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One of our client is looking for a candidate with the below given details:
We are seeking a talented and experienced Business Analyst specializing in Health Insurance to join our dynamic team.
The ideal candidate will have 3-4 years of hands-on experience in the health insurance industry, with a strong understanding of industry regulations, trends, and best practices.
Responsibilities:
• Conduct thorough analysis of business processes, systems, and data related to health insurance operations.
• Collaborate with stakeholders to gather requirements, identify business needs, and define project scope.
• Develop detailed documentation, including business requirements, functional specifications, and user stories.
• Analyze and interpret complex data sets to extract actionable insights and drive informed decision-making.
• Evaluate existing processes and systems to identify areas for improvement and optimization.
• Facilitate communication between technical and non-technical teams to ensure alignment and successful project delivery.
• Stay updated on industry developments, regulatory changes, and emerging technologies relevant to health insurance.
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Medical Data Analyst – Central Billing Office (Remote)
Join the patient-inspired team at New York-Presbyterian and bring new meaning to your career. See how the revenue cycle team in our Central Billing Office plays an active role in world-class care and caring. Thrive as a valued member of the team and feel the pride of mission-driven achievement. Here, putting patients first is our mission, which means we stay committed to excellence in all aspects of our organization, including maintaining the accuracy and integrity of our medical records. And as we look to the promising future ahead, we seek talented professionals like you to help drive our financial growth while building on our reputation for excellence as one of the nation’s top-ranked hospitals.
Utilize your outstanding analytical skills and keen attention to detail to take on this important high performance role, responsible for performing varied and complex diagnostic and procedural coding for patient records. In this role, you will support the Central Billing Office with various crucial functions like ensuring the complete, accurate, and timely coding and APC assignment alongside a required daily productivity. This position plays a key role in the efficient and effective financial operations of the Medical Group and helps make a life-changing difference.
Preferred Criteria
Required Criteria
Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, diversity, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.
__________________
NewYork-Presbyterian Hospital is an equal opportunity employer.
Salary Range:
$39.88-$49.45/HourlyIt all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.
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The SA leverages that expertise to support and conduct high level analysis, generate insights, influence policy and to support program design and execution. The SA is responsible for supporting (on behalf of the Ministry of Health) a consortium to pilot primary health care transformation agenda in Indonesia. The SA is expected to contribute to the development and active dissemination of high-quality technical knowledge products.
The SA works as a key member of the Strategic Purchasing for Primary Health Care (SP4PHC) project, which is supported by a grant from the Bill & Melinda Gates Foundation that provides technical assistance to countries to improve how funds are allocated to healthcare providers to achieve the goal of universal health coverage.
In Indonesia, SP4PHC is working with Ministry of Health (MOH) since the late 2022 on supporting the MOH’s Health Transformation agenda, and specifically focusing on reforms around improving PHC, health financing, and digital health across Indonesia. SP4PHC Indonesia is implementing three strategies, which aim to improve how JKN purchases PHC services, optimize flow of funds via districts to PHC providers, and foster integration of telemedicine into purchasing arrangements for PHC services.
To support these strategies, several activities related to the health system, financing, and policy will be carried out. The SA will be a core technical member of the SP4PHC Indonesia team and will report to SP4PHC Project Director. This is a full-time position based in Jakarta, Indonesia.
Program design and implementation
• Support ministries of health and finance on development of national health financing strategies, budget planning, preparation and execution, and budget advocacy.
• Support sub-national actors in decentralized settings by strengthening capacity to respond to increased autonomy for planning, budgeting and public financial management.
• Support the design and implementation of health financing mechanisms such as health insurance and performance-based financing.
• Support team to generate targeted evidence and provide technical support to MOH and BPJS-K on improving JKN and work with these partners to incorporate these findings into policy development and roll-out
• Lead analyses on health expenditure, including out-of-pocket spending, financial forecasting, benefit incidence analysis, resource tracking and cost-effectiveness.
• Produce high quality written reports and presentations, including technical documents, project status reports, policy briefs, and publications for conferences and journals.
• Create graphics and visualizations of quantitative and qualitative data.
Research
• Develop research protocols, including data collection instruments such as surveys and semi-structured interview questionnaires, and support validation of instruments.
• Conduct desk research including literature reviews, data mining and analysis on relevant technical and policy issues and effectively summarize findings.
• Data collection and analysis for country research studies. Data collection may entail working closely with stakeholders, such as BPJS-K, Centers of Excellence, and the National Population and Family Planning Board (BKKBN)
• Provide quantitative and qualitative data analyses across a range of subjects.
Data Management
• Develop and manage large datasets such as NHA, IDHS, SUSENAS, and BPJS-K claims. This includes cleaning, constructing, sorting, and updating variables.
• Provide technical advice on how to mitigate risk when working with large datasets, such as accounting for missing data points
• Document the research process through Stata .do files or other methods to follow responsible record-keeping practices
Project Reporting and Representation
• Draft or revise sections of donor reports and coordinate team member input.
