- 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
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Molina Healthcare (New York, 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
- Wolters Kluwer (New York, NY)
- …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims ... proficient in analyzing CMS rules as it relates to claims and processes. The candidate will be able to...contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional… 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
- Hackensack Meridian Health (Edison, NJ)
- …healthcare and serve as a leader of positive change. The **Applications Analyst III** gathers business requirements, conducts needs assessments, and develops ... specifications and build to ensure that developed information technology solutions support business objectives. This level works with little or no supervision and… 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
- 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
- VNS Health (Manhattan, NY)
- OverviewFunctions at the most senior level Business Systems Analyst role. Works directly with senior management on highly visible projects to understand ... business and clinical needs. Acts as lead Business Systems Analyst on team; coordinates exchanges...articles on information systems for the department. + For Claims Only: + Develops and distributes regular management reports… more
- New York State Civil Service (New York, NY)
- …to the Journey level include, but are not limited to: Administrative Specialist 1, Business Systems Analyst 1, Claims Services Representative 1, Contract ... Management Specialist 1, OR*A bachelor's degree and two years of *professional human resources experience.* A Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience.Please be advised that the New York… more
- Axis (Princeton, NJ)
- …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
- Hackensack Meridian Health (Edison, NJ)
- …healthcare and serve as a leader of positive change. The **Applications Analyst III** gathers business requirements, conducts needs assessments, and develops ... III on our Digital Technology Services team** **!** **Our openings include:** **Applications Analyst III - Epic Resolute HB/PB Claims :** Candidates need to be… 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
- Molina Healthcare (New York, NY)
- …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses… more
- Hackensack Meridian Health (Edison, NJ)
- …serve as a leader of positive change. The **Clinically Integrated Network (CIN) Business Analyst ** is responsible for supporting the Population Health CIN ... A day in the life of a **Clinically Integrated Network (CIN) Business Analyst ** at **Hackensack Meridian** **_Health_** includes: + Interprets data,… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Terumo Medical Corporation (Somerset, NJ)
- Contract Analyst Date: Jan 8, 2025 Req ID: 3722 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: Contracting and Analytics **Job ... Summary** The Contract Analyst is responsible for administering specific assigned stages of...purchase agreements in accordance with TMCs approved templates and business standards. 2. Responsible for drafting and/or reviewing contract… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... five distinct departments: 1) Centralized Data Entry (CDE), 2) Claims & Collections (C&C), 3) Division of Financial Review...of Revenue is recruiting for one (1) Associate Staff Analyst to function as a Research Analyst ,… 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 ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more