- Rochester Regional Health (Rochester, NY)
- Job Title: Reimbursement Analyst - SeniorDepartment: Reimbursement Specialist - Finance Location: Riedman Campus SUMMARY: Provide and maintain Hospital ... reimbursement expertise as it relates to Medicare , Blue Cross and Medicaid. Prepare annual institutional cost report, physician questionnaire and other third… more
- WMCHealth (Valhalla, NY)
- …reimbursement formulas/calculations in accordance with payment methodology (DRG, Medicare /Medicaid, Managed Care - Commercial, etc,). Validates payment rate ... problems under the technical direction of Information Technology staff and Senior Director-Managed Care. + Writes and maintains reimbursement … more
- Mount Sinai Health System (New York, NY)
- …within Mount Sinai. The team includes 400+ employees with clinical, contracting, finance , IT, analytics, operations, and product development expertise. MSHP is a ... within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System...contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team… more
- Molina Healthcare (Yonkers, NY)
- …provider reimbursement changes + Provide data driven analytics to Finance , Claims, Medical Management, Network, and other departments to enable critical decision ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to… more
- Mount Sinai Health System (New York, NY)
- …Mount Sinai. The team includes 400+ employees with clinical, contracting, finance , IT, analytics, operations, and product development expertise. The Managed Care ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Stony Brook University (East Setauket, NY)
- …hospital Managed Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + ... Senior Revenue Cycle Specialist **Position Summary:** At Stony...Title:** : TH Patient Accounting Specialist **Job Field** : Finance **Primary Location** : US-NY-East Setauket **Department/Hiring Area:** :… more
- Highmark Health (Buffalo, NY)
- …responsible for collaborative work with the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key ... outcomes as a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each individual gain/risk share… more
- Centene Corporation (Latham, NY)
- …or Albany. **Position Purpose:** Provide leadership and oversight of all aspects of finance for the Business Unit + Oversee all finance related activities ... and financial results of the business unit and provide recommendations to senior management + Responsible for the business unit's contribution to corporate +… more
- Albany Medical Center (Albany, NY)
- …The Director prepares annual budget target recommendations in conjunction with AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer ... limited to physician and hospital clinical leadership, legal, compliance, billing, finance , IT, case and utilization management, quality, credentialing, and other… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …assemble and produce documentation and informational materials that will guide Senior Management in making strategic network specific business decisions. Essential ... issues relative to prospective employer groups, tracking and status reporting for senior management. + Creates and maintains network tracking reports by product and… more