• Senior Stop Loss Claims Analyst

    Highmark Health (Albany, NY)
    …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
    Highmark Health (12/23/25)
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  • Benefit and Claims Analyst

    Highmark Health (Albany, NY)
    …product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. ... and claims experience. + Working knowledge of Highmark products, systems (eg, customer service and clinical platforms, knowledge resources, etc.), operations and… more
    Highmark Health (12/18/25)
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  • Business Systems Analyst 1…

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Insurance Fund, State Title Business Systems Analyst 1 / Trainee 1/2 - (NY HELPS) Occupational Category Financial, Accounting, Auditing ... Albany State NY Zip Code 12206 Duties Description The Business Systems Analyst 1 will...Trainee 1 include but are not limited to Administrative Analyst Trainee 1, Claims Services Representative Trainee… more
    New York State Civil Service (12/23/25)
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  • Business Systems Analyst

    Highmark Health (Albany, NY)
    …full software development lifecycle within Agile scrum teams, fulfilling roles such as Business Technical Analyst , User Interface Designer, or Tester. + Support ... scrum teams in various roles, including, but not limited to, Scrum Master, Business Technical Analyst , User Interface designer, Capability Manager, or Tester,… more
    Highmark Health (01/09/26)
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  • Business Data and Reporting Analyst

    CUNY (Staten Island, NY)
    …programming and networking, systems planning, and/or technological troubleshooting while a Business Data and Reporting Analyst is a highly skilled end-user ... Business Data and Reporting Analyst , Level...** will perform a broad range of HR information systems functions, data reporting, and data entry responsibilities while… more
    CUNY (11/07/25)
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  • Payment Integrity DRG Coding & Clinical Validation…

    Excellus BlueCross BlueShield (Rochester, NY)
    …with ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems , provider billing guidelines, medical necessity criteria, and ... business analysis. . Intermediate knowledge of PC, software, auditing tools and claims processing systems . Level II (in addition to Level I Qualifications) .… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Lead Networx Analyst , Contract…

    Molina Healthcare (Syracuse, NY)
    …of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply to each ... * Loads and maintains contracts, benefit and/or reference table information into the claims payment system and other applicable systems . * Participates in defect… more
    Molina Healthcare (12/26/25)
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  • Senior Contracting Compliance Analyst

    Mount Sinai Health System (New York, NY)
    **Job Description** Mount Sinai is one of the largest US health systems with a strong reputation for quality of care and research. We have over 38,000 employees ... 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… more
    Mount Sinai Health System (01/06/26)
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  • Analyst , Owner Controlled Insurance…

    MTA (New York, NY)
    …provides varying levels of support and analysis to Senior OCIP Administration Claims Analyst , Assistant Director, and Deputy Director; actively contributes to ... Analyst , Owner Controlled Insurance Programs Job ID: 13288 Business Unit: MTA Headquarters Location: New York, NY, United...and commuter rail cars than all other US transit systems combined. MTA strives to provide a safe and… more
    MTA (01/06/26)
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  • Liability Analyst

    Monro Muffler/Brake (Fairport, NY)
    …The Liability Analyst will understand and professionally input and communicate claims to the Risk Management and Monro Inc. leadership Team. Compensation: The ... Monro. Destination Monro -Your Career is Here! The Liability Analyst will play a key role in the Risk...Handle sensitive information in a confidential manner. + Inputting claims following the guidelines of Monro Inc. claim programs.… more
    Monro Muffler/Brake (10/22/25)
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