- Molina Healthcare (New York, NY)
- …Operations teams . Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... SKILLS & ABILITIES: . 2-5 years of experience in medical claims processing, research , or a related field . Demonstrates familiarity in a variety… more
- Public Consulting Group (Trenton, NJ)
- …Project and Grants Management + Assessments and Feasibility Studies Analyzes claims for accuracy, provides client support, documents inquiries, supervises staff, ... process improvements. **Duties and Responsibilities** + Analyzes and reviews claims for accuracy, completeness and eligibility. + Provides leadership, supervision… 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 complex transactions. Job expectations include performing functions related to research and resolution of fraudulent activity, service support, and delivering… more
- Molina Healthcare (New York, NY)
- …processing issues + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... cross functionally across multiple business areas. **KNOWLEDGE/SKILLS/ABILITIES** + Provides research and analytics associated with medical claims processing… more
- Molina Healthcare (New York, NY)
- …+ Must have experience in research , review and audits for adjudication rates of claims + Must be able to work in cross functional teams + Must have experience ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- City of New York (New York, NY)
- …Revenue is recruiting for one (1) Associate Staff Analyst to function as a Research Analyst , who will: - Manage the data manipulation of large data files ... Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A...five distinct departments: 1) Centralized Data Entry (CDE), 2) Claims & Collections (C&C), 3) Division of Financial Review… more
- Hackensack Meridian Health (Brick, NJ)
- …and serve as a leader of positive change. The **Risk Management Analyst (RMA)** is responsible for investigating risk management events, reviewing and analyzing ... on various insurance matters, as well as assisting with claims and litigation matters on a day-to-day basis for...Care System. The RMA shall be responsible for legal research , discovery requests, and maintenance of files and statistical… more
- City of New York (New York, NY)
- …Responsibilities include but are not limited to: - Assist in the review of claims of wrongful conviction. - Conduct preliminary research into the factual and ... Attorney's Office (DANY) has an immediate opening for a Post-Conviction Justice Investigative Analyst . In this position, the analyst will support attorneys in… more
- Sumitomo Pharma (Trenton, NJ)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... assets, and in-house advanced technology capabilities, we aim to accelerate discovery, research , and development to bring novel therapies to patients sooner. For… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …to transform healthcare and serve as a leader of positive change. The Billing Analyst is responsible for analysis of the Medical Center's billing functions for all ... the revenue cycle. **Responsibilities** A day in the life of a Billing Analyst with Hackensack Meridian Health includes: + Utilizes billing system reports for… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE STAFF ANALYST CIVIL SERVICE TITLE, OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE The ... Resources Solutions (HRS) is recruiting for one (1) Staff Analyst to function as a Payroll Processing Analyst...employees' salary history in order to accurately process compensation claims and verify the entry of payment dispositions for… more
- 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 ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- City of New York (New York, NY)
- Job Description Civil Service Title- Staff Analyst II This is a list call request with a posting component. IN ORDER TO BE CONSIDERED FOR THIS POSITION CANDIDATE ... MUST BE SERVING PERMANENTLY IN THE TITLE OF STAFF ANALYST , OR REACHABLE ON THE OPEN - COMPETITIVE LIST,...work, such as compile data, prepares assessment of reimbursement claims for federally funded bridge maintenance program. Coordinate with… 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 ... audits. The HIV/AIDS Services Administration (HASA) is recruiting for one (1) Associate Staff Analyst to function as a Senior Contracts Analyst , who will: -… 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
- Bank of America (New York, NY)
- Consumer Product Strategy Analyst III - Digital Fraud Strategies Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, ... for senior management LOB Job Description: As a Client Protection Fraud Strategy Analyst , you will capitalize on your technical abilities and strategic thinking to… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr. Tax Analyst , Indirect Date: Jan 3, 2025 Req ID: 3804 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. Department: TAH Tax Terumo Medical ... wherever we go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Tax Analyst , Indirect Tax will work with the Senior Tax Manager as well as… more
- Molina Healthcare (New York, NY)
- …ability to work independently, self-navigate organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, ... and existing health plans. + Completes analysis on retroactive claims reports + Pre and post validation of complex...Requires assistance with schema from Tech resource or Lead Analyst . + Writes Requirements for BRDs/FRDs and Reports. +… more
- Mount Sinai Health System (New York, NY)
- …computing team, the research clinical data warehouse team and a research data services team. The Healthcare Data Analyst will collaborate with ... experience working with electronic health record (EHR) and/or healthcare claims data; experience with Epic?s Clarity & Caboodle databases...Git or SVN. + Prior experience working in a research environment and/or knowledge of research Common… more
- Molina Healthcare (New York, NY)
- …Candidate must be able to work during EST hours **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… more