- Humana (Albany, NY)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Healthfirst (NY)
- …peers to establish goals, priorities and deliverables of Business/ Project Analyst team. Ensurelong-term strategic and short-term tactical Operational needs for ... ensure their own optimal performance as well as performance of the Business/Project Analyst team. + Regularly meet with supervisor, peers, and stakeholders to drive… more
- Tiffany & Co. (New York, NY)
- **Position Overview:** As the Analyst , Global Trade & Logistics, you will play a key role in supporting, analyzing, and optimizing the movement of goods across ... landed costs. + Provide guidance when needed for item classification, claims , service failures, expediting clearance/shipments, assisting with special requests, etc.… 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:_** + ... and develop solutions to issues related to confirmations, processing, post-settlements, claims , and treasury operations + Capable of prompt objective diagnosis as… more
- Molina Healthcare (Buffalo, NY)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines… more
- The Cigna Group (Albany, NY)
- **We are seeking an experienced Scrum Master to join our Claims Systems Operations team. This role is pivotal in fostering a collaborative, high-performing ... environment that supports the delivery of valuable claims system solutions. The Scrum Master will uphold SAFe...GED required. - Experience in the Health Insurance domain preferred . - 3+ years in a Scrum Master or… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer Service, Legal ... resource planning. + Manage various file integrations including eligibility, accumulators, claims , etc. + Create an efficient process to manage client… more
- Highmark Health (Albany, NY)
- …2 years of Coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 1 year of Project leadership in ... a complex, matrixed environment (payer and/or provider preferred ) + 1 year of Providing analytical consultation to clinical, administrative, operational and… more
- WTW (New York, NY)
- …management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy ... degree with a minimum overall GPA of 3.0 + Preferred course work may include human capital/human resource management,...Successful completion of one or more actuarial exams highly preferred + Ability to be a self-starter and work… more
- Molina Healthcare (Yonkers, NY)
- …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... combination of education and experience **Required Experience** 3-5 years ** Preferred Education** Bachelor's Degree or equivalent combination of education and… more