- Xylem (Auburn, NY)
- …exceeding customer expectations through innovative and sustainable solutions. Xylem is seeking a ** Pricing Analyst ** to play a critical role in driving both ... strategic and transactional pricing initiatives within our Applied Water business. This position...Applied Water business. This position is responsible for ensuring pricing data accuracy, supporting customer quote reviews, conducting detailed… 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 ... high priorities and attack underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize… 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 ... high priorities and attack underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize… more
- Molina Healthcare (Rochester, 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
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency ... to establishing rates, rating structures and systems and reserves. The Actuarial Analyst has accountability to providing in depth analysis on the overall risk… more
- Molina Healthcare (Rochester, NY)
- JOB DESCRIPTION Job Summary Provides analyst support for actuarial function activities including extracting, analyzing, and synthesizing data from various sources to ... trends. * Generates and distributes routine reports to support IBNR calculations, pricing and financial reporting. * Extracts and compiles information from various… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY As a 340B Analyst you ensure all 340B contract pharmacies are overseen and in compliance with the program. Your strong attention to detail, accuracy and ... pharmacies; ensure pharmacy information system is up to date; audit contract pricing to ensure accuracy and manage the drug return process; identify reimbursement… more
- Molina Healthcare (Rochester, NY)
- …of this role is supporting the Molina Marketplace ACA individual market pricing , forecasting, and accrual processes. **Essential Job Duties** * Supports the ... trends. * Generates and distributes routine reports to support IBNR calculations, pricing and financial reporting. * Extracts and compiles information from various… more
- University of Rochester (Rochester, NY)
- …with vendors to obtain optimum service and price. Monitors and analyzes pricing and adherence to contracts. Ensures inventory supply, order processing and ... manufacturers. Generates purchase orders and maintains contact with vendors related to pricing and shipping. + Manages specialty and limited access drugs, some of… more
- Molina Healthcare (Rochester, NY)
- …+ Generate and distribute routine reports to support risk adjustment calculations, pricing , and financial reporting + Identify opportunities for improvement in risk ... adjustment programs and develop advocacy accordingly **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Mathematics, Statistics, or Economics **Required Experience** 1-2 Years **Required License, Certification, Association** Must have passed at… more
- Molina Healthcare (Rochester, NY)
- …in DOFR (division of financial responsibility) or CA DOFR, DME, capitation, Physician pricing is required. + Must have knowledge on Medicare payment methods + ... Experience on Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is required + Medicaid and Duals experience is highly preferred **JOB QUALIFICATIONS**… more
- Molina Healthcare (Rochester, NY)
- …+ Analysis of trends in medical costs to provide analytic support for finance, pricing , and actuarial functions + Multiple data systems and models + BI tools (Power ... BI) **Preferred License, Certification, Association** QNXT or similar healthcare payer applications To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a… more