- Highmark Health (Albany, NY)
- …changes across multiple systems, clinical disease process, and healthcare data. As a ** Clinical Business Systems Analyst ** , you will play a critical role in ... OR CERTIFICATIONS** **Required** + None **Preferred** + Six Sigma + Project Management Professional (PMP) + Clinical License **SKILLS** + Analytical Skills… more
- Highmark Health (Albany, NY)
- …as a primary owner of assigned medical policies, ensuring their accuracy, clinical soundness, and operational feasibility. A core responsibility of this position is ... provider experiences with care delivery. The incumbent will also act as a clinical lead and expert on various workgroups, ensuring policies are grounded in strong… more
- Highmark Health (Albany, NY)
- …week (Tuesday-Thursday).** This role supports the full application product lifecycle for ** clinical and utilization management software** , with a specific focus ... and technical teams. They function as a pivotal bridge, translating high-level ** clinical and utilization management software** business needs into detailed… more
- RxBenefits (New York, NY)
- RxBenefits is hiring! We are adding a Strategic Pharmacy Analyst to our growing Business Development team. The Analyst will work closely with our Business ... Development team to achieve sales goals. The Analyst may work remotely or in our Birmingham, AL...it meets the requirements for our comprehensive financial and clinical modeling. + In coordination with small teams, ensure… more
- Mount Sinai Health System (New York, NY)
- …healthcare provider analytics related to revenue modeling, managed care contracting, population management , case management , clinical or financial decision ... 1. Analyzes data requests using information technology, enrollment, claims, pharmacy, clinical , contract, medical management , financial, administrative and other… more
- Intermountain Health (Albany, NY)
- …shape innovative solutions by focusing on products and workflows that impact both clinical staff and patients directly. As an Application Systems Analyst , you'll ... resource planning, workforce scheduling, time and attendance, customer relationship management ). **_Please note that a video interview through Microsoft Teams… more
- Intermountain Health (Albany, NY)
- …shape innovative solutions by focusing on products and workflows that impact both clinical staff and patients directly. As an Application Systems Analyst , you'll ... resource planning, workforce scheduling, time and attendance, customer relationship management ). **_Please note that a video interview through Microsoft Teams… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Attorney General, Office of the Title Medical Analyst : Legal Nurse, Fraud/Patient Abuse (6418) Occupational Category Legal Salary Grade NS ... Medicaid Fraud Control Unit - New York City Medical Analyst Reference No. MFCU_NYC_ MA_6418Application Deadline is February 13,...license; * A minimum of seven (7) years of clinical experience; * Knowledge of the current standards and… more
- Intermountain Health (Albany, NY)
- **Job Description:** The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... for assigned service line(s). This position will support the development and management of integrated charge capture workflows in partnership with senior analysts… more
- Northwell Health (Lake Success, NY)
- …for resolution + Performs ad hoc reporting and analyses for various clinical and administrative departments + Research and report on payer policies that ... new and existing providers for delegated payers and reports discrepancies to management + Analyzes, implements, and maintains revenue cycle activities across sites… more