- Molina Healthcare (Rochester, NY)
- …Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims ... **KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data to determine appropriate configuration changes. + Accurately interprets specific state and/or federal… more
- Molina Healthcare (Rochester, NY)
- …and review new audit tools and techniques and provide recommendations to management * Validates accuracy of new complex configuration processes/solutions * ... **Job Summary** Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information… more
- Molina Healthcare (Rochester, NY)
- …regarding updates/changes to member enrollment, provider contract, provider demographic information , claim processing guidelines and/or system configuration ... Marketplace, Dual coverages/COB. + Knowledge of validating and confirming information related to provider contracting, network management , credentialing,… more
- Molina Healthcare (Rochester, NY)
- …Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims ... and other business requirements. **KNOWLEDGE/SKILLS/ABILITIES** + Trains staff on configuration functionality, enhancements, and updates. + Works with internal and… more
- Molina Healthcare (Rochester, NY)
- …for quality and financial accuracy and provides documented feedback. + Assists in configuration issues and loading of provider information , as needed. + Assists ... **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider … more
- Molina Healthcare (Rochester, NY)
- …system requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Receives information from ... **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …field requirements, process flow specifications and business rule script coding configuration . Develops test scripts to ensure quality and compliance for documents ... attendance is expected and required. + Performs other functions as assigned by management . Level II (in addition to Level I Accountabilities) + Leads document system… more
- Molina Healthcare (Rochester, NY)
- …**Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider ... information on all claims and provider databases. Synchronizes data...requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support… more
- Integrated Security Technologies (Rochester, NY)
- …and work with ground-breaking technology and premier clients. **Quality Assurance Analyst Responsibilities:** The Quality Assurance Analyst is responsible for ... data to troubleshoot performance and production-related problems. + Review configuration files, logs, and code to identify sources of...Assist in the migration of content from legacy file management system to Navex IRM. + Participate in meetings… more
- Deloitte (Rochester, NY)
- …Agent + PMP (Project Management Certification) + Contract & Commercial Management (CCM) Certification Program + Certified Financial Analyst (CFA) + PMI ... technology implementations, automation, data wrangling and document extraction and data management and analytics that help legal departments maximize the strategic… more