- VNS Health (Manhattan, NY)
- …workload and inventory according to departmental SLA. + Identifies and creates global claim projects. + Reviews claims disputes and pends within departmental ... Employer-matched retirement saving funds + Personal and financial wellness programs + Pre -tax flexible spending accounts (FSAs) for healthcare and dependent care +… more
- VNS Health (Manhattan, NY)
- …regular management reports and any requests for special, ad hoc reporting or claims data . Develops positive working relationships with VNS Health Plans ... OverviewFunctions at the most senior level Business Systems Analyst role. Works directly with senior management on...saving funds + Personal and financial wellness programs + Pre -tax flexible spending accounts (FSAs) for healthcare and dependent… more
- VNS Health (Manhattan, NY)
- …+ Proficiency in SQL, SAS, Excel required, Access experience preferred + Experience with claims data and health plan quality metrics (eg, HEDIS, QARR) preferred ... outpatient claims , authorizations, EHR documentation, clinical assessments, and related data sources. + Designs and implements complex data transformations… more
- VNS Health (Manhattan, NY)
- …tests alignment with vendor's contracted rates. Reconciles and validates underlying analytic data claims , and utilization management systems. Tests the integrity ... saving funds + Personal and financial wellness programs + Pre -tax flexible spending accounts (FSAs) for healthcare and dependent... as required. + Conducts analysis of delegated vendor claims data to test affordability, support contract… more
- VNS Health (Manhattan, NY)
- …tests alignment with vendor's contracted rates. Reconciles and validates underlying analytic data claims , and utilization management systems. Tests the integrity ... with payment recoveries disseminating findings for affordability initiatives. Conducts analysis of claims and payment data across health plans in support of… more