- Catholic Health Services (Melville, NY)
- …is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home ... Job Details Under minimal supervision, formulates and defines Resolute Hospital Billing/ Claims scope and objectives through research and fact-finding to develop or… more
- VNS Health (Manhattan, NY)
- …those needs. Gathers requirements, performs analysis, designs new or enhanced systems to meet operational, business, and clinical needs. Collaborates with Business ... Develops library of pertinent books and articles on information systems for the department. + Develops an understanding of...state rates. + Acts as a liaison between the claims department, providers and other internal departments. + Manages… more
- Molina Healthcare (New York, NY)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Provides research and analytics associated with medical claims processing requirements (1500 and UB04), provider and benefit ... preferred + Assists with reducing re-work by identifying and remediating claims processing issues + Interprets, communicates, and presents, clear in-depth analysis… more
- Guardian Life (New York, NY)
- Join the dynamic team at Guardian Life as a **Business Intelligence Analyst III** and be part of a data-driven environment. This role focuses on improving risk ... management and operational efficiency in our Dental and Disability Claims Operations. Collaborate with BI Consultants, end users, and IT teams to convert data into… more
- Amazon (New York, NY)
- Description Amazon's Global Risk Management and Claims team is seeking a Risk Analyst to assist with the development and management of Amazon's corporate ... and techniques for new and existing business initiatives. Additionally, the Risk Analyst will manage the insurance programs for some Amazon owned subsidiaries. The… more
- Molina Healthcare (New York, NY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... benefit or reference table information into the claim payment system and other applicable systems . + Participates...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- New York State Civil Service (New York, NY)
- …Journey level include, but are not limited to: Administrative Specialist 1, Business Systems Analyst 1, Claims Services Representative 1, Contract Management ... Specialist 1, OR*A bachelor's degree and two years of *professional human resources experience.* A Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience.Please be advised that the New York State… more
- Mount Sinai Health System (New York, NY)
- …? Working knowledge of a health care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system ... **Job Description** The Data Science Analyst III is a senior role, collaborating with...System is one of the largest academic medical systems in the New York metro area, with more… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight ... **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing and… more
- City of New York (New York, NY)
- …data warehousing services to constituent divisions of the Finance Office. The Senior Systems Analyst will perform technical and analytical work that will assist ... Staff Analyst to function as the Senior Systems Analyst within Management & Policy Research/Single...other database programs to perform qualitative analysis for revenue claims and projects. Take initiative, work within a team… more
- Molina Healthcare (New York, NY)
- …organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses ... and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +...and existing health plans. + Completes analysis on retroactive claims reports + Pre and post validation of complex… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight ... data warehouse team and a research data services team. The Healthcare Data Analyst will collaborate with clinical Informaticist and researchers to define and develop… more
- Guardian Life (New York, NY)
- Individuals within the **Business Analyst IV** role identify business intelligence, reporting, and data analysis needs for the Dental and Disability Claims ... projects. + Provide analytical subject matter expertise and recommendations to Claims & Service org. + Participate in workstream planning process including… more
- City of New York (New York, NY)
- …Attorney's Office (DANY) has an immediate opening for a Post-Conviction Justice Investigative Analyst . In this position, the analyst will support attorneys in ... the Post-Conviction Justice Unit in reviewing claims of wrongful conviction and conducting reinvestigations. Responsibilities include but are not limited to: -… more
- VNS Health (Manhattan, NY)
- …Keeps management informed as necessary. + Utilizes analytic data warehouse and native claims systems and other supporting data for investigation. + Conducts ... alignment with vendor's contracted rates. Reconciles and validates underlying analytic data claims , and utilization management systems . Tests the integrity of… more
- City of New York (New York, NY)
- Job Description TASK FORCE: EDUCATION UNIT: DOE Revenue JOB TITLE: One (1) Assistant Analyst / Analyst CONTROL CODE: EDU-25-02 SUMMARY: The Mayor's Office of ... to senior management. - Enter revenue budget actions into the City's financial management system . Ensure accuracy of the revenue budget in the system . - Analyze… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... **Job Duties** + Extract and compile information from various systems to support executive decision-making + Mine and manage...and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify… more
- Molina Healthcare (New York, NY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... benefit or reference table information into the claim payment system and other applicable systems . + Participates...and existing health plans. + Must have experience in system configuration. + Monitor claims , create ,… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE STAFF ANALYST CIVIL SERVICE TITLE, OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE The ... Resources Solutions (HRS) is recruiting for one (1) Staff Analyst to function as a Payroll Processing Analyst...employees' salary history in order to accurately process compensation claims and verify the entry of payment dispositions for… more
- City of New York (New York, NY)
- …other Capital grant funding records in the Citywide Capital Grants Management System (CGMS). Under supervision, the analyst will perform professional financial ... Job Description Serve as a Grants Analyst in Grants Reimbursement & Compliance Unit within...its various projects and transportation initiatives for which reimbursement claims are to be processed. The grant funding comes… more