- Molina Healthcare (Rochester, NY)
- …credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. + Develops and ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... reporting with Databricks and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision support, and communicating… more
- Molina Healthcare (Rochester, NY)
- …departments for error resolution, follow up, and performance monitoring. + Understands provider , member, and, inbound claims data compliance in relation to ... **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and...and facilitating calls with cross-functional teams + Claims processing, provider contacting, health data analysis and reporting,… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial… more
- Molina Healthcare (Rochester, NY)
- …finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI ... Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data...to predict future trends in cost, utilization and performance. Provide executive summary of findings to requestors. + Create… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …understanding of non-Actuarial functions such as Rating & Underwriting, Finance, Provider Contracting, Analytics & Data Technology, Population Health Engagement, ... Job Description: Summary: The Actuarial Analyst performs actuarial services in support of Health...and maintains financial solvency through the understanding of current data & environment and modeling of future events. This… more
- Deloitte (Rochester, NY)
- …for this role ends on 10/31/2025 Work you'll do/Responsibilities As a Project Delivery Senior Analyst (PDSA) at Deloitte, you will work within an engagement team ... a collaborative environment? As an experienced Epic Professional Billing Analyst you will have the ability to share new...be able to perform independent tasks as well as provide technical guidance to team members, as needed. +… more
- University of Rochester (Rochester, NY)
- …determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity ... GENERAL PURPOSE Conducts specialized and highly complex analysis of financial data in support of various finance functions. Responsible for providing … more
- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a ** Senior Statutory Accountant** to join #TeamMVP. This is the opportunity for you ... in Accounting, Finance, or a related field + Financial Planning and Analyst experience preferred + Excellent analytical and problem-solving skills + Strong… more