- Oracle (Albany, NY)
- …An experienced professional who has an extensive understanding of solutions , industry best practices, multiple business processes, technology designs, and ... with the federal government on healthcare related projects. Operates independently to provide quality work products to internal and external clients. Performs varied… more
- Humana (Albany, NY)
- …in complex Medicare reimbursement methodologies. This role is within the Integrated Pricing Solutions (IPS) department which falls under the Provider Process and ... help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part...compliance + Determine root causes driving issues and developing solutions + Working closely with IT and pricing software… more
- Humana (Albany, NY)
- …(EAPG, APR-DRG, MS-DRG, etc). This role is within the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...compliance + Determining root causes driving issues and developing solutions + Working closely with IT and pricing software… more
- Molina Healthcare (NY)
- …- CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider Website, ... date for this position is February.** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development,… more
- Datavant (Albany, NY)
- …of tackling some of healthcare's most complex problems with technology-forward solutions . Datavanters bring a diversity of professional, educational and life ... experiences to realize our bold vision for healthcare. **Role Summary:** The CFO, Provider role is responsible for financial leadership of the Provider division,… more
- CVS Health (NY)
- …are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital ... Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution processes, and collaborates with… more
- Huron Consulting Group (New York, NY)
- …examines the intricate patient care challenges encountered by payor and provider healthcare entities to stabilize business today and create tomorrow's growth ... world's leading healthcare organizations. As a Consulting Director on Innosight's Healthcare Provider Strategy & Innovation team, you will serve as a trusted advisor… more
- Molina Healthcare (Buffalo, NY)
- JOB DESCRIPTION Job Summary Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, ... of claims. **Essential Job Duties** * Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates… more
- Datavant (Albany, NY)
- …of tackling some of healthcare's most complex problems with technology-forward solutions . Datavanters bring a diversity of professional, educational and life ... Role** We are seeking a **Senior Director of Product** to lead the ** Provider Experience Zone** -owning the strategy, vision, and execution of a cohesive, scalable,… more
- CenterWell (Albany, NY)
- …help us put health first** The Associate Vice President of Home Health Provider Contracting will lead a focused team responsible for negotiating and managing ... put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest...and professional well-being, all from day one. The Home Solutions business segment is comprised of two major brands… more
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