- Warner Music Group (New York, NY)
- …retains the creative spirit of a nimble independent. **Job Title:** **Legal Analyst , Litigation** **A little bit about our team:** WMG's corporate Legal Department ... and departments in various legal matters, including litigation and claims , digital licensing, content protection, anti-piracy, mergers and acquisitions, securities,… more
- Highmark Health (Albany, NY)
- …+ Intake operational objectives and gather information. May perform routine research and evaluate basic output requirements and formats. Communicate business ... 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
- City of New York (New York, NY)
- …to program administration. - Utilizes automated systems and tools to support public health research and analysis to ensure claims submitted to the Grantors are ... and judgment, performs beginning level analysis in public health research cost. - Monitor the research operation costs of city, federal, state and private grant… more
- City of New York (New York, NY)
- …(3) Principal Administrative Associate III to function as a Human Services Payment Analyst who will: - Perform quality assurance review of vouchers ensuring they are ... Accelerator, FMS, and CARES within the prescribed period. - Reconcile monthly claims and maintain a claim-control register to ensure the accuracy of reimbursement.… more
- MetLife (Oriskany, NY)
- …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the analysis ... which to measure quality behaviors. * Assists in the research , analysis, partnering and providing feedback and recommendations for...supported. Required: * 3+ years of experience managing ADA claims . * Experience managing absence claims for… more
- City of New York (New York, NY)
- …timely process of revenue collection for outstanding balances. Investigate and research unidentified claims /payments received to determine its appropriateness to ... payments in compliance with financial policies and procedures. - Examine invoices, claims , fee collection or applications for recoupments, refunds and verify their… more
- Molina Healthcare (Buffalo, NY)
- …major projects of considerable complexity, prepares system design specifications, conducts research to resolve customer initiated issues related to core systems ... + Creates, reviews, analyzes and estimates project requests. + Performs research and analysis of customer initiated inquiries and requests, leveraging extensive… more
- CVS Health (Albany, NY)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... Outlook products, open source database search tools, social media and internet research . + Ability to Travel for Business purposes. **Preferred Qualifications** +… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL… more
- World Insurance Associates, LLC. (Syosset, NY)
- …cases + Create monthly financial reporting packages including detailed premium, claims , membership, commission, and cash reconciliation information + Create weekly, ... + Provide timely, courteous and accurate response to all inquiries, conducting research when necessary and communicating results + Process all necessary paperwork by… more