- Molina Healthcare (Buffalo, NY)
- Molina Healthcare is hiring for a ** Program Manager - Payment Integrity /Prepayment Solutions Implementation.** This role is remote and can be worked from ... of claims / claims processing. + Experience working within Payment Integrity and/or Prepayment solutions. + Project Management, and/or Technical Project Management.… more
- Molina Healthcare (Albany, NY)
- …pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops and presents Risk Adjustment ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will be responsible for work... Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities… more
- St. Mary's Healthcare (Amsterdam, NY)
- St. Mary's Healthcare is actively recruiting skilled and passionate Emergency Medicine Physicians to join our expert EM team at St. Mary's Hospital, conveniently ... Albany. This is your chance to be part of a high-quality, patient-centered program in a well-established setting. Requisition 3155 Why Choose St. Mary's Emergency… more
- WMCHealth (Valhalla, NY)
- …+ Monitor and assess integrity risks, and ensure that the revenue integrity program is responsive to + those risks. Conducts root-cause analyses with ... regarding the nature, progress, and status of the revenue integrity program , any corrective action being taken,...Prior experience with auditing and internal controls review in healthcare strongly preferred. General knowledge of healthcare … more
- Trinity Health (Syracuse, NY)
- …knowledge of applicable Federal, State, and Local laws and regulations, the Trinity Health Integrity and Compliance Program and Code of Conduct, as well as other ... and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Works closely with… more
- Trinity Health (Syracuse, NY)
- …knowledge of applicable Federal, State, and Local laws and regulations, the Trinity Health Integrity and Compliance Program and Code of Conduct, as well as other ... and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Works closely with… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Integrity Charge Specialist - Medical** **Associates - Albany, NY - FT** If you are ... opportunities and quality of life converge + **Advancement:** Strong orientation program , generous tuition allowance and career development + **Office Hours:**… more
- VNS Health (Manhattan, NY)
- …related field required Work Experience: + Minimum of 5 years of experience in healthcare claims processing, payment integrity , or related field required + Proven ... quality improvement initiatives. This role is critical in ensuring financial integrity , compliance with regulatory requirements, and the delivery of exceptional… more
- WMCHealth (Valhalla, NY)
- …Electronic Medical Records experience preferred. Education: Graduate of an accredited program , degree in healthcare preferred, Bachelor's, preferred. Licenses / ... Revenue Integrity Analyst Company: NorthEast Provider Solutions Inc. City/State:...Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Revenue Integrity Union: No Position: Full Time Hours: 8:30-5pm, M-F… more
- DoorDash (New York, NY)
- …having our customer's back when something goes wrong. The Customer Experience & Integrity team is responsible for turning the most critical customer pain points into ... the Role As part of the Customer Experience & Integrity (CXI) Design team (Support, Fraud, Trust & Safety,...basic life insurance, family-forming assistance, and a mental health program , among others. To learn more about our benefits,… more