• 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...resolving any issues that arise. You may also be required to take on additional duties, responsibilities and activities… more
    Axis (07/22/25)
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  • Sr. Analyst , Pharmacy Claims

    CVS Health (New York, NY)
    …Identify and create custom solutions to support and meet on going business needs. Provide comprehensive reporting and key performance metrics for reconciliation, ... revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication...and procedures to assist in new product development, create business cases from data driven strategic decision making to… more
    CVS Health (07/16/25)
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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 ... knowledge. Creates specifications for reports and analysis based on business needs and required or available data... analysis, task and workflow analysis. + Interpret customer business needs in the claims space and… more
    Molina Healthcare (07/30/25)
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  • Business Systems Analyst - QNXT…

    Molina Healthcare (Albany, NY)
    …* Claims and SQL knowledge a plus **JOB QUALIFICATIONS** ** Required Education** Associate degree or equivalent combination of education and experience ** ... **Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the… more
    Molina Healthcare (07/31/25)
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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 ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...+ Extensive experience on researching, presenting and documenting is required , + Experience with Medicare, Medicaid and Marketplace is… more
    Molina Healthcare (06/18/25)
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  • ADA Senior Quality Claims Analyst

    MetLife (Oriskany, NY)
    …and processes supported. Required : * 3+ years of experience managing ADA claims . * Experience managing absence claims for a variety of customers and ... Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the analysis… more
    MetLife (06/13/25)
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  • Senior Internal Business Systems…

    Highmark Health (Albany, NY)
    …a lead role on project teams, based upon experience and need. + Provide required business and/or subject matter expertise for both project and production related ... High school diploma/GED **Preferred** + Bachelor's degree in Information Systems or Business Administration/Management **EXPERIENCE** ** Required ** + 5 - 7 years… more
    Highmark Health (07/11/25)
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  • Lead Analyst , Payment Integrity - Health…

    Molina Healthcare (Syracuse, 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 (08/03/25)
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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 in a ... reviews significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses, and/or solve… 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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