- VNS Health (Manhattan, NY)
- …payment data across health plans in support of ensuring payment integrity and cost containment . Identifies anomalous utilization patterns, investigates cost ... data to ensure Health Plans pays our Providers appropriately and contains cost . + Investigates utilization and claims coding patterns to identify potential fraud,… more
- Molina Healthcare (Yonkers, NY)
- …claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization ... and cost containment reports and makes recommendations based...support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience… more
- Molina Healthcare (Yonkers, NY)
- …claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization ... and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming,… more
- SUNY Westchester Community College (Valhalla, NY)
- …to assess issues in meeting departmental goals and objectives in areas including cost control and containment , or other desired management objectives; + Can ... fiscal operations, developing procedures to ensure effective processes and cost controls, and facilitating operations to meet mandated reporting requirements.… more
- Cardinal Health (New York, NY)
- …to medication assistance programs on behalf of patients utilizing eRecovery software to drive cost containment within a health system account. The goal is to ... access free medications directly from pharmaceutical manufacturers' Patient Assistance Programs via the application process for needy indigent or low-income persons. **This is an onsite position with** **NYC Health + Hospital** **.** **Shift time is… more
- Axis (New York, NY)
- …and recommend appropriate strategies which could include: changes to procedures, cost containment strategies, client education presentations, etc. + Identify ... contract interpretation and dispute management. Prior experience as a reinsurance claims analyst . Role Factors: In this role, you will typically be required to:… more