- CVS Health (Albany, NY)
- …market performance but help to shape and drive the markets bid strategy. + An analyst of Medicare business performance, meaning that the role is expected ... with heart, each and every day. **Position Summary** The Medicare Performance Management Lead Business Consultant will...market and segment leadership teams. + A liaison between senior management and local market leaders. + Lead process… more
- Molina Healthcare (Syracuse, NY)
- …pertaining to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr . Analyst works with health plans and operations departments to ... of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the...and compliance with State and Federal regulatory guidelines. The Sr . Analyst develops and performs audits and… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... needs. Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and… 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 business issues related to cost, utilization and revenue for...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… more
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a critical role in testing, ... of patients. We are accelerating a transition to a business model focused on population health management - our...within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System… more
- Independent Health (Buffalo, NY)
- …culture that fosters growth, innovation and collaboration. **Overview** As a Risk Revenue Analyst - Senior the incumbent will provide a full scope of actuarial and ... statistical analyses, specifically designed to support pricing and bidding for Medicare Advantage plans. Such projects will support both internal and external… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Hospital Billing) Analyst who will primarily be ... of patients. We are accelerating a transition to a business model focused on population health management - our...contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team… more
- CVS Health (Albany, NY)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... tools, social media and internet research. + Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... analytics to provide information, insights and BI ( Business Intelligence) solutions that contribute to sound strategic planning, decision-making, goal setting, and… more
- Molina Healthcare (NY)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and… more