- Outreach Development Corporation (Richmond Hill, NY)
- …behavioral health services and training. For more information, please visit www.opiny.org. The Sr . Director of Finance will serve a key member of the financial ... $150,000. Job Scope Working closely with the CFO, the Sr . Director for Finance will provide Financial Leadership and...Assist in leading the annual budgeting process, working with senior management and program leadership to set realistic financial… more
- Catholic Health Services (Rockville Centre, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Senior Financial Analyst reports to the Reimbursement team within the Corporate Finance ... for analyzing and optimizing healthcare reimbursement strategies and ensuring compliance with payer regulations and government reimbursement methodologies. This… more
- Public Consulting Group (Albany, NY)
- …more, visit www.publicconsultinggroup.com . Summary: We are seeking a senior -level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant ... background in data science, healthcare analytics, and a deep understanding of Medicaid waivers. **Duties and Responsibilities** + Serves as project manager and… more
- Humana (Albany, NY)
- …claims operations, and other business teams involved in the administration of Medicaid business at Humana. The Senior Business Intelligence Engineer will ... development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance ( Professional Billing) Analyst who will primarily ... to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's...be responsible for tracking, trending, and analyzing professional billing (PB) contract compliance issues. This… more
- Humana (Albany, NY)
- …community and help us put health first** The Value Based Market Support Senior Professional is responsible for providing comprehensive market support across ... Responsible for end to end market support for assigned Medicaid markets to ensure markets achieve their VBP contract...+ Consult with market on VBP strategy to ensure compliance with contractual requirements and market goals + Provide… more
- CDS Life Transitions (Webster, NY)
- Summary: The Senior Compliance and Quality Specialist is responsible for coordinating and monitoring PCC's internal audit and validation processes. This role ... and maintaining policies, procedures, and standard operating procedures related to compliance and quality. + Coordinate, assign and manage audit schedules. +… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Senior Data & Reporting Professional tests the overall network in each county of ... to ensure the network is strong enough to support serving customers. The Senior Network Adequacy Professional work assignments involve moderately complex to… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Senior IT Procurement Professional establishes and implements the onboarding of IT Contingent ... assessments, consolidating the IT supply base, alongside run-the-business initiatives). The Senior IT Procurement Professional generates and implements efficient… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Senior Associate Benefits Professional applies forward-looking, innovative thought to strategy, ... the company as an employer-of-choice in the present and future. The Senior Associate Benefits Professional work assignments involve moderately complex to… more