- VNS Health (Manhattan, NY)
- OverviewWorks directly with management on highly visible projects to understand business needs and challenges of managed care payors and to develop innovative ... analysis, designs new or enhanced systems to meet operational, business , and clinical needs. Collaborates with Business ...state rates. + Acts as a liaison between the claims department, providers and other internal departments. + Manages… more
- 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
- Molina Healthcare (New York, NY)
- …cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health Plans ... is a general role in which employees work with multiple types of business data. Will work cross functionally across multiple business areas.… 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 ... changes and IT projects. + Provide design support for the development of business intelligence solutions for Dental and Disability Claims , collaborating closely… more
- Prime Therapeutics (Trenton, NJ)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization + ... fuels our passion and drives every decision we make. **Job Posting Title** Sr. IT Business Systems Analyst Remote **Job Description** The Business Systems … more
- 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
- Amazon (New York, NY)
- …- Develop program metrics, KPIs, and benchmarking that will track the global cargo claims program - Reporting business metrics to internal teams and discussing ... Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and...is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and… more
- Amazon (New York, NY)
- …of the largest carriers on the planet. Our team is hiring a Senior Financial Analyst , Amazon Transportation Claims and Insurance to play a key role supporting ... finance team closely partners to support this rapidly expanding business while building a portfolio of delivery stations, vans,...Amazon's corporate claims focusing on Middle Mile. This is a fast-paced,… more
- Molina Healthcare (New York, NY)
- **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… 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 ... risk management tools and techniques for new and existing business initiatives. Additionally, the Risk Analyst will...and existing business initiatives. Additionally, the Risk Analyst will manage the insurance programs for some Amazon… more
- Bank of America (Pennington, NJ)
- Wealth Management Fraud & Claims - Sr. Fraud Analyst Pennington, New Jersey **Job Description:** At Bank of America, we are guided by a common purpose to help ... on retention and re-establishing client confidence. Wealth Management Fraud & Claims associates will handle inbound calls from clients, branch offices, banking… more
- Public Consulting Group (Trenton, NJ)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do… 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 ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- Amazon (New York, NY)
- …Risk Management & Claims team is seeking a highly skilled and detail-oriented Business Analyst with a robust background in economic theory, auto claims ... ideal candidate will possess an in-depth understanding of insurance claims processes, a keen interest in economic principles, and...principles, and proficiency in dissecting complex datasets. As a Business Analyst , you will play a pivotal… more
- Axis (Red Bank, NJ)
- …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:...of reinsurance claims for various lines of business including: Professional Liability, Casualty, Marine and Surety. +… more
- Prime Therapeutics (Trenton, NJ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - REMOTE **Job Description** The Business Systems ... and document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements… more
- 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
- Brighton Health Plan Solutions, LLC (New York, NY)
- About the Role We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external ... and implementation. Essential Qualifications + Minimum 6-7 years of experience as a business analyst in healthcare payer industry. + Expertise and experience in… more
- NJM Insurance (Trenton, NJ)
- …process improvement, business continuity and technology initiatives for the Workers Compensation Claims business unit. The focus of this position is to work ... NJM's West Trenton Workers Compensation Department (WCC) is seeking a Sr. Business Process Analyst (based on credentials, this role can also be filled as an… more
- BGB Group (New York, NY)
- Data Analyst at BGB Group (View all jobs) (http://www.bgbgroup.com/careers.html) New York, NY BGB Group Data Analyst Our Agency BGB Group is a healthcare ... biopharmaceutical clients to drive category/brand awareness and growth. Data Analyst Job Overview The Data Analyst will...and strategic impact. This position focuses on working with claims data and requires expertise in applied data science,… more