- CVS Health (New York, NY)
- …transactions, initiatives, and to support our store colleagues. The Retail Adjudication Products Sr Analyst will work cross functionally with both and external ... to ensure proper functionality and de-collisioning when needed. The Sr Anlayst will work cross functionally with both internal...+ 3+ years of analytical experience within pharmacy, healthcare, managed care , or related field + Attention… more
- Evolent (Albany, NY)
- …analytics or utilization management within a payer, provider, clinical vendor, managed care , or healthcare consulting environment. + Strong understanding ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...mission. Stay for the culture. **What You'll Be Doing:** ** Senior Scope Analyst , Scope Management** The Specialty… more
- Evolent (Albany, NY)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
- Molina Healthcare (Buffalo, NY)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more
- New York State Civil Service (Albany, NY)
- …12229 Duties Description The Office of Financial Management, Strategic Finance and Managed Care Group is recruiting to fill a Senior Health Care Fiscal ... NY HELP Yes Agency Mental Health, Office of Title Senior Health Care Fiscal Analyst / Health Care Fiscal Analyst Trainee, Central Office; Occupational… 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 ... Marketplace and Medicare/MMP + Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates + Assists… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a… more
- Mount Sinai Health System (New York, NY)
- …degree or greater in related field or equivalent education/experience Five years minimum of managed care experience in insurance claims or contracts Four to Five ... **Job Description** The Senior CBO Appeals Analyst position requires...and Medicaid policies, regulations, legislation and other proposals, including managed care payer reimbursement policy changes. 8.… more
- Mount Sinai Health System (New York, NY)
- …clinical, contracting, finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for ... Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who… 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 ... facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft… more