- Public Consulting Group (Albany, NY)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....to Claims Developer regarding specific tasks on claims . + Provides monthly reporting statistics. + Ensures adherence… more
- New York State Civil Service (Albany, NY)
- …Non-Competitive Qualifications for appointment under the NY HELPS Program:Health Care Fiscal Analyst Trainee 1 (starting salary $52,198): A bachelor's degree in ... Mental Health, Office of Title Senior Health Care Fiscal Analyst / Health Care Fiscal Analyst Trainee -...CFR Provider training sessions.* Coordinate with the Contracts and Claims (C&C) Unit on the application of CFR data… more
- CVS Health (Albany, NY)
- …to GPS to rework claims after validating as overpaid **Required Qualifications** * 1 years experience working with GPS and ECHS * Knowledge of ACAS claims ... This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and...experience along with provided guidance to review and validate claims for overpayment. The ideal candidate will be able… more
- Elevance Health (Latham, NY)
- **Provider Contract/CofC Analyst Sr.** **Location:** This position will work a hybrid model (remote and in-office, 1 - 2 days per week). Candidates must live ... miles of one of Elevance's Pulse Point locations. The **Provider Contract/Cost of Care Analyst Sr.** is responsible for analytical support to the Cost of Care and/or… more
- Baylor Scott & White Health (Albany, NY)
- …while aligning with internal SMEs and current capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to ... support our organization. We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis and interpretation of data to… more