- Axis (Red Bank, NJ)
- …part in the selection process. **How does this role contribute to our collective success?** The Claims Analytics Lead is a new role at AXIS reporting into ... will you do in this role?** + Partnering with reserving and claims colleagues to support analytics needs. + Building a strong knowledge of the different … more
- Citizens (Iselin, NJ)
- Description Product Owner, Claims Management Platform & Transformation Lead We are seeking a results-driven leader to own and drive the development and ... transformation of our Claims Management product platform and its evolution toward next-generation...Glen Allen, VA - 10561 Telegraph Rd Responsibilities: + Lead Agile teams with accountability for ROI, ensuring delivery… more
- Two95 International Inc. (New York, NY)
- …meet their needs * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively navigate and do the analyses * ... Job Title: Sr. Analytics Consultant Job type : Remote Work Type... Lead the analytical-interrogation of their EMR/EHR and/or ... Lead the analytical-interrogation of their EMR/EHR and/or claims data to perform data quality checks * Partner… more
- Mount Sinai Health System (New York, NY)
- …with stakeholders from across the organization to develop sophisticated analytics to provide information, insights and BI (Business Intelligence) solutions ... others in the Data Science team and takes the lead role in project initiatives. **Qualifications** + BA or...degree preferred. + 7 years minimum, higher preferred, in analytics development expertise, preferably in health care, or for… more
- Blue Matter (New York, NY)
- …platform for life sciences. 1. Delivery & Team Leadership (50%) + Lead end-to-end project delivery for complex technology engagements, ensuring excellence across ... owner for multi-disciplinary projects involving data engineering, AI, and analytics . + Provide hands-on leadership in solution design, architecture, modeling,… more
- Guardian Life (New York, NY)
- As the **Dental Network Strategy & Delivery Lead ** you will be an integral part of the Dental Network Strategy & Strategic Partnerships team within the Group ... encouraged to move quickly. + An expert in leveraging data and analytics to rigorously define multi-year growth, retention and profitability strategies while… more
- The Cigna Group (New York, NY)
- …to go into the NYC office 3 days per week._** The **Provider Contracting Lead Analyst** serves as an integral member of the Provider Contracting Team and reports ... to the Contracting Manager or Market Lead . This role assists and supports the day to...communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance,… more
- Mount Sinai Health System (New York, NY)
- …The team includes 400+ employees with clinical, contracting, finance, IT, analytics , operations, and product development expertise. The Managed Care Contracting Team ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
- Mount Sinai Health System (New York, NY)
- …Unit, 518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital **Responsibilities** + Lead the development and adoption of advanced analytics , and AI solutions to ... is responsible for optimizing financial performance using business intelligence, advanced analytics , and AI-driven solutions. This position, plays a key role in… more
- 32BJ Benefit Funds (New York, NY)
- …Health Fund data engineering and product development teams. This role will lead the design, development, and optimization of data-driven solutions that support ... Health Fund products and analytics . This role combines strategic leadership with hands-on technical...team focuses on leveraging over 10 years of medical claims data, provider data and pricing data (internal and… more
- Mount Sinai Health System (New York, NY)
- …with stakeholders from across the organization to develop sophisticated analytics to provide information, insights and BI (Business Intelligence) solutions ... others in the Data Science team and takes the lead role in project initiatives. **Qualifications** + BA or...degree preferred. + 7 years minimum, higher preferred, in analytics development expertise, preferably in health care, or for… more
- WNYC, NY Public Radio (New York, NY)
- …inefficiencies, the person in this role serves as the organizational lead for compensation & benefits administration, HR policy administration, employee data ... onboarding, employment verification and leaves of absence. This position will also lead and support the development of one operations support role. Key… more
- OneMain Financial (New York, NY)
- …process automation, and integrate new digital capabilities. + **Leverage data and analytics ** to measure funnel performance, claims utilization, and operational ... We are seeking an **Associate Director,** **Product Manager, Insurance** to lead the end-to-end experience for OneMain's optional insurance products. This role… more
- RxBenefits (New York, NY)
- …to provide strategic insight and support organization goals and initiatives + Lead the development and application of advanced analytics techniques driving ... Senior Manager, Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics . The Senior Manager, Pharmacy Pricing is a leader and key contributor to… more
- Capgemini (New York, NY)
- …Manager** in our **Insurance** team focused on **Transformation Management** , you will lead strategic programs that shape the future of the Insurance industry. We ... including target operating models, process optimization, and technology modernization. . Lead diagnostic assessments across the insurance value stream - from product… more
- Capgemini (New York, NY)
- …identifying compliance risks, and designing improved operating models. + Lead or support safety system implementations: requirements gathering, configuration, UAT, ... gene/cell therapies, ATMPs). + Familiarity with real-world evidence for safety ( claims databases, EHR, registries, social media). + Understanding of AI/ML in… more
- Win (Women In Need) (New York, NY)
- …its employees. The AVP will leverage internal and external data, trends, analytics , and insights to assess talent gaps, forecast resource needs, prioritize ... escalate cases to the relevant executive team member. + Lead the planning and execution of all performance management,...and state agencies with respect to employment charges and claims + Partner with COE heads to gain a… more
- Elevance Health (Woodbridge, NJ)
- …required by law._ **Summary** Provide support for CarelonRx including trend and rebate analytics and delivering a clear linkage from Cost of Care initiatives to ... total FTE's **Position Responsibilities** + Complete pharmacy trend and rebate analytics for Medicaid, Medicare and/or Commercial and improve reporting and linkage… more
- Mount Sinai Health System (New York, NY)
- …and industry best practices. The Director of RCM EPIC Optimization will lead strategic and operational workflow initiatives to maximize the effectiveness of Mount ... in relevant RCM modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management) strongly preferred. + Minimum 7-10 years of progressive… more
- IQVIA (New York, NY)
- …Affairs Strategy** **Overview** IQVIA is a leading global provider of advanced analytics , technology solutions, and clinical research services to the life sciences ... With direct access to the world's most comprehensive healthcare information, analytics , and research resources, IQVIA Real World Solutions (RWS) experts design… more