- Staffing Solutions Organization (Albany, NY)
- …Qualifications:** + 8 years of professional experience required + Experience working with healthcare data , particularly claims , member, and provider domains ... of our clients and the people they serve. **Business Analyst - Data Quality in Albany, NY**...will be responsible for the research and understanding of healthcare data and business context of various… more
- Genesis Healthcare (Roosevelt, NY)
- …and possible career growth opportunities. POSITION SUMMARY: The Licensed Behavior Analyst will provide services designed to facilitate improved behavior and skill ... tests and measurements, curriculum-based assessments, functional behavior assessments, and data collection. 4. Writes daily log notes, quarterly progress notes,… more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support… more
- Molina Healthcare (New York, NY)
- …better health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access… more
- Molina Healthcare (NY)
- …for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...+ 1-3 Years of experience with predictive modeling in healthcare quality data . + 1-3 Years of… more
- Molina Healthcare (Buffalo, NY)
- …Marketplace and Medicare/MMP * Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...* 3-5 Years of experience with predictive modeling in healthcare quality data . * 5+ Years of… more
- Molina Healthcare (Yonkers, NY)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Molina Healthcare (Albany, NY)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… more
- Molina Healthcare (Rochester, NY)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... as they apply to each database. Validate and audit data to be housed on databases and ensure adherence...completion dates with Health Plans. + Lead audits of claims and QNXT configuration to ensure accuracy, completeness, and… more
- Independent Health (Buffalo, NY)
- …reporting for internal and external solutions supporting Reliance Rx initiatives. The Data Validation Analyst develops standard operating procedures (SOPs) for ... for completeness, accuracy, and adherence to business requirements. The Data Validation Analyst is responsible for performing...One (1) year of experience with pharmacy or medical claims and/or data analysis, reporting and/or verification… more
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