- 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 ....to Claims Developer regarding specific tasks on claims . + Provides monthly reporting statistics. + Ensures adherence… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Insurance Fund, State Title Business Systems Analyst 1 (Client Relations) - NY HELPS Occupational Category Other Professional Careers Salary ... NY Zip Code 12206 Duties Description The Business Systems Analyst 1 will work closely with program...Service Law. Eligible titles include, but aren't limited to: Claims Services Representative 1 , Policyholder Services Representative… more
- New York State Civil Service (Albany, NY)
- …Non-Competitive Qualifications for appointment under the NY HELPS Program:Health Care Fiscal Analyst Trainee 1 (starting salary $52,198): A bachelor's degree in ... Mental Health, Office of Title Senior Health Care Fiscal Analyst / Health Care Fiscal Analyst Trainee -...CFR Provider training sessions.* Coordinate with the Contracts and Claims (C&C) Unit on the application of CFR data… more
- CVS Health (Albany, NY)
- …to GPS to rework claims after validating as overpaid **Required Qualifications** * 1 years experience working with GPS and ECHS * Knowledge of ACAS claims ... This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and...experience along with provided guidance to review and validate claims for overpayment. The ideal candidate will be able… 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...communication is critical for both internal and external communication. 1 . Focal point for customer/buyer communication and interface: *… 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 ... 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
- Baylor Scott & White Health (Albany, NY)
- …while aligning with internal SMEs and current capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to ... support our organization. We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis and interpretation of data to… more