- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired +… more
- CVS Health (New York, NY)
- …outcomes and reporting to ensure proper functionality and de-collisioning when needed. The Sr Analyst will work cross functionally with both internal and ... to the adjudication and processing of pharmacy and medical claims and newly expanded healthcare services. Create...to support our store colleagues. The Retail Adjudication Solutions Sr Analyst will work cross functionally with… 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 ... healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms… more
- VNS Health (Manhattan, NY)
- …and financial wellness programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying degrees ... state rates. + Acts as a liaison between the claims department, providers and other internal departments. + Manages...+ Ability to function autonomously, and collaborate with most senior level leaders across the agency required + Demonstrated… 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 ... technical expert and principal designer of information systems for the managed healthcare business. Collaborates with senior level management to understand… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Hospital Billing) Analyst who will primarily be ... processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ? Experience in… 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 ... implementation. Essential Qualifications + Minimum 6-7 years of experience as a business analyst in healthcare payer industry. + Expertise and experience in… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures ... fashion. In collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to...Five years minimum of managed care experience in insurance claims or contracts Four to Five years of financial… more
- VNS Health (Manhattan, NY)
- …with payment recoveries disseminating findings for affordability initiatives. Conducts analysis of claims and payment data across health plans in support of ensuring ... with vendor's contracted rates. Reconciles and validates underlying analytic data claims , and utilization management systems. Tests the integrity of utilization and… more
- Mount Sinai Health System (New York, NY)
- … III - Digital and Technology Partners - Remote - Req#3024403** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… more
- Mount Sinai Health System (New York, NY)
- …be responsible for managing a team of compliance analysts, including the Senior Contract Compliance Analyst , to ensure ongoing contract compliance monitoring, ... manage, and mentor a team of contract compliance professionals, including the Senior Contract Compliance Analyst , to ensure efficient and effective contract… more