- Cognizant (Albany, NY)
- About the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end test ... strategies that ensure the quality and reliability of healthcare claims and membership applications. You will...team and work collaboratively with developers, product owners, and business analysts to deliver robust and compliant healthcare… more
- Molina Healthcare (Buffalo, NY)
- …network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements + Proficient in claims software and audit ... validate data housed on databases and ensure adherence to business and system requirements of stakeholders as it pertains...of experience in claims as Adjuster or claims examiner in the healthcare field **PHYSICAL… more
- Catholic Health (Buffalo, NY)
- …EDUCATION + Bachelors: minimum two (2) year of job experience in a computer science, business or healthcare field + Associates: minimum four (4) years of job ... technology method of transformation. Supports the organizations Revenue Cycle claims and remittance process. Identifies and implements EPIC and/or...experience in a computer science, business or healthcare field + High School… more
- Molina Healthcare (Yonkers, NY)
- …advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and ... trends to provide analytic support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + PowerBI, Excel, Power Pivot, VBA,… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired… more
- Molina Healthcare (Albany, NY)
- …and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc. + Analysis of trends in medical costs to provide analytic… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and...+ At least 6 years of experience as a Business Analyst or Program Manager in a… more
- Evolent (Albany, NY)
- …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Molina Healthcare (Syracuse, NY)
- …and/or detects violation of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business ... to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee,… more
- Molina Healthcare (NY)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for… more