- Highmark Health (Albany, NY)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** Work with Pharmacy Markets business owners, stakeholders and other management, as required, to ... achieve Pharmacy Markets growth objectives. Organize and coordinate Pharmacy Markets activities to focus on the successful delivery of desired results. Monitor… more
- Albany Medical Center (Albany, NY)
- …analysis. The Epic Analyst will be a part of the Willow ( pharmacy ) team. + Optimize Epic Willow application (Inpatient and/or Ambulatory) + Conduct analysis of ... Day (United States of America) Salary Range: $71,612.39 - $110,999.20 The Epic Analyst is responsible for building, maintaining and modifying Epic and other third… more
- Intermountain Health (Albany, NY)
- …lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and ... scheduling, time and attendance, customer relationship management) + The staff Analyst is responsible for providing technical support, configuration, and maintenance… more
- Molina Healthcare (Albany, NY)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and… more
- Baylor Scott & White Health (Albany, NY)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... TPA business requirements preferred.Experience with healthcare encounters, enrollment and pharmacy data preferred. **BENEFITS** Our competitive benefits package includes… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy , Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep… more
- Molina Healthcare (Albany, NY)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy , Lab and HEDIS rates * Assists and collaborates with the national Risk… more
- MVP Health Care (Schenectady, NY)
- …and continuous improvement. To achieve this, we're looking for a Technical Business Analyst Encounter Data Integrity & Delivery to join #TeamMVP. If you have a ... root cause analysis of rejections with member eligibility, provider, medical & pharmacy data elements, and claim payment information with high integrity +… more
- CVS Health (Albany, NY)
- …ensuring complete and timely reimbursement from pharmaceutical manufacturers for certain pharmacy claims billed to Medicare. The candidate will contribute to ... Bachelor's degree preferred/specialized training/relevant professional qualification. **Preferred Qualifications** + Healthcare/ pharmacy industry experience and knowledge of pharmaceutical products. +… more
- Molina Healthcare (Albany, NY)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Molina Healthcare Core Competencies: Generally, the ability to understand, internalize, exhibit and promote… more
- Molina Healthcare (Albany, NY)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to support the… more