- 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 ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… 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 within a refresh cycle. **KNOWLEDGE/SKILLS/ABILITIES** + Compile and organize health care data using Databricks and Spark SQL programming, Notebooks,… 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 ... that give incentives to providers and healthcare systems that deliver better health , more affordably. Performs research, financial modeling, and analysis of complex… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, ... pend and rejection inventory, and works with other areas including IT, health plan, claims, provider, enrollment, regulators, and external vendors, as needed, to… more
- Molina Healthcare (Rochester, NY)
- …and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed ... on provider databases and ensure adherence to business and system requirements of customers as it pertains...in the implementation and conversion of new and existing health plans. **JOB QUALIFICATIONS** **Required Education** + Bachelor's Degree… more
- Molina Healthcare (Rochester, NY)
- …claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed ... on databases and ensure adherence to business and system requirements of customers as it pertains...in the implementation and conversion of new and existing health plans. + Must have experience in Contracts configuration… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the understanding ... to establishing rates, rating structures and systems and reserves. The Actuarial Analyst has accountability to providing in depth analysis on the overall risk… more
- University of Rochester (Rochester, NY)
- …of financial data in support of various finance functions. Responsible for providing senior management with the analysis and information they need to make timely ... per year. We are currently looking for a Financial Analyst II to join our department's finance team. Under...provides quantitative and qualitative analysis of current and proposed business operations, along with ongoing review and analysis of… more
- University of Rochester (Rochester, NY)
- …frameworks such as FAR and DFARS, and the application of ethical business practices. The Lead Contracting Compliance Officer will be responsible for developing, ... meet all applicable legal, regulatory, and contractual obligations, while also advising senior leadership on compliance risks, audits, and legal concerns related to… more
- University of Rochester (Rochester, NY)
- …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 400982 Neuro-Ctr Health & Tech/CMSU Work Shift: UR - Day (United States of America) Range: ... of financial data in support of various finance functions. Responsible for providing senior management with the analysis and information they need to make timely… more
- University of Rochester (Rochester, NY)
- …the exercise of independent judgment and initiative, serves as the Revenue Integrity Analyst for SMH, HH, and Affiliates. **SUPERVISION AND REPORTING:** + Reports to ... with considerable latitude for use of independent judgment, serves as an analyst agent for Revenue Integrity. Typical responsibilities include the following as well… more
- University of Rochester (Rochester, NY)
- …and success Inventory and Supply support for Division: - In collaboration with Senior Financial Analyst and Nursing Leadership develops and maintains:- - - ... limited to inventory and supply requests - Assists with business improvement planning as assigned - Assists with budget...time keeping for Sawgrass Nursing - In collaboration with Senior Financial Analyst ensures timely and accurate… more
- Molina Healthcare (Rochester, NY)
- … Analyst (CFA), or Certified Management Accountant (CMA). + Health insurance industry experience. + Experience with specialized financial analytics software. ... Assesses and develops models to evaluate risk and return of various business scenarios. + Effectively communicates financial planning and analysis findings and… more