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- ...continuous improvement. To achieve this, we're looking for an Overpayment Recovery and Monitoring Analyst to join #TeamMVP. If you have a passion for managing audits, medical coding, and analytical thinking and this is the opportunity for you. What's in it for you: ~...SuggestedFull time
MVP Health Care
Rochester, NYa month ago $77.97k - $128.52k
...in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and... ...Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are...SuggestedWork experience placementWork at officeRemote work$77.97k - $128.52k
...functions to support systems solutions development and maintenance for Medical Claim Audit. This role includes coordination with stakeholders... ...Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. + Strong Medical Claims Audit knowledge To all...SuggestedWork experience placementWork at officeRemote workPayment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Ce[...]
Job Description Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based... ...payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to...SuggestedWork experience placementRemote work- ...About the job Lab Quality Analyst Lab Quality Analyst needs 3 years experience Lab Quality Analyst requires: A BA/BS degree or equivalent is required; a degree with a science concentration is preferred. Previous laboratory or similar experience is preferred...SuggestedShift work
Global Channel Management
Rochester, NY2 days ago $21.16 - $42.2 per hour
JOB DESCRIPTION Job Summary Provides entry level analyst support for clinical information systems activities. Responsible for provision of application technical support and design for clinical information systems - ensuring creation of workflows and enhancements that support...SuggestedHourly payWork experience placementWork at officeRemote workMonday to FridayMolina Healthcare
Rochester, NY3 days ago$77.97k - $117.81k
**JOB DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various...SuggestedWork experience placementRemote workMolina Healthcare
Rochester, NY4 days ago- **Key Responsibilities** + Design and build reports and dashboards using Power BI, including setting up security roles and permissions. + Write and modify SQL queries using Microsoft SQL Server Management Studio and/or Snowflake. + Analyze data from multiple sources ...SuggestedPermanent employmentFull timeRemote workRelocation
Anywhere Real Estate
Rochester, NY4 days ago $128.1k - $239.6k
...The opportunity Cyber Triage and Forensics (CTF) Incident Analyst will work as a senior member of the technical team responsible... ...and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range...SuggestedSummer holidayFlexible hours- ...Senior Customer Trust Analyst, Audit As a Senior Analyst on the Customer Audit Team, you will play a key role in responding to customer information security audit inquiries and supporting third-party audit requests. You will collaborate with internal stakeholders, Qualified...SuggestedWork at officeFlexible hoursShift work2 days per week3 days per week
$76.73k - $127.88k
...experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Inpatient Clindoc Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel....SuggestedWork at officeVisa sponsorshipShift work$72.9k - $107.4k
...an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Bridges Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. The...SuggestedWork at officeVisa sponsorshipShift work$77.97k - $155.51k
**Job Description** **Job Summary** The Analyst, Quality Analytics and Performance Improvement... ...data impact reporting. + Develop Medical Record Review project reporting to track... ...impact analyses for any logic and source code changes for data analytics and reporting...SuggestedWork experience placementWork at officeRemote work$60.5k - $65k
340B Analyst 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 quality is essential in maintaining program regulation and success. Attributes: At least one (1...SuggestedFull timeContract work- Contracts Specialist Location: 100% Remote. Duration: 12+ Months (Extendable) Job Description: Prepares and administers contracts for programs in the healthcare industry, including contract review and processing. Qualification: Strong analytical and communication...SuggestedContract workRemote work
$77.97k - $155.51k
...HPs for approval, follow up and completion notifications. Monitors RFC submission mailbox, submit RFCs in iServe, and notify the Analyst of completion. Researches and reviews MRDT issues identified by the HPs and CIM to determine root cause of the issue and what...Permanent employmentContract workWork experience placementRemote work$65k - $90k
Origination Analyst - Solar $65,000-$90,000 + Progression + Training + Bonus + 401k + Benefits Package + PTO Rochester, NY commutable from Buffalo, Syracuse, Albany, Fairport, Canandaigua, Henrietta, Spencerport Are you experienced with origination or mapping in the...Permanent employmentTemporary work$40 per hour
...Contract Deal Desk Analyst Over 7,500 companies from scrappy startups to global brands use our platform to send billions of emails, push notifications, in-app messages, and SMS every day. Customer.io powers automated communication that people actually want to receive...Contract workFor contractorsImmediate startFlexible hoursShift work- About the job Senior Compensation Analyst Remote or Hybrid to Rochester, NY The Senior Compensation Analyst will play a crucial role in designing, implementing, and managing our organization's compensation programs. The ideal candidate will lead the design and implementation...Remote work
$85 - $90 per hour
...Beacon certified Description Job Description Epic Beacon Analyst – Community Connect Implementation Location: Remote with... ...available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital...Contract workTemporary workRemote work$46.99k - $102k
...Microsoft Excel-based modeling - SQL/GCP (Google Cloud Platform) - Code writing - Degree related to finance, mathematics, statistics,... ...competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company...Hourly payFull timeTemporary workWork experience placementLocal areaFlexible hours$77.97k - $129.59k
...Job Description Job Summary Sr. Analyst, Network Strategy, Pricing & Analytics guides... ...of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical... ...negotiate new or amended contracts (e.g. coding and chargemaster impact analysis) Strong...Contract workWork experience placementRemote work- ...Vendor Consolidation Analyst Role Summary Lead governance, planning, and cross-functional coordination for the two company IT integration, ensuring strategic alignment, stakeholder engagement, and Day 1/Day 2 readiness across all technical workstreams. Diverse Lynx
$77.97k - $141.37k
**JOB DESCRIPTION** **Job Summary** Serves as a subject matter expert on system capabilities, conducting research and root cause analysis to resolve complex business and technical issues. Ensures system configuration aligns with business rules, regulatory requirements, ...Contract workWork experience placement- Job Title This is the job title provided above. This is the job description. If there is no job description, only the job title is provided. PandaDocRemote job
- ...Compensation Analyst Reporting to the Director Compensation Design, the Compensation Analyst will be responsible for development and implementation of analytical solutions/tools and standardized reports from multiple data sources providing HR and other Reward team members...Work at officeFlexible hours2 days per week3 days per week
$100k - $125k
...00.00/yr - $125,000.00/yr Direct message the job poster from The Connors Group Our client, a growing medical products company, is seeking a sharp, motivated CRM Analyst with Power BI with experience in Microsoft Dynamics , data warehousing , and financial data analysis...Full time- SUMMARY The Origination Analyst’s foremost responsibility is the identification and evaluation of top energy development opportunities. This role will work closely with the development team throughout the lifecycle of new projects. The Origination Analyst will also research...Full time
$77.97k - $141.37k
...audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management, data analysis, and reporting - using SQL and PowerBI Extracts and compiles...Work experience placement$41.6k - $69.7k
...mapping technologies. This position requires specialized knowledge in crime analysis theories and crime analysis software. The Crime Analyst will direct 100% effort, as a regular full‑time employee (40 hours per week, 52 weeks per year) assigned to the project for the...Full timeContract workSecond jobLocal area
