- Healthfirst (New York, NY)
- …role: Transactional healthcare data is the lifeline for our value-based payment model. The Risk Adjustment & Encounters Reporting team is unique, as it relies on ... The Senior Healthcare Analyst is responsible for monitoring risk pool performance, communicating financial results and identifying...through encounters prior to their submission to Centers for Medicare & Medicaid Services, and the New York State… more
- Healthfirst (New York, NY)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... is achieving desired results. + Keep abreast of New York Medicaid and Medicare reforms and their impact on Healthfirst and their owner hospital performance. Minimum… more