- CVS Health (Albany, NY)
- …Tracking Database audits + Support audits out of QNXT and PRMS systems to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as ... strategic thinking + Able to drive decisions based on data analysis + May be asked to support other...**Education** Bachelor's degree preferred / specialized training / relevant professional qualifications **Pay Range** The typical pay range for… more
- Mount Sinai Health System (New York, NY)
- …Utilizes internal and community resources, electronic medical record and Centers for Medicare and Medicaid data to educate patients and form a care plan with ... Bachelors degree in Health Sciences, Social Work or other professional degree. + 1-3 years relevant experience in patient...+ Initiates and documents patient interventions and referrals for data analysis. Uses evidence based research to assist in… more
- Cardinal Health (Albany, NY)
- …investigations to resolve ethics and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director, this position supervises and manages ... compliance audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services. This position will… more
- Lundbeck (Massapequa, NY)
- …a new therapeutic class + Strong analytical background, and experience using sales data reporting tools to identify trends + Strong leadership through ... County & Long Island **SUMMARY:** Are you a results-driven biopharmaceutical sales professional looking to be part of an organization that values being curious,… more
- Lundbeck (Schenectady, NY)
- …fully integrated account plans + Strong analytical background, and experience using sales data reporting tools to identify trends + Experience in product ... Schenectady and Utica, NY. **SUMMARY:** Are you a results-driven biopharmaceutical sales professional looking to be part of an organization that values being… more
- St. Mary's Healthcare (Amsterdam, NY)
- …safety strategies to ensure a safe environment for patients, associates, and visitors. Reporting to the President and CEO, the role Is responsible for the ... to disaster or potential disaster situations. Provide warnings and emergency data to the organization, and operations/technical support to leadership before, during,… more
- Molina Healthcare (NY)
- …+ Prior professional experience utilizing Microsoft Excel (eg, performing basic data analysis in excel and utilizing pivot tables and various functions such as ... troubleshooting. **Job Duties** + Research, review, and decipher state-specific Medicaid and Medicare reimbursement methodologies for providers, including hospitals… more
- Humana (Albany, NY)
- …address gaps to targeted metrics. Leverages market level projections and experience data tools to research root cause and capture insights. Researches and ... relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills + Experience in… more
- Molina Healthcare (Yonkers, NY)
- …of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement ... **Preferred Experience** 1 year of experience in Medicare and in Medicaid . **Preferred License, Certification, Association** + Certified Professional in… more
- Sumitomo Pharma (Albany, NY)
- …various payers (commercial and government payers to include FFS and Managed Medicaid ) and remove reimbursement barriers to treatment + Build and maintain strong ... and adherence to compliance and corporate policies including appropriate documentation and reporting **Who You Are** You are a highly motivated, engaging and… more