- Amazon (New York, NY)
- Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, ... The ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in transportation. As… more
- Healthfirst (NY)
- **Duties & Responsibilities** : + Lead and deliver projects related to the development and configuration of new business, member benefits and products, claims ... enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier… more
- Axis (New York, NY)
- …is available upon request for candidates taking part in the selection process. The Reinsurance Claims Lead is a key contributor to the reinsurance team at AXIS. ... does this role contribute to our collective success? The lead reinsurance claims professional is diligent in...interpretation and dispute management. Prior experience as a reinsurance claims analyst . Role Factors: In this role,… more
- Molina Healthcare (Syracuse, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... completion dates with Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and configuration of all… more
- Trinity Health (Niskayuna, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Medical Billing Analyst - Cardiology Associates of Schenectady - Niskayuna, NY - Full Time** ... If you are looking for a Billing Analyst position in Albany, Full time, this could be...Medical Associates. **Responsibilities:** + Responsible to monitor and resolve Claims Workqueues; Specifically, Front End, Referrals & Authorizations, and… more
- BGB Group (New York, NY)
- Data Analyst at BGB Group (View all jobs) (http://www.bgbgroup.com/careers.html) New York, NY BGB Group Data Analyst Our Agency BGB Group is a healthcare ... biopharmaceutical clients to drive category/brand awareness and growth. Data Analyst Job Overview The Data Analyst will...and strategic impact. This position focuses on working with claims data and requires expertise in applied data science,… more
- Monro Muffler/Brake (Fairport, NY)
- … claims with secondary backup functions at inputting Workers' Compensation claims . The Liability Analyst will maintain strong relationships with Monro ... Analyst will understand and professionally input and communicate claims to the Risk Management and Monro Inc. leadership...and responsibilities may also be assigned by the incumbent's Lead Risk Manager, Liability Risk Manager, and/or VP of… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Mental Health, Office of Title Senior Health Care Fiscal Analyst / Health Care Fiscal Analyst Trainee - Two positions, Central Office; ... is recruiting to fill two Senior Health Care Fiscal Analyst /Health Care Fiscal Analyst Trainee, positions. The...the State Education Department (SED) and function as the lead on specific cost reporting issues.* Provide guidance in… more
- Molina Healthcare (Buffalo, NY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to… more
- MTA (Jamaica, NY)
- Senior Accounting Analyst Job ID: 10126 Business Unit: MTA Headquarters Location: Jamaica, NY, United States Regular/Temporary: Regular Department: Acct Receiv Recon ... Posted: Jan 10, 2025 Description JOB TITLE : Accounting Analyst / Senior Accounting Analyst POST DATE...supporting documents and assist in cash collections. + Take lead interfacing with BSC, Project Management, Budgets, Operations, IT… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify...Python, R, etc.) to answer a given problem + Lead monthly trend presentations to plan leadership and other… 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...others in the Data Science team and takes the lead role in project initiatives. **Qualifications** BA or BS… more
- Molina Healthcare (New York, NY)
- …and claims functionality. Requires assistance with schema from Tech resource or Lead Analyst . + Writes Requirements for BRDs/FRDs and Reports. + Complex ... and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive...and existing health plans. + Completes analysis on retroactive claims reports + Pre and post validation of complex… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Risk Management Analyst ** **FT Days- M-F onsite** **Mission Statement:** We, St Peter's Health ... healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical risk… more
- CGI Technologies and Solutions, Inc. (New York, NY)
- **Life Insurance Process Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Connecticut, Hartford **Alternate ... CGI is seeking a highly skilled and experienced Life Insurance Process Analyst with a strong background in Life Insurance operations. The ideal candidate… 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 within ... 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
- Ducommun (Coxsackie, NY)
- Program Management Analyst I Job Description Job Summary & Essential Functions: The following describes in general terms the purpose and scope of the position. The ... Program Management Analyst , under the supervision of the Program Manager, supports...submittal and in resolving late payment receipts and customer claims . 5. Development and growth of the Program: *… more
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and related financial data like risk...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** The Sr. Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. Provides ... manages email correspondence between vendors, functional counterparts, and stakeholders ( Claims , Enrollments, IT, Health Plan, Core Operations) + Performs… more