- Deloitte (Rochester, NY)
- …valuation modeling, cost optimization, restructuring, government operations modernization, business design and transformation, infrastructure and real estate, ... accordance with established medical and legal requirements + Interact with healthcare professionals to provide report-specific feedback and assist in resolving… more
- Evolent (Albany, NY)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... + Conduct in-depth financial analysis, including scenario modeling, to support key business decisions + Prepare and present financial findings for the Client Finance… more
- Molina Healthcare (Albany, NY)
- …optimizing operational departments, programs, and services in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance ... local regulatory requirements. **Job Duties** + Leads and supports integrated duals overall business and strategic objectives. + Serves as a duals SME for enterprise… more
- Molina Healthcare (Yonkers, NY)
- …adjustment experts, and developers in the development and implementation of business strategies, operations and vendor management related to in-home assessment ... activities in all government lines of business impacted by the regulatory risk adjustment payment model. They will be assist with implementing and managing the… more
- Molina Healthcare (Rochester, NY)
- …claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed ... on databases 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 (Albany, NY)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality/HEDIS project management and HEDIS Audit * Demonstrated knowledge of… more
- Molina Healthcare (Yonkers, NY)
- …requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops and ... **REQUIRED EDUCATION:** Bachelor's Degree in a clinical field, Public Health, Healthcare , or equivalent. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+… more
- Molina Healthcare (Yonkers, NY)
- …analytical mindset, attention to detail, and the ability to translate complex business requirements into actionable, data-driven solutions - and who thrives as a ... and troubleshoot interoperability issues. + Collaborate with Product Owners and business stakeholders to gather, define, and translate requirements into technical… more
- Molina Healthcare (Buffalo, NY)
- …enterprise. Validate data on provider databases and ensure adherence to business , system and regulatory requirements of Provider Data Management/Network Adequacy. ... and implements Provider Network and Contract strategies across all lines of business , identifying those specialties and geographic locations on which to concentrate… more
- Molina Healthcare (NY)
- …tools and Frameworks, define Standards & Best Practices for implementing scalable business solutions + Understand, articulate, interpret, and apply the principles of ... the defined data and analytics strategy to unique, complex business problems + Mentor development teams to build tools for data quality control and repeatable data… more
Recent Jobs
-
RN Cath Lab Post Op/Pre Op
- Community Health Systems (Bullhead City, AZ)
-
Licensed Practical Nurse - LPN LVN
- Fresenius Medical Center (Vancouver, WA)
-
State Income Tax Senior Manager
- EchoStar (Englewood, CO)
-
Special Education Teacher Grades 6-8 Behavior Focused (Sign on Bonus $5,000)
- Fort Dodge Community School District (Fort Dodge, IA)