• Revenue Analyst

    City of New York (New York, NY)
    …PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE ASSOCIATE STAFF ANALYST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The ... deliver critical services effectively and meet DOHMH's objectives. Position Summary: The Associate Staff Analyst will report to the Assistant Director and be… more
    City of New York (12/03/25)
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  • Actuary, Medicaid Trend Analytics and Data…

    Humana (Albany, NY)
    …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
    Humana (11/20/25)
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  • National Accounts: Dedicated Field Services…

    CVS Health (Albany, NY)
    …+ Clinical background a plus. + Experience with Aetna and CVS products, claim systems, and digital member applications. + Associate degree or equivalent ... as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of these roles to… more
    CVS Health (12/05/25)
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  • Payment Integrity DRG Coding & Clinical Validation…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in ... Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules,… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Assistant Center Manager

    City of New York (New York, NY)
    …Description APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE Family Independence Administration's provides temporary help ... specialized administrative work supervising the functions of the City-wide Claims Units and/or supervising the functions of the City-wide...work of more than moderate difficulty; or 2. An associate degree or 60 semester credits from an accredited… more
    City of New York (11/14/25)
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  • Searcher/Testifier (Per Diem)

    City of New York (New York, NY)
    …in SharePoint, assisting with new hire onboarding and other tasks as needed. CLAIM SPECIALIST - 30726 Qualifications 1. A baccalaureate degree from an accredited ... college or university; or 2. An associate degree or 60 semester credits from an accredited...two years of full-time satisfactory experience investigating and/or settling claims for personal injury or property damage or loss;… more
    City of New York (11/12/25)
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  • Underwriting Specialist OR Executive Underwriter-…

    Zurich NA (New York, NY)
    …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience… more
    Zurich NA (11/06/25)
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  • Revenue Specialist

    Stony Brook University (East Setauket, NY)
    …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...months business experience, preferably in a healthcare setting;OR an Associate 's degree and at least 6 months of business… more
    Stony Brook University (11/21/25)
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  • Revenue Analyst

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE, OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... Office of Fiscal Operations is recruiting for one (1) Associate Staff Analysts to function as a Revenue Analyst...System (FMS). - Analyze settlement of Federal and State claims filed for reimbursements for adjustments and offsetting funds.… more
    City of New York (10/16/25)
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  • Market Risk Partner

    Highmark Health (Albany, NY)
    …to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, ... wellness studies, predictive modeling, benefit benchmarking, claim reserving and strategic client support that is both client facing and supportive to Sales… more
    Highmark Health (10/30/25)
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