- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III serves as... data from Epic, QS1, Oracle Cloud, 340B claims data , and wholesaler purchase feeds. + ... Pharmacy Analytics team, advancing Mount Sinai's mission through high-impact data analysis, reporting, and automation to improve pharmacy financial… more
- Mount Sinai Health System (New York, NY)
- …1. Analyzes data requests using information technology, enrollment, claims , pharmacy , clinical, contract, medical management, financial, administrative and ... occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst II collaborates with stakeholders...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …+ Analyzes data requests using information technology, enrollment, claims , pharmacy , clinical, contract, medical management, financial, administrative and ... **Job Description** The Data Science Analyst II collaborates with...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- WMCHealth (Valhalla, NY)
- …accuracy and compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy relationships. + Assist in the implementation ... contract pharmacy relationships, including contract language, fee structures, and data setup, ensuring compliance with 340B requirements. + + Assess cost-saving… more
- Norstella (Albany, NY)
- …to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data -driven healthcare initiatives. In this ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...data analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results,… more
- Molina Healthcare (NY)
- …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , ... actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + Data modelling and… more
- Independent Health (Buffalo, NY)
- …teams to align risk adjustment decisions with organizational goals. + Analyze healthcare claims data , enrollment data , and other relevant information to ... and implement claims review processes to support risk adjustment. Analyze data and provide strategic insights to enhance pricing and financial performance. +… more
- Evolent (Albany, NY)
- …analyses into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations ... data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree,… more
- Molina Healthcare (Buffalo, NY)
- …technical solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , pharmacy , and lab datasets. + Build ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating… more
- Highmark Health (Albany, NY)
- …+ 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project ... Highmark Health **Job Description :** **JOB SUMMARY** This job creates data -driven insights which identify actionable opportunities and/or create analytics and… more