- 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
- 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
- Mount Sinai Health System (New York, NY)
- …Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including institutional, as well as ... with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of...Five years minimum of managed care experience in insurance claims or contracts Four to Five years of financial… more
- CVS Health (Albany, NY)
- …evaluating and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth ... with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider… 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 ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Highmark Health (Albany, NY)
- …+ 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project ... Highmark Health **Job Description :** **JOB SUMMARY** This job creates data -driven insights which identify actionable opportunities and/or create analytics and… more
- IBM (New York, NY)
- …including content creation, review and approval, digital asset management (DAM), claims management, and modular content * Implement client's E2E content supply ... end to end content lifecycle * Ensure quality of data best practices in Veeva PromoMats and adherence to...content creation, review and approval, digital asset management (DAM), claims management, and modular content * Consulting experience with… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Healthcare Risk Management** **FT Days- M-F onsite** RNs, Pharmacists, Social Workers ... healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical risk… more
- Evolent (Albany, NY)
- …research skills + Microsoft Office experience (Excel, Visio) + Understanding of healthcare data formats (eg, eligibility, claims , configuration, ... key member of the Product team, focused on client data integrations. This individual will play a critical role...(Required):** + Bachelor's Degree + 2+ years' experience in healthcare , IT business analyst , and/or product management… more
- CDPHP (Albany, NY)
- …of the health care system and experience working with physician or hospital claims /group data preferred. In depth knowledge of product and member desirable. ... growth, compliance, and affordability objectives across the enterprise. The analyst collaborates with a multidisciplinary team (eg, clinical, financial, sales,… more