- Humana (Albany, NY)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an ... complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new states. The business … more
- Molina Healthcare (Yonkers, NY)
- …synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid , and Marketplace lines of business . + Certified ... Summary** Provides lead level support as a highly capable business analyst who serves as a key...and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State… more
- Molina Healthcare (NY)
- …business needs. Performs analysis across multiple states and lines of business ( Medicare , Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment… more
- Mount Sinai Health System (New York, NY)
- …CPT codes for existing and new services. Assures that updated fee schedules for Medicare , Medicaid , commercial and managed care carriers are correctly entered in ... **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd...resolving billing disputes. + Keeps abreast of changes in Medicare and Medicaid regulations that impacts Practice… more
- Molina Healthcare (Yonkers, NY)
- …their financial and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare… more
- Stony Brook University (East Setauket, NY)
- …role. + Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of ... Revenue Cycle Analyst **Position Summary** At Stony Brook Medicine the...support and analytical and reporting services throughout the hospital's Business Office. This position will work closely with subject… more
- Mount Sinai Health System (New York, NY)
- …system such as IDX, Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, ... **Job Description** The Data Science Analyst III is a senior role, collaborating with...develop sophisticated analytics to provide information, insights and BI ( Business Intelligence) solutions that contribute to sound strategic planning,… more
- Mount Sinai Health System (New York, NY)
- …system such as IDX, Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, ... **Job Description** The Data Science Analyst II collaborates with stakeholders from across the...develop sophisticated analytics to provide information, insights and BI ( Business Intelligence) solutions that contribute to sound strategic planning,… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to… more
- Molina Healthcare (NY)
- …+ Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...senior analysts. + Document data sourcing steps, methodologies, and business rules to promote traceability and team learning. +… more