- Elevance Health (Middletown, NY)
- ** Medicare Risk Adjustment Advanced Analytics Analyst ** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Analyst ** is...Analyzes and develops SAS and SQL programming to support Medicare Advantage risk adjustment initiatives. + Performs data… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior...Health System. Serves as mentor to others in the Data Science team and takes the lead role ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more… more
- Centene Corporation (New York, NY)
- …retention and overall STAR rating. Handles large and complex internal and external data initiatives, lead as subject matter expert in all things related ... providing examples of any gaps that could change our Medicare STAR rating by H-contract. Able to interpret and...bonus. + Oversees training and mentoring other business and data analysts both internal and external to the team.… more
- Molina Healthcare (Buffalo, NY)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding… more
- Molina Healthcare (Yonkers, NY)
- …well as Reporting modules related to Risk Adjustment for Medicaid, Marketplace and Medicare /MMP. + Assist Risk Adjustment Data Analytics Leaders in developing ... **Job Description** **Job Summary** The Analyst , Risk Adjustment-Predictive Analytics role will support Molina's...cause analysis. + Do root cause analysis for business data issues as assigned by the team lead… more
- Molina Healthcare (Yonkers, NY)
- …to management + Lead projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports + Serve as subject matter ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Risk Management Analyst ** **FT Days- M-F onsite** **Mission Statement:** We, St Peter's Health ... healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical risk… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
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