• 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 ... contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional...tools (eg, SQL, Excel, Tableau). + Recent experience with healthcare claims software (eg, Epic, Cerner, or… more
    Wolters Kluwer (01/11/25)
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  • Analyst , Business -( Claims

    Molina Healthcare (Yonkers, 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
    Molina Healthcare (12/20/24)
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  • Business Analyst , Claims

    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 ... requirements, performs analysis, designs new or enhanced systems to meet operational, business , and clinical needs. Collaborates with Business Unit and/or… more
    VNS Health (12/08/24)
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  • System Analyst - Claims

    Catholic Health Services (Melville, NY)
    …are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job ... Details Under minimal supervision, formulates and defines Resolute Hospital Billing/ Claims scope and objectives through research and fact-finding to develop or… more
    Catholic Health Services (11/25/24)
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  • Sr Analyst , Healthcare Analytics

    Molina Healthcare (New York, NY)
    …work during EST hours **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired… more
    Molina Healthcare (01/05/25)
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  • Healthcare Analytics Analyst

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Analysis and forecasting of trends in… more
    Molina Healthcare (01/10/25)
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  • Senior Business Systems Analyst

    VNS Health (Manhattan, NY)
    …technical expert and principal designer of information systems for the managed healthcare business . Collaborates with senior level management to understand ... OverviewFunctions at the most senior level Business Systems Analyst role. Works directly...wellness programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for… more
    VNS Health (11/15/24)
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  • QA Analyst - ETL / Agile

    Molina Healthcare (New York, NY)
    …both verbally and written. + You can prioritize. + You have experience with QNXT, claims processing , healthcare insurance and SQL + You pay attention to ... Description** Who you are : + You have proven experience as a QA Analyst within an Agile environment. + Experienced testing on-premise and cloud based ETL/BI… more
    Molina Healthcare (12/28/24)
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  • Sr Analyst , Config Info Mgmt - Remote…

    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...+ Must have experience in system configuration. + Monitor claims , create , generate and analyze reports using Excel… more
    Molina Healthcare (01/08/25)
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  • Sr Benefits Analyst - Config info Mgmt…

    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...and existing health plans. + Must have experience on claims processing system, benefit configuration. + SQL knowledge is… more
    Molina Healthcare (12/05/24)
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  • Lead Analyst , Config Info Mgmt - QNXT

    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 ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
    Molina Healthcare (12/05/24)
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  • Senior Enterprise Business Analyst

    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 ... Role We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with...business issues & requirements into technical solutions. + Healthcare Insurance Payer in one of more of the… more
    Brighton Health Plan Solutions, LLC (01/09/25)
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  • Senior Business Analyst

    Adecco US, Inc. (Teaneck, NJ)
    …applications or frequent unexplained job changes may be disqualified. **Job Summary** The Business Analyst will oversee market research and analysis to provide ... Adecco Healthcare is seeking a dedicated and passionate professional...professional to join our client's team! Position Name: **Senior Analyst , Commercial Analytics (Pharmaceutical)** Location: **Teaneck, NJ (Hybrid Remote)**… more
    Adecco US, Inc. (01/04/25)
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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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  • Billing Analyst - Physician Billing

    Hackensack Meridian Health (Hasbrouck Heights, NJ)
    …experience in Revenue Cycle Operations + Minimum two years experience in a healthcare billing office or health insurance claims environment; familiar with common ... keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change....**Responsibilities** A day in the life of a Billing Analyst with Hackensack Meridian Health includes: + Utilizes billing… more
    Hackensack Meridian Health (11/23/24)
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  • Strategy Analyst

    Northwell Health (New Hyde Park, NY)
    …+ 1-3 years of experience, Bachelors degree required, * Master's degree in a business or healthcare related field preferred but not required + Solid verbal ... **Req Number** 147294 Job Description The Strategy Analyst will be a key member of the...sets with information such as hospital admissions data, physician claims and demographic statistics. Analyses will focus on providing… more
    Northwell Health (01/09/25)
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  • Manager, Medical Economics (Medicare) - REMOTE

    Molina Healthcare (Yonkers, NY)
    …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of ... meet data analysis and database development needs. + Reviews, evaluates, and improved business logic and data sources. + Resource to staff for mentoring, coaching,… more
    Molina Healthcare (12/14/24)
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