- Molina Healthcare (Syracuse, NY)
- …We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role will focus on...guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen.… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... + Extract and compile information from various systems to support executive decision-making + Mine and manage information from...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency ... to establishing rates, rating structures and systems and reserves. The Actuarial Analyst has accountability to providing in depth analysis on the overall risk… more
- Highmark Health (Albany, NY)
- …Client Benefit Analyst is responsible for providing or coordinating prompt support to UCCI Sales and Service Personnel, group administrators, brokers, and Agent ... Concordia Dental **Job Description :** **JOB SUMMARY** This job provides account support activities associated with the administration of all experience rated and… more
- Amazon (New York, NY)
- Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, ... The ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in transportation. As… more
- Axis (New York, NY)
- …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 our Business...ensuring clear communication between technical and non-technical teams. + Support the adoption of new processes and tools by… more
- Evolent (Albany, NY)
- …impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams ... the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique… more
- CVS Health (New York, NY)
- …solutions related to adjudication and processing of pharmacy and vaccine/medical claims , maintaining current services, support optimalization of existing vendor ... review and resolution for incidents reported through the Store Support center related to claim transactions, initiatives,... our store colleagues. The Retail Adjudication Products Sr Analyst will work cross functionally with both and external… more
- Amazon (New York, NY)
- …The 3P Insurance and Claims Team within LCMO provides insurance and claims support for third-party companies or individuals who do business with Amazon. ... the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of...Key job responsibilities * Retrieve and analyze insurance and claim data using Excel, SQL, Access, Tableau, and other… more
- Albany Medical Center (Albany, NY)
- …America) Salary Range: $38,937.60 - $50,618.88 Entry level hospital billing and claims position. Qualifications: High school diploma or GED is required. AAS degree ... Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, and have… more