- Healthfirst (NY)
- …in a simple and easy to understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively communicate with all levels ... Assist in the setup of code sets and defining pre-authorization guidelines used in claims configuration to drive application of medical policy and accurate … more
- Healthfirst (NY)
- …products, claims editing, reference data and their enhancements including claims configuration improvements, compliance and systems enhancements. + Follow ... the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier management. + Interpret… more
- CDPHP (Albany, NY)
- … of CDPHP's core claims systems and any integrated systems. The Configuration Analyst II will recommend system and configuration solutions and ... you to be a part of that experience. The Configuration Analyst II is responsible for leading...II is responsible for leading the analysis, maintenance, and configuration of CDPHP's core claims systems and… more
- Intermountain Health (Albany, NY)
- **Job Description:** At SelectHealth, the Business Systems Configuration Analyst I is responsible to analyze, design, configure, test, implement and support ... models + Ability to design basic SQL queries + Experience in a configuration analyst role **Physical Requirements:** **Location:** SelectHealth - Murray **Work… more
- Molina Healthcare (NY)
- …expected completion dates with Health Plans. + Must have experience with Benefits configuration , claims + The team is responsible for implementation and ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- Molina Healthcare (NY)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... for quality and financial accuracy and provides documented feedback. + Assists in configuration issues and loading of provider information, as needed. + Assists in… more
- Healthfirst (NY)
- **Duties & Responsibilities** : + Conducts routine assessments of current claims edits and ensures comprehensive and defensible editing across all Healthfirst ... edits. + Monitors and reports on performance of current claims editing packages + Supports claims editing...as AMA guidelines, and compare to current payment policy configuration in order to resolve the providers payment discrepancy.… more
- Molina Healthcare (Buffalo, NY)
- …areas. **KNOWLEDGE/SKILLS/ABILITIES** + Provides research and analytics associated with medical claims processing requirements (1500 and UB04), provider and benefit ... configuration , and other claim reimbursement drivers + Recognizes, identifies and documents changes to existing business processes and identifies new opportunities… more
- Molina Healthcare (Rochester, NY)
- …and conversion of new and existing health plans. + Must have experience on claims processing system, benefit configuration . + SQL knowledge is preferred. + ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- Molina Healthcare (Rochester, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... and other business requirements. **KNOWLEDGE/SKILLS/ABILITIES** + Trains staff on configuration functionality, enhancements, and updates. + Works with internal and… more
- Deloitte (New York, NY)
- …ends on 9/3/24. Work you'll do As a Technology Senior Consultant (Business Analyst / Configuration Lead) within our practice, your responsibilities will include: + ... capital projects to help solutions for them along with high technical configuration and business analytics skillsets and can support project execution activities… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The Department of ... Office of Data Analytics & Verification is recruiting for (1) Administrative Staff Analyst NM III to function as an Executive Director, Data Analytics & Verification… more