- Molina Healthcare (Albany, NY)
- …Effectively uses current and emerging technologies. This position will be focused on Medicare Stars requirements and data review. Please make sure to include ... Designs and implements processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to… 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 ... solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for rate tracking...related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP * Develops custom health plan reports related to… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... Supports existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance,… more
- Elevance Health (Latham, NY)
- …to: + Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and data ... **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid...to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make… more
- Molina Healthcare (Albany, NY)
- … mining, verification, scrubbing, and root cause analysis. + Do root cause analysis for business data issues as assigned by the team lead . + Analyze data ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along… more
- Trinity Health (Albany, NY)
- …healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical risk ... **SUPERVISES:** none **CAREER PATH:** Management **OPERATIONS/COMPLIANCE:** Is responsible for data management, investigation & reporting. Supports the education components… more