- The Cigna Group (New York, NY)
- …go into the NYC office two times per month._** The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and reports to ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
- MVP Health Care (Schenectady, NY)
- …and continuous improvement. To achieve this, we're looking for a **Professional, Quality Analyst ** to join #TeamMVP. This is the opportunity for you if you have ... **you'll** **bring:** + Bachelor's Degree in Business, Math, Computer Science, Information Systems , related field or five or more years of related work experience.… more
- Centene Corporation (New York, NY)
- …City, NY for occasional in office meetings. **Position Purpose:** The Health Care Analyst provides analytic support to one or multiple departments and develops a ... reporting requirements. + Supports the development of online management information systems and standardized reports. + May recommend operational changes or actions… more
- Beacon Mobility (Beacon, NY)
- …assignment information + Oversee installation partners and installation progress of telematics systems + Manage system accessibility for all Beacon employees, ... and fleet vehicle. Job Description Responsibilities: + Serve as the system administrator for Telematics/GPS programs + Collect, process, and distribute relevant… more
- City of New York (New York, NY)
- …payments in compliance with financial policies and procedures. - Examine invoices, claims , fee collection or applications for recoupments, refunds and verify their ... - Ensure that all records/documents are recorded in Miscellaneous Revenue Office's system (QuickBooks) and send invoices/bills to agencies in a timely fashion. -… more
- Highmark Health (Buffalo, NY)
- …**EXPERIENCE** **Required** + 5 years of progressive experience in claims support and processing, customer service, billing, enrollment, benefits administration, ... medical procedures and terminology + 3 years of experience in Health Care claims , Health Insurance and Benefit Administration **SKILLS** + Possess good written and… more
- IBM (Buffalo, NY)
- …including content creation, review and approval, digital asset management (DAM), claims management, and modular content * Implement client's E2E content supply ... business performance and compliance consistently across enterprise * Ensure business system continuity for client as required **Required technical and professional… more
- Prestige Employee Administrators (Melville, NY)
- …carriers and clients + Collect and maintain plan documentation + Audit plans + Claims assistance + Partner with Accounting to reconcile bill + Benefit system ... plans + Assist with Open enrollment: + Prepare the system for every client renewal change (benefits and contributions)...and the ability to learn and adapt to new systems + Broker license preferred Skills and Personal Qualifications:… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Uses existing software and systems to support the department's goals. + Develops and generates ad-hoc… more
- Molina Healthcare (Syracuse, NY)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to support the department's goals. + Develops and generates… more
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