- Molina Healthcare (Yonkers, NY)
- …network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary)… more
- Molina Healthcare (Syracuse, NY)
- …network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary)… more
- Molina Healthcare (Rochester, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... improvement processes to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of application upgrades and… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. **Business Analyst - Data Quality in Albany, NY** **Division of Data Services & ... Analytics (DDSA)** **Data Quality Team** **Item 1302** The **Business Analyst **...years of professional experience required + Experience working with healthcare data, particularly claims , member, and provider… more
- Molina Healthcare (Buffalo, NY)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... accuracy in a timely manner to meet department standards of turnaround time and quality . + Audit loaded provider records for quality and financial accuracy and… more
- Molina Healthcare (Yonkers, NY)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information (using SQL, PowerBI, ... and Excel) on all claims and provider databases. Synchronizes data among multiple ...and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs.… more
- Molina Healthcare (Buffalo, NY)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. +… more
- Molina Healthcare (Yonkers, NY)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Audits loaded provider records for quality and financial accuracy and provides documented feedback. + Assists… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ? Experience in ... largest US health systems with a strong reputation for quality of care and research. We have over 38,000...System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending,… more
- MVP Health Care (Rochester, NY)
- … data highly preferred + Subject matter expertise in healthcare data- claims , coding, HIE's etc. Experience with quality metrics, (NCQA HEDIS and NYS ... improvement. To achieve this, we're looking for a **Professional, Quality Analyst ** to join #TeamMVP. This is...opportunity for you if you have a passion for healthcare , innovation, and collaboration. **What's in it for you:**… more