- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. * Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. * Experience in ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Hospital Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- Molina Healthcare (Yonkers, NY)
- …DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- St. Mary's Healthcare (Amsterdam, NY)
- …and other factors permitted by law. Responsibilities: * Interpret and analyze data from multiple sources including claims , provider, patient, and encounters ... Revenue Cycle, including Key Performance Indicators (KPIs) * Routinely analyzes Revenue Cycle data to help identify root-causes to issues affecting cash flow and net… more
- Norstella (Albany, NY)
- …We are seeking a Senior Medical Analyst to join our team and drive data -driven healthcare initiatives. In this role, you will leverage your expertise in ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...healthcare data analytics to extract meaningful insights...with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data , in an… more
- Mount Sinai Health System (New York, NY)
- …+ Prepares reports as directed by the Assistant Vice President or Director. Does data mining, analyses of underpaid claims and detail report reviews. Prepare ... **Job Description** **Financial Analyst Underpayment II- Patient Accounts Corporate 42nd Street...credit balance resolution. + Collects, reviews and investigates unpaid claims internally and with established payers + May work… more
- Mount Sinai Health System (New York, NY)
- …focus on accuracy and compliance. **Preferred Skills:** + In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and ... Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding,… more
- Evolent (Albany, NY)
- …complex analyses into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make ... data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree,… more
- WMCHealth (Valhalla, NY)
- … data feeds, ensuring accuracy and compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy relationships. + ... Compliance Analyst , 340B Program ( On-Site ) Company: WMC...are properly set up and maintained. + Software & Data Management + Maintain, test, and audit split-billing software… more
- Independent Health (Buffalo, NY)
- …other cross-functional teams to align risk adjustment decisions with organizational goals. + Analyze healthcare claims data , enrollment data , and other ... and implement claims review processes to support risk adjustment. Analyze data and provide strategic insights to enhance pricing and financial performance. +… more
- Baylor Scott & White Health (Albany, NY)
- …testing to ensure the accurate configuration of business requirement + Analyze larger sets claims data to evaluate patterns of billing as it relates to benefit ... communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live...claims hospital and medical processing, and adjudication with data skills. + Working knowledge of CPT-4, ICD-10-CM, and… more