• Prepare communications for policy and technical meetings or forums
• Occasionally represent ThinkWell with external partners, donors or stakeholders at meetings and events.
Project Administration and Operations
• Develop and maintain strong working relations with technical and management units in partner organizations (BPJS-K; MoH; BKKBN; IBI; Bappenas; District Health Offices; and private sector agencies)
• Arrange interviews, discussions, and meetings with various stakeholders related to FP and MNCH and others as required
• Actively participate in virtual discussions with ThinkWell members from other projects and other countries
SP4PHC-Specific Responsibilities:
• Develop econometric modelling and participate in discussions throughout every step of the data analysis process
• Support the Deputy Director of Learning in developing and pursuing learning products, especially exploring research questions and how to address them-
• Contribute to the development of knowledge management systems
• Maintain project database of all data, information, reports, technical papers, and publications
• Conduct field monitoring of pilots and liaise with an external third party to monitor and evaluate
• At the direction of the Program Lead, contribute to ThinkWell’s various efforts to support the Government of Indonesia’s response to the COVID-19 outbreak
1. BA/BS (Econ) and 7+ years experience or graduate degree and 5+ years experience;
2. Relevant work experience in a management consulting firm, bilateral or multilateral development agency, and/or international NGO, preferably with some experience managing projects in low- or middle-income countries;
3. Advanced proficiency in Excel and PowerPoint required; proficiency in statistical analysis packages (e.g. STATA) preferred;
4. Demonstrated capacity to configure and analyze data, including from various large datasets such as NHA, IDHS, SUSENAS, RISKASFAS, RISKASDES, and MNCH mortality and morbidity data;
5. Demonstrated experience with health economics, especially in the areas of econometrics research and Indonesian health systems
6. Exceptional analytical, research and problem solving capabilities;
7. A thoughtful systems thinker with grounded, pragmatic understanding of the complexities of our work;
8. Tech savvy and skilled at visual display of data;
9. Demonstrated poise and professionalism in engaging with external partners, donors, and stakeholders;
10. Full fluency in English and Bahasa Indonesia;
11. Outstanding written and verbal communication skills, including the ability to relate respectfully with staff at all levels, ages, genders, nationalities and orientations as well as across work areas;
12. Ability and willingness to travel up to 25%.
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Safety, Accountability and Viability: Health Information Management Makes It Possible
Medical Chart Analyst - Health Information Management (HIM)
Set your sights on a career at New York Presbyterian Hospital and step up to the forefront of health information management (HIM). At NewYork-Presbyterian, our multi-campus team of HIM professionals is behind every world-renowned patient treatment, surgery and procedure. These are the experts who ensure complete clinical documentation, accurate medical coding and proper reimbursement for our hospital. And now, you can become one of the people who Make It Possible.
Join our tight-knit HIM team, and work closely with the manager of HIM to uphold the highest of standards. Support time sensitive projects and work in multiple systems for problem resolution and research. Review medical records to ensure accurate completion of all documentation and authentication. Confirm compliance with standards established by hospital administration, medical staff bylaws, and accrediting regulatory agencies including SPARCS. Participate in quality improvement initiatives that help us build on our success in HIM.
Preferred Criteria
Required Criteria
Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, diversity, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.
__________________
NewYork-Presbyterian Hospital is an equal opportunity employer.
Salary Range:
$30.54-$31.07/HourlyIt all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.
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Stay Amazing
Nurse Practitioner – PMHNP – Out Patient/IMP Pediatric Behavioral Health Program - Ambulatory Care Network/Columbia Campus
Thrive at the forefront of top-notch nursing at New York Presbyterian Hospital. As an essential part of our Ambulatory Care Network (ACN), the Pediatric Behavioral Health Nurse Practitioner will be working with an interdisciplinary team in the outpatient setting providing psychiatric evaluations, crisis triage, stabilization, and linkage to ongoing outpatient treatment. Medication management and short-term treatment will be provided for children, adolescents and their families. Collaboration with other Mental Health Providers such as Social Workers, Psychologists, Case Manager and Psychiatrists would be integral in patient care.
Pursue this unprecedented opportunity to pioneer change within our world-renowned practice, and feel the pride of Making It Possible.
This is a Monday- Friday 9am – 5:30 pm full time day shift position.
Preferred Criteria:
Required Criteria:
Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, diversity, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.
__________________
NewYork-Presbyterian Hospital is an equal opportunity employer.
Salary Range:
$147,112-$158,187/AnnualIt all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.
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Stay Amazing
Nurse Practitioner – Women's Health or FNP - Per Diem - Ambulatory Care Network/Columbia Campus
At NewYork-Presbyterian Hospital, Women's Health nurses have created a supportive, compassionate environment for all phases of ante-partum through postpartum care. Mothers and babies start their journey here with expert nurses at their side and the finest resources at their command.
