- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Medicare Coverage Analyst functions as a key contact person between UMU clinical research departments and sites/hospitals finance for clinical ... trials coverage analyses (CTCA) issues to ensure billing compliance and mitigate risk; reviews budgets on a per-trial basis to ensure accuracy; develop CTCAs timely; documents and disseminates CCA determinations. ensures that final contract terms are… more
- 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...law._ The ** Medicare Risk Adjustment Advanced Analytics Analyst ** is responsible for employing advanced analytics to gain… more
- Healthfirst (NY)
- …of material reviews in HPMS. + Actively participates in the annual Medicare Go to Market process, including working with internal stakeholders on developing ... deliverables as needed. + Assists in the preparation of Medicare Part C and D reporting via HPMS, including...knowledge of Microsoft Office Suite applications. + Knowledge of Medicare and CMS guidelines as it relates to member… more
- Molina Healthcare (Rochester, NY)
- …business analysis, task and workflow analysis. + Subject matter expert of Medicare and Healthcare enrollment 834 files. + Interpret customer business needs and ... translate them into application and operational requirements + Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate artifacts as… more
- Molina Healthcare (Syracuse, NY)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment… more
- Actalent (Buffalo, NY)
- Medicare Coverage Analyst - MUST RESIDE IN NY Job Description The Medicare Coverage Analyst is responsible for reviewing clinical trial protocols and ... budgets to determine what costs Medicare will cover and what will be billed to...errors, and supporting accurate budgeting for research studies. The analyst also collaborates with research and finance teams to… more
- Molina Healthcare (Buffalo, NY)
- …Description** **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
- Mount Sinai Health System (Astoria, NY)
- **Job Description** **Provider Enrollment Analyst -Billing-Full Time-Day-Mount Sinai Queens** The Provider Enrollment Analyst (I) is responsible for completion of ... preferred. + **Experience:** Two years minimum of healthcare experience including Medicare or Medicaid Provider or Facility Enrollment or Credentialing experience… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement Analyst ... in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** + Associate?s degree in… more
- CVS Health (Albany, NY)
- …a Financial Reporting Analyst to join our team. As a Finance Reporting Analyst , you will be supporting the Medicare Finance organization with day to day ... financial and accounting responsibilities. This position will focus on the Aetna Medicare Supplement Insurance business. The Financial Reporting Analyst will… more