- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... Supports existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance,… more
- The Cigna Group (New York, NY)
- …to go into the NYC office two times per month._** The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team ... and reports to the Contracting Manager or Market Lead . This role assists and supports the day to...Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. + Creates… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... or underpayment. + Utilize QNXT to research claims history, provider contract setup, and benefits configuration. + Work cross-functionally with Configuration,… more
- GE Aerospace (Schenectady, NY)
- **Job Description Summary** The Lead Government Business Controllership Travel Analyst is responsible for developing and maintaining Standard Operating ... standards of accuracy and compliance. **Job Description** **Essential Responsibilities** The Lead Government Business Controllership Analyst will work seamlessly… more
- Molina Healthcare (Syracuse, NY)
- …**Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + Assists… more
- Molina Healthcare (Syracuse, NY)
- …materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare. ... Utilization mgmt. trends and monitor pair mix. + Experience with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics… more
- Molina Healthcare (Yonkers, NY)
- …an overall Zero Trust methodology. We are looking for functional and technical lead with strong experience in Identity Access Management (IAM) with strong experience ... and design standards. + Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality. + Recommends, schedules, and performs… more
- Northwell Health (Melville, NY)
- …specialty, service line, years of relevant experience, education, credentials, negotiated contracts , budget and internal equity). The salary range for this position ... is $98,300-$170,100/year It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status,… more
- University of Rochester (Rochester, NY)
- …written and verbal communication skills required + Deep understanding of contracts , legal terminology, contract governance, contractual language and the ... **Responsibilities:** GENERAL SUMMARY Responsible for administration and execution of contract functions for department and related activities. Works closely with… more
- University of Rochester (Rochester, NY)
- …contracting compliance program, ensuring alignment with all relevant laws and regulations. + ** Contract Review & Negotiation** : Oversee and lead the review, ... : Lead investigations of suspected non-compliance or violations of contract terms, recommend corrective actions, and ensure resolution. + **Audit Management** :… more
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