- Molina Healthcare (Syracuse, NY)
- …on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Citigroup (Getzville, NY)
- The Sec & Derivatives Lead Analyst is a senior level position responsible for product management in the FX and Treasury Operations teams. **_Responsibilities:_** + ... monitor work and budget, and mitigate risks + Develop and implement business initiatives, client solutions, and/or projects, particularly business mandatory,… more
- Molina Healthcare (Syracuse, NY)
- …with preparation of forecasts, recommendations and strategic/tactical plans based on business data and vendor competencies. Creates specifications for reports ... **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of...business and vendor performance problems and issues using data from internal and external sources to provide solutions… more
- City of New York (New York, NY)
- …to vendors providing services to DSS/HRA/DHS and reimbursement to employees for business related out of pocket expenses incurred in the delivery of services. ... Associate III to function as a Human Services Payment Analyst who will: - Perform quality assurance review of...and CARES within the prescribed period. - Reconcile monthly claims and maintain a claim-control register to ensure the… 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 ... of data . Provides timely and meaningful feedback to associates and...the Absence Management Services quality team as needed. Essential Business Experience and Technical Skills: Proficient knowledge of the… more
- Highmark Health (Albany, NY)
- …to aggregate, analyze and understand patterns in varied and complex data ; and articulates analytic findings, business implications, and recommendations ... + 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project… more
- AIG (New York, NY)
- …Insurance businesses. Effective Catastrophe Management is integral to the success of the business and our catastrophe modelers play a critical role in managing our ... in this role is to be the catastrophe modelling business partner for AIG's Retail Property business ,...and the Retail Property Underwriting team, providing advice and data driven insights that will support Underwriting and Portfolio… more
- Beacon Mobility (Beacon, NY)
- …system administrator for Telematics/GPS programs + Collect, process, and distribute relevant data about the fleet department and telematics + Manage the device RMA ... process, warranty claims + Manage non-reporting devices for quick resolution and...to 5 years of experience in fleet operations, telemetry, data analysis, or an equivalent combination of education and… more
- World Insurance Associates, LLC. (Syosset, NY)
- …creation of employee contribution recovery models + The ability to create benchmark data and trend analysis for clients + Work independently and make sound ... cases + Create monthly financial reporting packages including detailed premium, claims , membership, commission, and cash reconciliation information + Create weekly,… more
- City of New York (New York, NY)
- …applications and/or systems. - Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data -driven manner, with 100% ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The Department of… more