- MVP Health Care (Schenectady, NY)
- …continuous improvement. To achieve this, we're looking for a **Professional, Product Success Analyst ** to join #TeamMVP. This is the opportunity for you if you have ... **Qualifications you'll bring:** + Bachelor of Science in Computer Science, Healthcare Administration, Business Management, or a related field. Equivalent relevant… more
- WMCHealth (Valhalla, NY)
- Compliance Analyst , 340B Program ( On-Site ) Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Executive/Management Department: Pharmacy ... Internal Applicant link Job Details: Job Summary: The 340B Program Compliance Analyst is responsible for maintaining regulatory compliance within the 340B Program… more
- WMCHealth (Poughkeepsie, NY)
- Patient Account Analyst Company: MidHudson Regional Hospital City/State: Poughkeepsie, NY Category: Clerical/Administrative Support Department: Patient Fin. Serv ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29842) Internal Applicant link Job Details: The Patient Accounting Analyst is responsible for in-depth follow up procedures for… more
- Highmark Health (Albany, NY)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Evolent (Albany, NY)
- …analyses into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based ... RVUs, bundled payments, etc. is preferred + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- Humana (Albany, NY)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Independent Health (Buffalo, NY)
- …innovation and collaboration. **Overview** The Provider Contracting & Reimbursement Analyst -Intermediate will analyze utilization, claims , membership, and cost ... drawing statistically sound conclusions, and presenting results to management. The Analyst will interpret, analyze, and recommend courses of action to management… more
- WMCHealth (Valhalla, NY)
- …Internal Applicant link Job Details: Job Summary: The Payment Resolution Analyst processes all out of network insurance claims to ... Payment Resolution Analyst Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...and combination of years of experience, college education or healthcare certification equivalent. Licenses / Certifications: Other: Must possess… more
- CVS Health (Albany, NY)
- …Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including health insurance, PBM ... our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- MVP Health Care (Rochester, NY)
- … healthcare quality data highly preferred + Subject matter expertise in healthcare data- claims , coding, HIE's etc. Experience with quality metrics, (NCQA ... To achieve this, we're looking for a **Professional, Quality Analyst ** to join #TeamMVP. This is the opportunity for...opportunity for you if you have a passion for healthcare , innovation, and collaboration. **What's in it for you:**… more