- 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
- Centene Corporation (New York, NY)
- …**Position Purpose:** With the Fidelis Care New York Health Plan, the Health Care Analyst provides claims analytic support to one or multiple departments and ... Required Education/Experience:** Bachelor's Degree in Statistics, Mathematics, Economics, Business , Accounting or related analytical discipline preferred. **Minimum two… more
- Molina Healthcare (Yonkers, NY)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- 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...year work experience in consulting, operations or financial analysis, Claims analytics or related discipline required +… more
- CVS Health (New York, NY)
- …solutions related to the adjudication and processing of pharmacy and medical claims and newly expanded healthcare services. Create and ensure custom solutions are ... Identify and create custom solutions to support and meet on going business needs. Provide comprehensive reporting and key performance metrics for reconciliation,… more
- 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
- Robert Half Technology (New York, NY)
- Description We are offering a long term contract employment opportunity for a Business Data Analyst in New York, New York. This role is within the industry and ... will be responsible for improving our business processes and functions through comprehensive data analysis. Responsibilities: * Utilize Atlassian Jira and CRM… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Data Science Analyst III - Digital and Technology Partners - Remote - Req#3024403** The Data Science Analyst III is a senior role, ... develop sophisticated analytics to provide information, insights and BI ( Business Intelligence) solutions that contribute to sound strategic planning,… more
- Robert Half Technology (New York, NY)
- Description We are in search of a Business Analyst for a long-term contract employment opportunity in New York. The successful candidate will be instrumental in ... and utilize CRM to maintain customer relationships and drive business growth * Conduct gap analysis to identify areas...claim administration to ensure efficient and timely resolution of claims . Requirements * Proficiency in the use of Atlassian… more
- VNS Health (Manhattan, NY)
- … + Proficiency in standard business applications such as Microsoft Office. required + Proficiency in claims processing platforms such as FACETS. required ... for investigation. + Conducts targeted analysis to support regulatory investigations; provides claims extracts and supporting data as required . + Assists… more
- VNS Health (Manhattan, NY)
- … + Proficiency in standard business applications such as Microsoft Office required + Proficiency in claims processing platforms such as FACETS required ... + Conducts targeted analysis to support regulatory investigations; provides claims extracts and supporting data as required ....provides claims extracts and supporting data as required . + Conducts analysis of delegated vendor claims… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... Finance teams through analyzing key business issues related to UM and CM processes and...UM and CM data and provide input on key required data design to support complex UM and CM… more
- City of New York (New York, NY)
- …of the Budget Director and Assistant Commissioner for Fiscal Services, the Budget Analyst will: - Work with all aspects of the Department of Probation's OTPS ... (FMS), and PASSPort. - Manage grants, prepare and submit claims and reconcile revenue with claims . -...- Respond to external audit requests and prepare any required reports - Assist in the management of the… more
- City of New York (New York, NY)
- …while supervising them regarding the unit's daily activities. The Senior Contract Analyst supervises the conduct of the field visits to vendors and Supportive ... Administration (HASA) is recruiting for one (1) Associate Staff Analyst to function as a Senior Contracts Analyst...who will: - Prepare contract preparation material and all required documentation for internal and external review. Prepare … more
- Zurich NA (New York, NY)
- …models to support Finance Actuarial + Help employ best practices for model development * Business Travel, as required * Extended Hours during Peak Periods, as ... Assistant Actuary or Senior Actuarial Analyst 119737 Zurich North America is looking for...and employ a range of statistical techniques to analyze claims data and claim development + Assist with the… 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 ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Mount Sinai Health System (New York, NY)
- **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing and ... appeals opportunities with payors and networks, and reporting performance on underpaid claims . **Qualifications** + Bachelor's degree or greater in related field or… more
- CGI Technologies and Solutions, Inc. (New York, NY)
- **Life Insurance Process Analyst ** **Category:** Business Consulting, Strategy and Digital Transformation **Main location:** , Connecticut, Hartford **Alternate ... CGI is seeking a highly skilled and experienced Life Insurance Process Analyst with a strong background in Life Insurance operations. The ideal candidate… more
- Molina Healthcare (Yonkers, 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...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Warner Music Group (New York, NY)
- …that retains the creative spirit of a nimble independent. **Job Title: Sr. Analyst , Financial** **A little bit about our team:** Warner Music Group's Center of ... excited to share this new opportunity for a Sr. Analyst , Participations with strong analytical & financial capabilities, to...It's important that you develop an expertise in the business , you dive into legal agreements, and the interpretation… more