... oriented to conduct thorough research. + Recommend applicable corrective action(s) to business partners. + Process improvement driven. + Create, update, and retire… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** The Distribution Manager at Molina Healthcare will be a critical team member responsible for making Molina a market leader in the ... and Medicare space. This individual will be part of a rapidly growing business unit that will execute on Molina's Medicare national broker distribution strategy with… more
- Molina Healthcare (Yonkers, NY)
- …capabilities, conducting research and root cause analysis to resolve complex business and technical issues. Ensures system configuration aligns with business ... research and analysis to identify root causes of complex business and system issues, providing clear recommendations for resolution...of new and existing health plans. + Must have healthcare experience. + Experience working with SQL is highly… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …sales support to targeted accounts by coordinating services, evaluating current business relationships and developing, presenting, managing and executing new ... business opportunities for these key accounts. **Scope of Responsibilities:**...more responsible or expansive sales experience preferable in the healthcare industry. **Credential/Licensure Required:** + Valid driver's license and… more
- Molina Healthcare (NY)
- …provider reimbursement methodologies timely and accurately. Supports existing lines of business and expansion into new states. The Lead Analyst, Reimbursement will ... IT, the pricing software vendor, operations, health plan representatives, and other business teams involved in claim processing. Maintains expertise in all forms of… more