- Molina Healthcare (Buffalo, NY)
- …all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims ... systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and… more
- Molina Healthcare (Rochester, 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...as a QNXT SME. + Networx / Pricer and claims experience is highly preferred. + SQL is highly… more
- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a Technical Business Analyst Encounter Data Integrity & Delivery to join #TeamMVP. If you ... science. Three years of experience in a business environment involving the analysis of healthcare or health insurance data sets + The availability to work… more
- Molina Healthcare (Rochester, NY)
- …all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims ... business rules as they apply to each database. Validate data to be housed on provider databases and ensure...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- 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 (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- Baylor Scott & White Health (Albany, NY)
- …working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with Healthcare claims , enrollment and pharmacy data ... + Performs analysis and reporting activities related to risk score calculation, claims /encounters data submission, chart review programs and audits, and related… more
- Healthfirst (NY)
- …plans, hospital, managed long-term care or government programs). + Familiarity with healthcare data . + Experience working with MS Office Suite, including ... Job Description + Deliver data -driven analytics solutions and visualizations provide meaningful, accurate, and consumable information to department leaders. + Define… 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
- 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
- Evolent (Albany, NY)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
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