- 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
- 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 (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59984 **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
- Molina Healthcare (New York, NY)
- …root cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health ... remediation plans and fixes, overall progress, and status of impacted claims **JOB QUALIFICATIONS** ** Required Education** Associate's Degree or equivalent… more
- Acosta Group (Bloomfield, NJ)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- VNS Health (Manhattan, NY)
- …in Business or related discipline or the equivalent work experience, required + Master's Degree in Business Administration, Public Administration or related ... state rates. + Acts as a liaison between the claims department, providers and other internal departments. + Manages...experience must be with a managed care organization on business transformation, required + Two years' experience… more
- AIG (Jersey City, NJ)
- …partners concerning exposures and concerning potential product changes and enhancements. + Advise claims and business leaders on emerging risks. What you'll need ... Casualty Coverage and Mass Tort Senior Claims Adjuster At AIG, we are reimagining the...after a conditional employment offer is made. Unless otherwise required by law, AIG does not automatically exclude any… more
- Molina Healthcare (New York, 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
- 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
- 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:...colleagues from time to time You may also be required to take on additional duties, responsibilities and activities… more
- Adecco US, Inc. (Teaneck, NJ)
- …passionate professional to join our client's team! Position Name: **Senior Analyst , Commercial Analytics (Pharmaceutical & Plasma)** Location: **Teaneck, NJ (Hybrid ... least 5+ years as a Pharmaceutical & Plasma Data Analyst reflected on your Resume, your application will be...Experience in **Data Analysis** , **Pricing Analysis** , and ** Business Analysis** . - Experience within the **pharmaceutical and… 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
- KeenLogic (New York, NY)
- KeenLogic is seeking a Business Analyst to join our team at the NYC Department of Social Services. Having a project portfolio which properly reflects the user's ... and engineers to coordinate the building of applications to spec and on time. Required Skills + Minimum 4 Years Gathering business requirements, writing user… more
- Booker DiMaio, LLC (New York, NY)
- …engagements Strong preference for candidates already in the NYC area. PROJECT DESCRIPTION: Business Analyst needed for the provision of full systems life cycle ... variety of client eligibility and recertification systems, employment/work engagement services, claims systems, etc., that are critical to the operation and… 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
- 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 ... provide information, insights and BI ( Business Intelligence) solutions that contribute to sound strategic planning, decision-making, goal setting, and effective… more
- VNS Health (Manhattan, NY)
- … + Proficiency in standard business applications such as Microsoft Office required + Proficiency in claims processing platforms such as FACETS required ... + Conducts targeted analysis to support regulatory investigations; provides claims extracts and supporting data as required ....provides claims extracts and supporting data as required . + Conducts analysis of delegated vendor claims… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify… more
- JPMorgan Chase (New York, NY)
- …reviewing insurance clauses in contracts and providing proof of insurance to various business lines across the company as required . **Job responsibilities** : + ... required under various insurance programs. + Support the claims management process for non-casualty claims , including...Support the claims management process for non-casualty claims , including coordination with the lines of business… more
- Bank of America (New York, NY)
- Consumer Product Strategy Analyst III - Digital Fraud Strategies Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, ... and create mitigation strategies. **Responsibilities:** + Recommends ways to help the business achieve desired outcomes and make informed business decisions… more