• Claims Business Analyst

    Axis (New York, NY)
    …Accommodation is available upon request for candidates taking part in the selection process. ** Claims Business Analyst ** **How does this role contribute to ... our collective success?** We are seeking a Claims Business Analyst to join our Business Technology Services (BTS) division, focusing on supporting … more
    Axis (07/22/25)
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  • Senior Business Analyst

    Molina Healthcare (Albany, NY)
    **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... analysis, task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements… more
    Molina Healthcare (07/30/25)
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  • Claims Analyst

    City of New York (New York, NY)
    …exceed 280,000 annually, totaling more than $2.04 billion dollars in expenditures. The Claims Analyst will be responsible for the below duties: Oversee the ... PERMANENT (NOT PROVISIONAL) IN THE CIVIL SERVICE TITLE OF ASSOCIATE STAFF ANALYST . The Administration for Children's Services (ACS) protects and promotes the safety… more
    City of New York (08/24/25)
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  • Lead Analyst , Claims / Regulatory…

    Molina Healthcare (Buffalo, NY)
    …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
    Molina Healthcare (06/18/25)
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  • Senior Internal Business Systems…

    Highmark Health (Albany, NY)
    …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
    Highmark Health (07/11/25)
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  • Lead Analyst , Payment Integrity

    Molina Healthcare (Yonkers, NY)
    **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...+ At least 6 years of experience as a Business Analyst or Program Manager in a… more
    Molina Healthcare (08/20/25)
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  • Business Process Analyst - HNAS

    Highmark Health (Albany, NY)
    …+ Bachelor's Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience ... significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses,...in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
    Highmark Health (06/17/25)
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  • Lead Analyst , Configuration Oversight…

    Molina Healthcare (Syracuse, NY)
    **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
    Molina Healthcare (07/24/25)
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  • Senior Contracting Compliance Analyst

    Mount Sinai Health System (New York, NY)
    …care each year for millions of patients. We are accelerating a transition to a business model focused on population health management - our goal is to keep entire ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Hospital Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
    Mount Sinai Health System (08/12/25)
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  • Quality Analyst (Regression Tester)

    General Dynamics Information Technology (Menands, NY)
    …Required:** None **Job Family:** Professional Engineering **Skills:** Healthcare Claims ,Quality Assurance (QA),Structured Query Language (SQL) **Experience:** 2 + ... years of related experience **Job Description:** Quality Analyst (Regression Tester) Transform technology into opportunity as an...TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience… more
    General Dynamics Information Technology (08/13/25)
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