- 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 ... + Knowledge of claims / claims processing. + Experience working within Payment Integrity and/or Prepayment solutions. + Project Management, and/or Technical … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …simultaneously such as product manager and user experience lead along with program manager responsibilities. Creates the Clinical Operations project work plans ... professional standards among staff. + Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and… 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
- 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
- DoorDash (New York, NY)
- …About the Role As a senior product designer on the Merchant Experience & Integrity team, you will spearhead an exciting new initiative aimed at supporting merchants ... and our industry is what we do on every project , every day. + We are learners - Everyone...basic life insurance, family-forming assistance, and a mental health program , among others. To learn more about our benefits,… more
- Trinity Health (Syracuse, NY)
- …a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other ... equipment planning, supporting building activation and occupancy, and finalizing project close-out on projects. Manages projects with complete scope, schedule,… more
- University of Rochester (Albany, NY)
- …organized Project Coordinator to support the Perinatal ECHO (Extension for Community Healthcare Outcomes) program . The Perinatal ECHO program aims to ... to expert specialists in perinatal care, fostering continuous learning and improving healthcare outcomes. The Project Coordinator will be responsible for… more