- Molina Healthcare (Buffalo, NY)
- …etc. **PREFERRED EXPERIENCE:** + SQL expertise + Excel expertise + Medicare , Medicaid , Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment ... **Job Description** **Job Summary** Assist business teams with developing requirements for major projects...+ Fields direct questions from Molina Operations Staff regarding business , technical and operations rules. + Develops technical solutions… more
- Humana (Albany, NY)
- …actuarial and business needs for specific product lines. The Actuarial Analyst 2, General work assignments are varied and frequently require interpretation and ... community and help us put health first** The Actuarial Analyst 2, General provides actuarial support across a broad...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... of patients. We are accelerating a transition to a business model focused on population health management - our...Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding,… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... of patients. We are accelerating a transition to a business model focused on population health management - our...System. MSHP seeks a Senior Contract Compliance (Hospital Billing) Analyst who will primarily be responsible for tracking, trending,… more
- Healthfirst (NY)
- …within Regulatory Affairs team. + Communicates and coordinates any New York Medicaid Choice (NYMC) to internal departments and ensures that all questions and ... Provides support to all internal stakeholders during the annual Medicare Go to Market project in preparation for the...all levels of the organization including Clinical staff and business stakeholders + Ability to effectively and efficiently adapt… more
- Molina Healthcare (Buffalo, NY)
- …experience on researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding experience ... data among operational and claims systems and application of business rules as they apply to each database. Validate...to be housed on databases and ensure adherence to business and system requirements of customers as it pertains… more
- CVS Health (Albany, NY)
- …+ Pharmacy Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in ... tools, social media and internet research. + Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE +… more
- Molina Healthcare (Albany, NY)
- …synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid , and Marketplace lines of business . + Certified ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State...+ At least 7 years of experience as a Business Analyst or Program Manager in a… more
- Molina Healthcare (Albany, NY)
- …to synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid , and Marketplace lines of business . + PMP, Certified ... + At least 7 years of experience as a Business Analyst or Program Manager in a...experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning… more
- City of New York (New York, NY)
- …millions of dollars in annual Medicaid spending. This work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The Department of… more