- Molina Healthcare (Yonkers, NY)
- …supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is primarily responsible for Medicare Oversight. + ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare's Medicare Compliance team supports Medicare operations for the Molina Medicare product lines. It… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for… more
- Molina Healthcare (Yonkers, NY)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination,… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy trends, researching all… more
- Mount Sinai Health System (New York, NY)
- …outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** ... **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd...and new services. Assures that updated fee schedules for Medicare , Medicaid, commercial and managed care carriers are correctly… more
- Mount Sinai Health System (Astoria, NY)
- …plan to correct errors. + Work directly with MSQ Departments to ensure compliance with Medicare & Medicaid enrollment. Ensure that Annual Medicaid ... **Job Description** **Provider Enrollment Analyst -Billing-Full Time-Day-Mount Sinai Queens** The Provider Enrollment Analyst (I) is responsible for completion of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Financial Analyst , Enterprise CDM -Patient Financial Services-Corporate 42nd Street-Full-Time- Days- Hybrid** The Senior Financial ... Analyst , Enterprise Charge Description Master for the Mount Sinai...ensure accurate and compliant charge capture and professional CDM compliance . The ideal candidate will possess advanced knowledge of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Financial Analyst /CDM Chargemaster -Corporate-Full-Time Days (REMOTE)** We seek an experienced Senior Financial Analyst / CDM ... Chargemaster with strong medical coding expertise to support the maintenance, compliance , and optimization of the hospital Charge Description Master (CDM). The ideal… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support… more
- Molina Healthcare (Yonkers, NY)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. *Provides subject matter expertise and reviews… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding, modeling, and reporting on… more
- Molina Healthcare (Yonkers, NY)
- …+ Engages with operations leadership and Plan Support functions to review compliance -based issues for benefit planning purposes. **Recoveries & Disputes** + Review ... + Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). +… more
- CVS Health (New York, NY)
- …**Position Summary** The Lead Director, Technology Product Management for Medicare Messaging Orchestration and STARs optimization will define strategic roadmaps, ... tech-ops, security, etc. to ensure overall cohesion for the Medicare technology product line. You will develop and lead...experience as a Product Manager, Product Owner, or Business Analyst with a focus on product strategy, vision, and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …Managed Care Rebates leads department staff in the processing of Managed Care, Medicare Part D, Managed Medicaid, CMS Rebates, and Medical Rebate claims and fees ... rebates in various systems to ensure accuracy and contract compliance * Works in partnership with Contract Compliance...as they relate to Health Plans to assist in Analyst validations and impact * Advises branded business units… more