• Business Analyst ( Claims

    Molina Healthcare (New York, NY)
    …data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with ... Associate's Degree or equivalent combination of education and experience ** Required Experience** + 3-5 Years of business ...experience ** Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience +… more
    Molina Healthcare (01/13/25)
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  • Healthcare Claims - Business

    Wolters Kluwer (New York, NY)
    …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims ... proficient in analyzing CMS rules as it relates to claims and processes. The candidate will be able to...contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional… more
    Wolters Kluwer (01/11/25)
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  • Claims Analyst III, Cyber Media…

    AIG (New York, NY)
    Claims Analyst III- Cyber, Media, & Technology Join us as a Claims Analyst to grow your experience in Claims . Make your mark in Claims Our ... and professional service with empathy and efficiency. How you will create an impact As a Claims Analyst III, you will be responsible for handling claims from… more
    AIG (12/19/24)
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  • Medicaid Claims Analyst

    Teva Pharmaceuticals (Parsippany, NJ)
    Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany, United States, New Jersey, 00000 Company: Teva Pharmaceuticals Job Id: 59984 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
    Teva Pharmaceuticals (01/07/25)
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  • IT Applications Analyst III - Epic Resolute…

    Hackensack Meridian Health (Edison, NJ)
    …healthcare and serve as a leader of positive change. The **Applications Analyst III** gathers business requirements, conducts needs assessments, and develops ... specifications and build to ensure that developed information technology solutions support business objectives. This level works with little or no supervision and… more
    Hackensack Meridian Health (10/23/24)
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  • Claims Resolution Analyst - Hybrid

    Acosta Group (Bloomfield, NJ)
    **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
    Acosta Group (12/24/24)
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  • Casualty Coverage and Mass Tort - Senior…

    AIG (Jersey City, NJ)
    …partners concerning exposures and concerning potential product changes and enhancements. + Advise claims and business leaders on emerging risks. What you'll need ... Casualty Coverage and Mass Tort Senior Claims Adjuster At AIG, we are reimagining the...after a conditional employment offer is made. Unless otherwise required by law, AIG does not automatically exclude any… more
    AIG (12/04/24)
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  • Business Analyst , Claims

    VNS Health (Manhattan, NY)
    …in Business or related discipline or the equivalent work experience, required + Master's Degree in Business Administration, Public Administration or related ... state rates. + Acts as a liaison between the claims department, providers and other internal departments. + Manages...experience must be with a managed care organization on business transformation, required + Two years' experience… more
    VNS Health (12/08/24)
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  • Analyst , Business -( Claims

    Molina Healthcare (New York, NY)
    …root cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health ... Required Education** Associate's Degree or equivalent combination of education and experience ** Required Experience** + 3-5 Years of business analysis + 4+… more
    Molina Healthcare (01/13/25)
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  • Senior Business Systems Analyst

    VNS Health (Manhattan, NY)
    OverviewFunctions at the most senior level Business Systems Analyst role. Works directly with senior management on highly visible projects to understand ... business and clinical needs. Acts as lead Business Systems Analyst on team; coordinates exchanges...collaborate with most senior level leaders across the agency required + Claims Only: + Minimum one… more
    VNS Health (11/15/24)
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  • Reinsurance Claims Lead

    Axis (New York, NY)
    …or reinsurance contract interpretation and dispute management. Prior experience as a reinsurance claims analyst . Role Factors: In this role, you will typically ... + Manage a diverse and interesting portfolio of reinsurance claims for various lines of business including:...colleagues from time to time You may also be required to take on additional duties, responsibilities and activities… more
    Axis (12/27/24)
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  • IT Applications Analyst III-Epic Beacon…

    Hackensack Meridian Health (Edison, NJ)
    …healthcare and serve as a leader of positive change. The **Applications Analyst III** gathers business requirements, conducts needs assessments, and develops ... III on our Digital Technology Services team** **!** **Our openings include:** **Applications Analyst III - Epic Resolute HB/PB Claims :** Candidates need to be… more
    Hackensack Meridian Health (10/24/24)
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  • Business Data and Reporting Analyst

    CUNY (Bronx, NY)
    Business Data and Reporting Analyst 2-...resolve issues relating to student refunds, * ie student claims of refund checks not received. * - Maintain ... and networking, systems planning, and/or technological troubleshooting while a Business Data and Reporting Analyst is a...or certification relevant to the area of specialization are required . The full specification is available on our web… more
    CUNY (01/13/25)
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  • Sr Business Systems Analyst

    Molina Healthcare (New York, NY)
    …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses… more
    Molina Healthcare (01/13/25)
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  • Clinically Integrated Network Business

    Hackensack Meridian Health (Edison, NJ)
    …serve as a leader of positive change. The **Clinically Integrated Network (CIN) Business Analyst ** is responsible for supporting the Population Health CIN ... A day in the life of a **Clinically Integrated Network (CIN) Business Analyst ** at **Hackensack Meridian** **_Health_** includes: + Interprets data,… more
    Hackensack Meridian Health (01/03/25)
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  • Research Analyst

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... five distinct departments: 1) Centralized Data Entry (CDE), 2) Claims & Collections (C&C), 3) Division of Financial Review...of Revenue is recruiting for one (1) Associate Staff Analyst to function as a Research Analyst ,… more
    City of New York (11/30/24)
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  • Data Science Analyst III - Mount Sinai…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... provide information, insights and BI ( Business Intelligence) solutions that contribute to sound strategic planning, decision-making, goal setting, and effective… more
    Mount Sinai Health System (12/12/24)
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  • Sr Analyst , Medical Economics (NY Medicaid…

    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 ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify… more
    Molina Healthcare (01/13/25)
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  • Analyst - Stimulus Planning and FEMA Ida…

    City of New York (New York, NY)
    …experience with Financial Management System (FMS) is preferred. Requirements: Assistant Analyst ($58,851+): Bachelor's degree in Business , Finance, Economics, ... This unit is also responsible for submitting FEMA Ida claims and ensuring expenditures meet grant eligibility guidelines set...field with no or one year of full-time experience. Analyst ($74,893): Bachelor's degree in Business , Finance,… more
    City of New York (11/03/24)
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  • Consumer Product Strategy Analyst III…

    Bank of America (New York, NY)
    Consumer Product Strategy Analyst III - Digital Fraud Strategies Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, ... and create mitigation strategies. **Responsibilities:** + Recommends ways to help the business achieve desired outcomes and make informed business decisions… more
    Bank of America (12/11/24)
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