- Molina Healthcare (Buffalo, NY)
- …claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed ... on databases and ensure adherence to business and system requirements of customers as it pertains...in defect resolution for assigned component + Assists with development of configuration standards and best practices while suggesting… more
- Molina Healthcare (Yonkers, NY)
- …partnering with the proper HRIT support team members, the system vendors, and the development teams for those vendors * Gather business requirements for defects ... problems and develops recommendations and strategies for long-term solutions to HR business leaders using latest system technology tools and practices, as well as… more
- Molina Healthcare (Buffalo, NY)
- …and trends. + Support ad-hoc projects related to contract analysis, new business development , financial projections, budgeting, and acquisitions. + Manage and ... DESCRIPTION** **Job Summary** Manages a team responsible for supporting value- based contracting across the organization, including analysis of contract… more
- Molina Healthcare (Queens, NY)
- …and risk adjustment accuracy through consistent provider meetings, action item development and execution. * Addresses challenges/barriers in the practice environment ... Health Plan and with shared service partners to ensure alignment to business goals. * Assist Provider Engagement Specialists with training and problem escalation.… more
- Molina Healthcare (Albany, NY)
- …and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare ... studies related to the quantification of medical interventions. + Work with business owners to track key performance indicators of medical interventions + Perform… more
- Molina Healthcare (NY)
- …Responsible for the overall results of multiple sites and/or lines of business . Directly manages Directors and/or Regional Directors in support of servicing members ... environment with dotted line relationships across multiple lines of business . * Sets a positive example for others and...partnerships with other teams and departments, as well as development of their own team. * Meets and exceeds… more
- Molina Healthcare (New York, NY)
- …exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the ... Medicare and Dual Eligible Program and participates in the strategic development of its products and services. Also responsible for operational compliance and… more
- Mount Sinai Health System (New York, NY)
- …the execution of the following tasks as part of clinical and business systems implementation: develop specifications for complex software applications including HL7 ... and other project information; implementation support and maintenance of clinical, business , and ancillary and other integrated systems. In addition this position… more
- Molina Healthcare (Rochester, NY)
- …+ Coordinates with Medical Economics team to meet data analysis and database development needs. + Reviews, evaluates, and improved business logic and data ... the Medical Economics Team. Responsible for staff time keeping, performance coaching, development , and career paths. + Daily management of Data management, Tools &… more
- Molina Healthcare (Albany, NY)
- …Special Investigations Unit (SIU) Manager, Director, and team in the general development of the Operational Oversight Program including, but not limited to, creating ... own inventory of regulatory reports. + May support health plans and MHI Business Owners with external regulatory audit requests including the completion of audit… more