- Molina Healthcare (Albany, NY)
- …of the role. + Validate findings and test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Molina Healthcare (Albany, NY)
- …of the role. + Validates findings and test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE, OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... Services Payments Unit is recruiting one (1) Administrative Staff Analyst (NM-2) to function as the Director of Human...the Director of Human Service Payments who will: - Lead the Contract Agency Monthly Financial Report (CAMFR) Unit,… more
- Highmark Health (Albany, NY)
- …issues affecting claims or inquiry processing with Membership and Billing personnel. Lead or participate in higher level AR tasks and projects, typically related ... and programs as necessary; may have budgetary responsibility and authority. + Lead daily Receivables Management operations. This is a "hands-on" position, requiring… more
- City of New York (New York, NY)
- …plan. The Director will report to the Assistant Commissioner directly and will lead the annual budgetary process to fund ongoing projects and new initiatives, and ... materials; managing all grant-related activities including expenditures; deliverables, fiscal claims , evaluations, and reporting; and providing guidance to partner… more
- Trinity Health (Albany, NY)
- …healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical risk ... Works with leadership to develop risk mitigation plans associated with litigated claims . Ensures that patient care-related incidents are reported to Trinity System… more
- Evolent (Albany, NY)
- …engineer, stakeholder teams through Technical Domain Forums (bringing all Pos, Lead engineers, and stakeholders into a consistent forum to cross collaborate) ... + Bachelor's Degree + 2+ years' experience in healthcare, IT business analyst , and/or product management + Experience working with FHIR - based solutions… more