- 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 ... more
- Centene Corporation (New York, NY)
- …manipulating and analyzing data from large relational database files.** **Preferred Skills:** Healthcare Claims experience Strong Excel, SQL and Snowflake skills ... more
- 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 ... more
- Molina Healthcare (Yonkers, NY)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... 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 (Yonkers, 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 (Yonkers, 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 (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 ... more
- Molina Healthcare (Stamford, CT)
- …this role must reside in the state of CT **Job Summary** Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor ... 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 (Yonkers, NY)
- …opportunities to support clinical savings initiatives. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims and authorization data to identify trends or other issues ... more
- VNS Health (Manhattan, NY)
- …trend reporting for cost avoidance and recovery initiatives. Co-ordinate with business to align with payment recoveries disseminating findings for affordability ... 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
- Elevance Health (New Hyde Park, NY)
- …and summarizes performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, ... more