- Centene Corporation (New York, NY)
- …of care for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters ... of experience working with large databases, data verification, and data management experience. Healthcare analytics experience preferred. Working knowledge… more
- Evolent (Albany, NY)
- …**What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Molina Healthcare (NY)
- …from various systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to ... evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical...building dashboards in Excel, Power BI, and/or Tableau and data management + Knowledge of healthcare operations… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III serves as... data from Epic, QS1, Oracle Cloud, 340B claims data , and wholesaler purchase feeds. + ... systems, and other vendor sources. A strong understanding of pharmacy workflows, healthcare finance, and medication data is essential, as this position… more
- Molina Healthcare (NY)
- …follow up, and performance monitoring. + Understands provider, member, and, inbound claims data compliance in relation to encounters submission requirements + ... **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and...and Operations Reviews + Performs root cause analysis of claims and encounter data and develops recommendations… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Health, Department of Title Data Analyst 3 - 63440 Occupational Category Administrative or General Management Salary Grade 27 Bargaining Unit ... Albany State NY Zip Code 12237 Duties Description The Data Analyst 3 (DA3) will direct the...of health data related to hospital discharge data , insurance coverage, demographics, billing claims and… more
- Molina Healthcare (Syracuse, NY)
- …proficiency in SQL for large dataset analysis and transformation, specifically in processing healthcare claims data and supporting managed care reporting ... technical solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , authorization, pharmacy, and lab… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more… more
- Mount Sinai Health System (New York, NY)
- …that requires onsite occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst II collaborates with stakeholders from across the ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst II demonstrates sound and a more… more
- Molina Healthcare (Syracuse, NY)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
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