- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... more
- Molina Healthcare (New York, NY)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare data, including ... more
- Molina Healthcare (New York, NY)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... 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 ... more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …and implementation. Essential Qualifications + Minimum 6-7 years of experience as a business analyst in healthcare payer industry. + Expertise and ... 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 ... 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 ... more
- BGB Group (New York, NY)
- …to forecast behaviors, outcomes, and trends. + Extract meaningful insights from healthcare claims data to inform strategies and enhance decision-making. + ... more
- Molina Healthcare (New York, NY)
- …used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables ... more
- Molina Healthcare (New York, NY)
- …opportunities to support clinical savings initiatives. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims and authorization data to identify trends or other issues ... more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …experience in Revenue Cycle Operations + Minimum two years experience in a healthcare billing office or health insurance claims environment; familiar with common ... more
- VNS Health (Manhattan, NY)
- OverviewConducts analysis of claims and payment data across health plans in support of ensuring payment integrity and cost containment. Identifies anomalous ... more
- VNS Health (Manhattan, NY)
- …internal and external reporting for the clinical operations teams and business stakeholders. Collaborates with the Business Intelligence, Information Technology, ... more
- Hackensack Meridian Health (Edison, NJ)
- … I at Hackensack Meridian** **_Health_** includes **:** + The Applications Analyst I gathers business requirements, conducts needs assessments, and develops ... more