- 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 (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
- Molina Healthcare (Syracuse, NY)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
- New York State Civil Service (NY)
- …People With Developmental Disabilities, Office for Title Senior Administrative Analyst Occupational Category Financial, Accounting, Auditing Salary Grade 18 ... disabilities. Within the Department of Quality Assurance, the Senior Administrative Analyst will serve as a regional logistics coordinator, focusing on supporting… more
- New York State Civil Service (Schenectady, NY)
- …HELP No Agency People With Developmental Disabilities, Office for Title Data Analyst 1 Occupational Category Other Professional Careers Salary Grade 18 Bargaining ... 12304 Duties Description Under the direction of the Data Analyst 2 in the Bureau of Data Reporting and...maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on… more
- Stony Brook University (Stony Brook, NY)
- Senior Financial Analyst , Revenue Cycle Management **Position Summary** At Stony Brook Medicine, the Senior Financial Analyst , Revenue Cycle Management is ... system, electronic medical record and departmental documentation programs. The CDM Analyst will continually interact with Hospital department staff to ensure that… more
- Molina Healthcare (Yonkers, 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
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing… more