- VNS Health (Manhattan, NY)
- OverviewWorks directly with management on highly visible projects to understand business needs and challenges of managed care payors and to develop innovative ... analysis, designs new or enhanced systems to meet operational, business , and clinical needs. Collaborates with Business ...state rates. + Acts as a liaison between the claims department, providers and other internal departments. + Manages… more
- Molina Healthcare (New York, NY)
- …cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health Plans ... is a general role in which employees work with multiple types of business data. Will work cross functionally across multiple business areas.… more
- 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
- Amazon (New York, NY)
- …- Develop program metrics, KPIs, and benchmarking that will track the global cargo claims program - Reporting business metrics to internal teams and discussing ... Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and...is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and… 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 15, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60239 **Who we are** Teva ... healthier lives. Join us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… 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
- 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...us as a Casualty Coverage and Mass Tort Senior Claims Adjuster to play your part in that transformation.… 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
- Amazon (New York, NY)
- Description Amazon's Global Risk Management and Claims team is seeking a Risk Analyst to assist with the development and management of Amazon's corporate ... risk management tools and techniques for new and existing business initiatives. Additionally, the Risk Analyst will...and existing business initiatives. Additionally, the Risk Analyst will manage the insurance programs for some Amazon… 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
- Amazon (New York, NY)
- …Risk Management & Claims team is seeking a highly skilled and detail-oriented Business Analyst with a robust background in economic theory, auto claims ... ideal candidate will possess an in-depth understanding of insurance claims processes, a keen interest in economic principles, and...principles, and proficiency in dissecting complex datasets. As a Business Analyst , you will play a pivotal… more
- New York State Civil Service (New York, NY)
- …to the Journey level include, but are not limited to: Administrative Specialist 1, Business Systems Analyst 1, Claims Services Representative 1, Contract ... Management Specialist 1, OR*A bachelor's degree and two years of *professional human resources experience.* A Juris Doctor, master's or higher degree in a related field can substitute for one year of specialized experience.Please be advised that the New York… 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:...of reinsurance claims for various lines of business including: Professional Liability, Casualty, Marine and Surety. +… 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 ... and implementation. Essential Qualifications + Minimum 6-7 years of experience as a business analyst in healthcare payer industry. + Expertise and experience in… more
- CUNY (Bronx, NY)
- Business Data and Reporting Analyst 2-...resolve issues relating to student refunds, * ie student claims of refund checks not received. * - Maintain ... and networking, systems planning, and/or technological troubleshooting while a Business Data and Reporting Analyst is a...troubleshooting while a Business Data and Reporting Analyst is a highly skilled end-user of CUNYfirst. There… 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 ... business needs and DSS' workload is crucial. The expanding...of client eligibility and recertification systems, employment/work engagement services, claims systems, etc. requiring periodic refinements to maintain the… more
- Bayer (Whippany, NJ)
- …832554 **Contact Us** **Email:** hrop_###@bayer.com **Job Segment:** Compliance, Medicaid, Claims , Business Process, Relationship Manager, Legal, Healthcare, ... make a real difference, there's only one choice.** **Medicaid Process Dispute Analyst ** The Medicaid Process & Dispute Lead is responsible for providing functional… 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