- Molina Healthcare (Rochester, 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
- 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 ... analysis, designs new or enhanced systems to meet operational, business , and clinical needs. Collaborates with Business ...state rates. + Acts as a liaison between the claims department, providers and other internal departments. + Manages… more
- AIG (New York, NY)
- Claims Analyst III- Cyber, Media, & Technology Join us as a Claims Analyst to grow your experience in Claims . Make your mark in Claims Our ... and professional service with empathy and efficiency. How you will create an impact As a Claims Analyst III, you will be responsible for handling claims from… more
- Amazon (New York, NY)
- …- Develop program metrics, KPIs, and benchmarking that will track the global cargo claims program - Reporting business metrics to internal teams and discussing ... Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and...is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and… more
- Healthfirst (NY)
- …+ Assist in the on-going evaluation of configuration for new and existing claims business rules including member benefits, claims editing, reference ... requirements and provide feedback to stakeholders regarding feasibility of claims business rule and program changes. +...understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively… more
- Healthfirst (NY)
- …systems enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up ... projects related to the development and configuration of new business , member benefits and products, claims editing,...of new business , member benefits and products, claims editing, reference data and their enhancements including … more
- Molina Healthcare (Rochester, NY)
- **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- Amazon (New York, NY)
- Description Amazon's Global Risk Management and Claims team is seeking a Risk Analyst to assist with the development and management of Amazon's corporate ... risk management tools and techniques for new and existing business initiatives. Additionally, the Risk Analyst will...and existing business initiatives. Additionally, the Risk Analyst will manage the insurance programs for some Amazon… more
- The Institute for Family Health (New Paltz, NY)
- HIT ANALYST - Claims / Professional Billing Job Details Level Experienced Job Location New Paltz Family Health Center - New Paltz, NY Remote Type Fully Remote ... Job Category Information Technology Description SUMMARY: The position of Epic Analyst requires an individual that possesses functional knowledge and skills in… more
- Public Consulting Group (Albany, NY)
- …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
- 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 ....and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do… more
- 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...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- Catholic Health Services (Melville, NY)
- …Job Details Under minimal supervision, formulates and defines Resolute Hospital Billing/ Claims scope and objectives through research and fact-finding to develop or ... will be implemented. Builds, tests, documents and maintains the EPIC Resolute Hospital Billing/ Claims program. Is competent to work on all phases of Epic Resolute… more
- Amazon (New York, NY)
- …Risk Management & Claims team is seeking a highly skilled and detail-oriented Business Analyst with a robust background in economic theory, auto claims ... ideal candidate will possess an in-depth understanding of insurance claims processes, a keen interest in economic principles, and...principles, and proficiency in dissecting complex datasets. As a Business Analyst , you will play a pivotal… more
- Guardian Life (New York, NY)
- Individuals within the ** Business Analyst IV** role identify business intelligence, reporting, and data analysis needs for the Dental and Disability ... problems. + Provide design support for the development of business intelligence solutions for Dental and Disability Claims...training/certification or equivalent work experience. + 5+ years of Business Analyst / Business Intelligence… more
- CDPHP (Albany, NY)
- …of the CDPHP core claim system and integrated support systems. The Configuration Analyst II will represent various business units in the analysis, development ... CDPHP's core claims systems and any integrated systems. The Configuration Analyst II will recommend system and configuration solutions and alternatives that meet… more
- University of Rochester (NY)
- …Technical Analyst reports directly to the Associate Director of Business Operations. **Key Functions and Expected Performances** **With guidance from the ... Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910502 United Business Office-PAS Work Shift: UR - Day (United States of America) Range: UR… more
- Axis (New York, NY)
- …or reinsurance contract interpretation and dispute management. Prior experience as a reinsurance claims analyst . Role Factors: In this role, you will typically ... + Manage a diverse and interesting portfolio of reinsurance claims for various lines of business including:...of reinsurance claims for various lines of business including: Professional Liability, Casualty, Marine and Surety. +… more
- CUNY (Bronx, NY)
- Business Data and Reporting Analyst 2-...resolve issues relating to student refunds, * ie student claims of refund checks not received. * - Maintain ... and networking, systems planning, and/or technological troubleshooting while a Business Data and Reporting Analyst is a...troubleshooting while a Business Data and Reporting Analyst is a highly skilled end-user of CUNYfirst. There… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About the Role We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external ... and implementation. Essential Qualifications + Minimum 6-7 years of experience as a business analyst in healthcare payer industry. + Expertise and experience in… more