- Molina Healthcare (Syracuse, NY)
- **(Sales) Compliance Analyst ** Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a ... corporate function supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Sales Compliance Analyst position is primarily responsible for Sales… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... requirements development. + Creating and executing comprehensive test plans + Ongoing Medicare Pricer maintenance, quality assurance, and compliance + Determine… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for… more
- Highmark Health (Albany, NY)
- …:** **JOB SUMMARY** This job partners with business units to ensure compliance to rules, regulations, policies, and procedures of governmental, contractual, and/or ... trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance related processes. + Monitor governance and compliance of… more
- New York State Civil Service (Oxford, NY)
- NY HELP Yes Agency Health, Department of Title Senior Health Care Fiscal Analyst (NY HELPS) (Veteran Homes Centralized Billing Office) - 90440 Occupational Category ... entries to general ledger accounts. Ensure financial records are maintained in compliance with accepted policies and procedures.* Prepare and post journal entries,… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Actuarial Analyst 2, Pricing is responsible for supporting the implementation of rates, new plans and ... maintains pricing tools that price standard and custom benefits. The Actuarial Analyst 2, Pricing work assignments are varied and frequently require interpretation… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy trends, researching all… more
- Catholic Health Services (Rockville Centre, NY)
- …Health was named Long Island's Top Workplace! Job Details The Senior Financial Analyst reports to the Reimbursement team within the Corporate Finance department, and ... for analyzing and optimizing healthcare reimbursement strategies and ensuring compliance with payer regulations and government reimbursement methodologies. This… more
- Mount Sinai Health System (New York, NY)
- …outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** ... **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd...and new services. Assures that updated fee schedules for Medicare , Medicaid, commercial and managed care carriers are correctly… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Financial Analyst /CDM Chargemaster -Corporate-Full-Time Days (REMOTE)** We seek an experienced Senior Financial Analyst / CDM ... Chargemaster with strong medical coding expertise to support the maintenance, compliance , and optimization of the hospital Charge Description Master (CDM). The ideal… more