- New York State Civil Service (Albany, NY)
- …Agency SUNY System Administration Title The State University of New York - Senior Counsel - Health Affairs Occupational Category Legal Salary Grade NS Bargaining ... provides legal services and support to the Board of Trustees, the Chancellor and senior officers for the State University of New York (SUNY) at SUNY System… more
- CVS Health (Albany, NY)
- …hours. No nights, no weekends and no holidays. **Position Summary** The Senior Clinical Strategist works with assigned Aetna Medicare Provider Collaboration ... and quality but will also focus on improvements in utilization and cost. The Senior Clinical Strategist works to drive clinical performance of assigned Medicare … more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… 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 ... equivalent credential required + Proficient in CPT, HCPCS, revenue codes, and Medicare billing regulations. + Advanced proficiency in Epic, especially in EAP… more
- Humana (Albany, NY)
- …caring community and help us put health first** The CenterWell Strategy Senior Consultant provides data-based strategic direction to support broader team and ... for business segments or the company at large. The Senior Consultant works on problems of diverse scope and...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Senior Application Architect designs and develops IT applications architecture solutions to business ... in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments involve moderately complex to complex issues… more
- Trinity Health (Schenectady, NY)
- …to promote and maintain the health of participants enrolled in Eddy Senior Care through teaching, counseling, and appropriate preventive services. The Registered ... the Elderly (PACE)--a unique model that is both the Medicare /Medicaid insurer and healthcare provider--giving us maximum ability to...are at full risk, with the ability to combine Medicare and Medicaid resources to provide care in creative… more
- Molina Healthcare (NY)
- …Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing ... in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, the CDPS model… more
- NASCO (Albany, NY)
- **Overview** The Senior Corporate Counsel, Compliance & Commercial operates under general direction and is responsible for providing legal and regulatory guidance to ... laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on… more
- Molina Healthcare (New York, NY)
- …subject matter expertise to successfully engage high priority providers, including senior leaders and physicians, to ensure provider satisfaction, education on key ... * Resolves complex provider issues that may cross departmental lines and involve Senior Leadership. * Serves as a subject matter expert for other departments. *… more
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