- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is...the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will… more
- Mount Sinai Health System (New York, NY)
- …degree or greater in related field or equivalent education/experience Five years minimum of managed care experience in insurance claims or contracts Four to Five ... **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare...and Medicaid policies, regulations, legislation and other proposals, including managed care payer reimbursement policy changes. 8.… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... **Job Description** The Data Science Analyst III is a senior role, collaborating with...to inform our clinical or contracting staff to improve contract outcomes. b. Care Management Helps to… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... **Job Description** The Data Science Analyst II collaborates with stakeholders from across the...years minimum in analytics development expertise, preferably in health care , or for a health provider, health plan or… more
- Catholic Health Services (Rockville Centre, NY)
- …new entities on the Strata Decision Support system. Provides accurate cost data for managed care contract negotiations. Assists in the preparation of ... Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service,...of the Director of Decision Support, the Decision Support Analyst is responsible for the maintenance and update of… more
- Molina Healthcare (Syracuse, NY)
- …adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims Operations… more
- Evolent (Albany, NY)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Elevance Health (Latham, NY)
- …broad range of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. + For URAC accredited areas, the ... ensures essential face-to-face onboarding and skill development. The **Behavioral Health Care Manager II** is responsible for managing psychiatric and substance… more
- Mount Sinai Health System (New York, NY)
- …cycle, including pre-award budget development, post-award monitoring, program sub- contract management, and grant closeout procedures. Provides technical assistance ... guidance in the preparation, submission, processing and management of research grants, contract proposals, awards and all agreements for Research teams within the… more
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