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SENIOR APPLICATION ANALYST

Company: Montefiore Health System
Location: Yonkers
Posted on: February 23, 2021

Job Description:

Individual will be responsible for the integrity and accuracy of provider information throughout Montefiore Health System and for generating required exports and reports for all aspects of provider enrollment with State, Federal and local programs, including Medicare, Medicaid, and 30+ delegated health plans and any value-based arrangements. Responsibilities include:

  • Monitor scheduled reconciliations with CMO-contracted/delegated health plans, Professional Services, and complete network analysis reports.
  • Maintain provider information within the credentialing system to ensure proper data submission to other Montefiore systems and delegated health plans.
  • Work closely with MIS and MIT to develop and support system interfaces to share provider information throughout the health system.
  • Monitor data quality audit reports and proactively identify data quality issues and develop staff training and/or workflow changes to improve data quality.
  • Maintain open lines of communication with internal users and external customers to identify needs and offer solutions delivery.
  • Support web-based/paperless credentialing process for 4 Medical staffs and various other entities. Expertise in Excel (including formulas) and Access. Proficiency in SQL. Department: CMO Bargaining Unit:--Non Union--Campus:--YONKERS Employment Status:--Regular Full-Time--Address:--100 Corporate Blvd, Yonkers
    Shift:--Day--Scheduled Hours:--8:30 AM-5 PM--Req ID:--133074 Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of--disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status,--or partnership status, or any other characteristic protected by law.-- #GDDA -- Mission:
    To heal, to teach, to discover and to advance the health of the communities we serve. Vision:
    To be a premier academic medical center that transforms health and enriches lives. Values
    Define our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future.--Our values include:
    • Humanity
    • Teamwork
    • Diversity
    • Equity
      Nearest Major Market: Yonkers
      Nearest Secondary Market: New York City

Keywords: Montefiore Health System, Yonkers , SENIOR APPLICATION ANALYST, Professions , Yonkers, New York

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