Nursing is a life-changing career journey focused on amazing patient outcomes every step of the way. Each of our nurses dares to be truly excellent – thriving in a compassionate culture of care and caring. Together, we improve the health of patients and their families, making our communities – and the world – stronger.
Nurse Practitioners for this position must be willing and able to work at different Ambulatory Care facilities as needed, performing comprehensive history and physical examinations, obtaining pertinent patient medical information, recording medical information in electronic medical record format, and providing accurate and sensitive patient counseling and follow-up of care for both obstetrical and gynecological patients.
This is a per diem day shift position in our Ambulatory Care Network /Columbia Campus.
Preferred Criteria:
Required Criteria:
Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, diversity, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.
__________________
NewYork-Presbyterian Hospital is an equal opportunity employer.
Salary Range:
$88.50/HourlyIt all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.
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Proud member of the Disability Confident employer scheme
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Stay Amazing
Staff Nurse - Full Time - Days - Vincent P. Dole Methadone Clinic/Ambulatory Care Network / Weill Cornell Medical Center
Psychiatry at NewYork-Presbyterian defies convention. For patients dealing with psychiatric illness or substance addiction, it's a beacon of hope. For nurses with talent and tenacity, it's a premier destination. And for behavioral health clinicians across the world, it's a resource for ever-expanding clinical knowledge.
At NewYork-Presbyterian/Weill Cornell, the Vincent P. Dole Methadone clinic helps individuals over 18 years old overcome their opiate addiction.
Among your various responsibilities, you will coordinate and participate in the efficient delivery of high-quality nursing care to assigned opiate dependent patients, who are receiving methadone or suboxone in an integrated care setting including primary care, psychiatric, preventative care and recovery services.
You will collaborate with an outstanding multidisciplinary team, analyze patient care data, administer and manage medications and evaluate the effectiveness of treatment plans. You will provide ongoing patient education, telephonic & in person triaging; Take initiatives, actively participant in quality & patient safety initiatives; Identify and address opportunities for improvement, participate in shared governance committees, and help to build on our reputation for extraordinary outcomes and care.
At NewYork-Presbyterian, nursing is a life-changing career journey focused on amazing patient outcomes every step of the way. Each of our nurses dares to be truly excellent – thriving in a compassionate culture of care and caring. Together, we improve the health of patients and their families, making our communities – and the world – stronger.
Now, you have the opportunity to join us.
This is a full-time day shift position from 7 a.m. – 3 p.m. Monday – Friday with alternating Saturdays, hours vary.
Preferred Criteria
Required Criteria
Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, diversity, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.
__________________
NewYork-Presbyterian Hospital is an equal opportunity employer.
Salary Range:
$115,138-$133,361/AnnualIt all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.
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Tuition Reimbursements and Discounts
Student Loan Repayment Assistance Program
$10,000 Sign on bonus
403(b) Retirement plan
Paid Time Off and Holidays
Medical, Dental, Vision, & Hearing Benefits
Clinical supervision towards licensure
Professional Advancement
Employee Referral Program Bonus
SUMMARY
As a Primary Therapist, you are an important resource and trusted confidant for each patient, providing treatment while allowing the patient the highest quality of life.
STATUS: Full Time
LOCATION: Rochester Mental Health Center - Hart Building
DEPARTMENT: Outpatient Adult Mental Health
SCHEDULE: Monday - Friday / Days
ATTRIBUTES
RESPONSIBILITIES
EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.
PAY RANGE:
$55,500.00 - $70,000.00CITY:
POSTAL CODE:
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity/Affirmative Action Employer.
Minority/Female/Disability/Veterans by a prospective employee and/or employee’s Physician or delegate will be considered for accommodations.
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At Hy-Vee our people are our strength. We promise “a helpful smile in every aisle” and those smiles can only come from a workforce that is fully engaged and committed to supporting our customers and each other.
Job Description:
Job Title: Pharmacy Compliance Analyst
Department: Pharmacy
FLSA: Exempt
General Function
In this role, the analyst will utilize pharmacy knowledge and company requirements to assist and support Company in its compliance efforts across all pharmacy business units, including retail, centralized processing and fulfillment, mail order and pharmacy warehouse. Assist with development and maintenance of company pharmacy policy and procedure manuals for all pharmacy locations and types. Collect and monitor individual pharmacy data to ensure compliance with all company, Medicare/Medicaid program, and regulatory policies and processes. Analyze data for trends and develop recommendations to ensure strong compliance structure.
Core Competencies
Reporting Relations
Accountable and Reports to: Assistant Vice President, Pharmacy Compliance
Dotted Line Reporting to: Assistant General Counsel, Pharmacy
Positions that Report to you: None
Primary Responsibilities
Education/Experience Required
Knowledge, Skills and Abilities
Travel Requirements
This position may require periodic travel and overnight stays.
Location
West Des Moines corporate headquarters.
Confidentiality
Has access to all pharmacy operations and records, including patient information/ PHI.
Are you ready to smile, apply today.
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