• Analyst , Claims Research

    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
    Molina Healthcare (01/21/25)
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  • Business Analyst -Healthcare Claims

    Wolters Kluwer (New York, NY)
    …highly skilled Business Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate will have a strong understanding ... for our customers. **Additional Information:** https://www.wolterskluwer.com/en/solutions/mediregs **Key Responsibilities:** + Research , analyze and interpret CMS rules and claims more
    Wolters Kluwer (01/31/25)
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  • Medicaid Claims Analyst

    Teva Pharmaceuticals (Parsippany, NJ)
    Medicaid Claims Analyst Date: Jan 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
    Teva Pharmaceuticals (01/23/25)
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  • Sr Analyst , Config Info Mgmt…

    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
    Molina Healthcare (01/21/25)
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  • Research Analyst

    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
    City of New York (11/30/24)
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  • Staff Analyst Series - Revenue Control…

    MTA (New York, NY)
    Staff Analyst Series - Revenue Control (Reduced Fare Unit) Job ID: 10452 Business Unit: MABSTOA Location: New York, NY, United States Regular/Temporary: Regular ... Posted: Feb 4, 2025 Description Job Information: Title: Staff Analyst Series - Revenue Control (Reduced Fare Unit) Opening...and perform a broad range of analytical, administrative and research support tasks for the Division of Revenue Control.… more
    MTA (02/04/25)
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  • Senior Systems Analyst

    City of New York (New York, NY)
    …is seeking an Associate Staff Analyst to function as the Senior Systems Analyst within Management & Policy Research /Single Issue Review unit, who will be ... Description YOU MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE. The Bureau of Revenue Development...Human Resources Administration (HRA) costs. The Management & Policy Research /Single Issue Review, a unit within Bureau of… more
    City of New York (01/26/25)
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  • Investigative Analyst

    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
    City of New York (12/14/24)
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  • Budget Analyst

    City of New York (New York, NY)
    …of the Budget Director and Assistant Commissioner for Fiscal Services, the Budget Analyst will: - Work with all aspects of the Department of Probation's OTPS ... related to procurement, accounts payable, revenue processing, and purchasing requests. - Research and resolve various budget related requests and provide guidance. -… more
    City of New York (01/28/25)
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  • Payroll Processing Analyst

    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
    City of New York (12/22/24)
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  • Data Science Analyst III - Mount Sinai…

    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
    Mount Sinai Health System (12/12/24)
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  • Senior Contract Analyst

    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
    City of New York (11/13/24)
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  • Senior Actuarial Analyst , Lexington…

    AIG (Parsippany, NJ)
    Senior Actuarial Analyst , Lexington Casualty At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Actuarial Analyst , ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an… more
    AIG (01/29/25)
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  • CBO Appeals Analyst

    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
    Mount Sinai Health System (11/27/24)
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  • Sr Business Systems Analyst

    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
    Molina Healthcare (01/21/25)
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  • Epic Caboodle Data Analyst - Scientific…

    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
    Mount Sinai Health System (11/29/24)
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  • Budget Analyst

    City of New York (New York, NY)
    …Description PLEASE NOTE THAT ONLY EMPLOYEES PERMANENT IN THE TITLE STAFF ANALYST WILL BE CONSIDERED** The NYC Department of Environmental Protection (DEP) enriches ... Services (PS) Unit, the Other than Personal Services (OTPS) Unit and the Revenue & Claims Unit. Candidates will be assigned to a unit based on need. Candidates must… more
    City of New York (01/08/25)
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  • Senior Product Filing Analyst

    Guardian Life (New York, NY)
    **Position Summary** The Senior Regulatory Filing Analyst is responsible for drafting, filing and securing regulatory approval of new group and retail insurance ... contract language can have on administration, marketing, sales, underwriting, pricing, claims and, ultimately, financial performance. + BS in Business Administration… more
    Guardian Life (01/30/25)
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  • Analyst , Contract Operations (hybrid)

    BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
    …all customer segments (excluding Pharmaceutical Systems, BioSciences, and IDS Capital). Analyst will be responsible to ensure members are aligned appropriately to ... contract review and preparation for new and renewal agreements. Analyst will be a key point of contact for...utilizing automation and reporting tools to proficiently review & research to meet stakeholder needs. + Understand and support… more
    BD (Becton, Dickinson and Company) (01/25/25)
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  • Sr Analyst , Risk Adjustment-Predictive…

    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 ... to suport Molina's Prospective and Retrospective Interventions. Assist with research , development,and completion of special projects. **Knowledge/Skills/Abilities** + Assist… more
    Molina Healthcare (01/29/25)
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