- Molina Healthcare (Syracuse, NY)
- …making as well as designing, developing, testing, and deploying reports to provider networks and other end users for operational and strategic analysis. ... **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Healthcare Analytics Team activities and personnel. Provides technical expertise, manages… more
- Sharecare (Albany, NY)
- …exchange, delivery and integration of Protected Health Information to thousands of Healthcare Providers across the United States. Provider Solutions provides ... and affordable for everyone. To learn more, visit www.sharecare.com. **Job Summary:** Sharecare Provider Solutions is the leader in providing secure electronic… more
- Mount Sinai Health System (Astoria, NY)
- …and Health Plan knowledge preferred. + **Experience:** Two years minimum of healthcare experience including Medicare or Medicaid Provider or Facility Enrollment ... **Job Description** ** Provider Enrollment Analyst-Billing-Full Time-Day-Mount Sinai Queens** The ...education, and innovation as we work together to transform healthcare . We encourage all team members to actively participate… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Provider Data Management and Credentialing Specialist is responsible for ensuring the data integrity for contracted providers. This includes ... ongoing audit of the provider database, monitoring provider sanctions from regulatory...education, and innovation as we work together to transform healthcare . We encourage all team members to actively participate… more
- Elevance Health (Latham, NY)
- …is not eligible for employment based sponsorship. **Develops the provider network through contract negotiations, relationship development, and servicing. Primary ... and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision support, and communicating findings. Qualified candidates are… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions… more
- CVS Health (Albany, NY)
- …all with heart, each and every day. **A Brief Overview** The Lead Director, Provider Data Compliance is responsible for overseeing the compliance of provider ... with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment with regulatory and contractual obligations.… more
- Highmark Health (Buffalo, NY)
- …work with the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders ... to provide the most appropriate support for providers with gain/risk...individualized strategic plans to ensure significant cost savings for provider contract holders using innovative continuous improvement methodologies. This… more
- Anthony Jordan Health Corp (Rochester, NY)
- …patients. While independent, Jordan Health actively collaborates with the major hospital and healthcare systems in our operating area to provide a total safety ... ADVANCED PRACTICE PROVIDER FNP/PA-FAMILY MEDICINE ROCHESTER, NY (http://maps.google.com/maps?q=82+Holland+St+ROCHESTER+NY+USA+14605) * Family Medicine Apply Job Type… more