- MVP Health Care (Rochester, NY)
- …or HR) preferred. 2+ years of experience in credentialing, compliance, or quality assurance. Experience in healthcare or insurance credentialing preferred. ... customers in every interaction Your key responsibilities: Conduct thorough quality control reviews of credentialing/recredentialing files and documentation. Verify… more
- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a Professional, Quality Analyst to join #TeamMVP. This is the opportunity for you ... with large data sets required 3 years of analytics experience with healthcare quality data highly preferred Subject matter expertise in healthcare data-… more
- Deloitte (Rochester, NY)
- …accordance with established medical and legal requirements + Interact with healthcare professionals to provide report-specific feedback and assist in resolving ... / personal health information + Consistently meet individual productivity and quality goals The Team Deloitte's Government and Public Services (GPS) practice… more
- Molina Healthcare (Rochester, NY)
- …and work PST hours. **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… more
- Molina Healthcare (Rochester, NY)
- …Microsoft Azure, AWS or Hadoop. * 3-5 Years of experience with predictive modeling in healthcare quality data. * 5+ Years of experience in Analysis related to ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Rochester, NY)
- …Microsoft Azure, AWS or Hadoop. + 1-3 Years of experience with predictive modeling in healthcare quality data. + 1-3 Years of experience in Analysis related to ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Rochester, NY)
- …up process for monitoring, tracking, and trending department data, including quality measures, effectiveness of communications, and process improvements. + Works ... equivalent combination of education and experience **Preferred Experience** 3-5 year Quality and/or Medicare Stars knowledge highly preferred To all current Molina… more
- Molina Healthcare (Rochester, NY)
- …+ Flexibility to meet changing business requirements, strong commitment to high quality , on time delivery + Previous process improvement experience + Previous ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** The Lead Analyst , Advanced Provider Data Management is responsible for analyzing and understanding business processes, ... technical expertise, and the ability to mentor and support other analysts. The Lead Analyst often acts as a liaison between the business units and IT, ensuring that… more
- Molina Healthcare (Rochester, NY)
- …network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...access to quality care with improved outcomes through better coordination and… more
- Molina Healthcare (Rochester, NY)
- …network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...access to quality care with improved outcomes through better coordination and… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the timely and ... a production-based role, with clear expectations for meeting production and quality standards. **Job Duties** + Reviews and analyzes claims-related issues submitted… more
- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Professional, Quality Analyst ** to join #TeamMVP. This is the opportunity for you ... with large data sets required + 3 years of analytics experience with healthcare quality data highly preferred + Subject matter expertise in healthcare data-… more
- Molina Healthcare (Rochester, NY)
- …software engineers on multiple projects for project deliverables, assess deliverables' quality , plan and implement corrective and preventive actions to improve ... application quality . * Evaluates alternative systems solutions and recommends solution...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Rochester, NY)
- …management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. + ... improvement processes to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of the claim payment system… more
- Molina Healthcare (Rochester, NY)
- …areas. + Quality review and submission of deliverables to Molina Healthcare Government Contract and to State Medicaid Agencies. + Tracking all contractual ... complex enrollment issues concerning member eligibility. + QNXT + Healthcare experience + SQL-preferred **Job Qualifications** **Required Education** Associate's… more
- Molina Healthcare (Rochester, NY)
- …management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. + ... improvement processes to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of the claim payment system… more
- Molina Healthcare (Rochester, NY)
- …accuracy in a timely manner to meet department standards of turnaround time and quality . + Audit loaded provider records for quality and financial accuracy and ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Rochester, NY)
- …and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Audits loaded provider records for quality and financial accuracy and provides documented feedback. + Assists ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Rochester, NY)
- …improvement processes to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of application upgrades and ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
