- Molina Healthcare (Syracuse, NY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops… more
- Molina Healthcare (NY)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research,… more
- Molina Healthcare (Syracuse, NY)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with… more
- Citigroup (New York, NY)
- …consistent data management standards and capabilities to support the Enterprise Risk Management Framework across the enterprise and relevant businesses / ... Metrics and Operating Model across CDGP Data Health, Article V and BCBS 239 Framework + Assist in the...6-8 years of experience in a financial industry and risk management function + Experience in a… more
- Molina Healthcare (Rochester, NY)
- …laws and regulations, which will protect the Business from liability and potential risk . Ensures that the Business understands and complies with applicable laws and ... to the Health Care environment. **Knowledge/Skills/Abilities** The Operational/Regulatory Oversight Analyst works with health plans and operations departments to… more
- Molina Healthcare (Yonkers, NY)
- …investigations, intelligence analysis, insider threat analysis / investigations, or IP risk management . * Strong understanding of the intelligence lifecycle, ... **Job Description** **Job Summary** The Insider Threat Program Analyst is responsible for identifying, analyzing, and mitigating risks associated with insider… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... unfavorable trends, develop recommendations to improve trends, communicate recommendations to management + Lead projects to completion by contributing to ad-hoc data… more
- City of New York (New York, NY)
- …Office of Audit Services and Quality Assurance is recruiting for (1) Administrative Staff Analyst M- V to function as the Deputy Commissioner, who will: - Oversee ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. The… more
- SMBC (New York, NY)
- …of benefits to its employees. **Role Description** The Documentation and Operations Analyst is part of the Administration group within Sumitomo Finance & Leasing ... filings, lien searches, Aspire (leasing system) input for booking, vehicle title management , customer service, contract legal reviews and preparation for funding and… more
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