- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions' core portfolios- ... Claims , Provider, and Enrollment. In this role, you will...to building a consistent QA approach across multiple portfolios ( Claims , Provider, Enrollment), to improve test efficiency, traceability, and… more
- Cognizant (Albany, NY)
- **Job Summary:** We are seeking a strong Duck Creek Functional Analyst / Business Analyst to work closely with customer Product Owners. The ideal candidate will ... teams to handle queries and understand requirements. . Experience with Billing and Claims configuration knowledge and Data Insight producer policy holder is an added… more
- Humana (Albany, NY)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- WMCHealth (Valhalla, NY)
- Compliance Analyst , 340B Program ( On-Site ) Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Executive/Management Department: Pharmacy ... Internal Applicant link Job Details: Job Summary: The 340B Program Compliance Analyst is responsible for maintaining regulatory compliance within the 340B Program… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …so that others can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work cross-functionally across various departments ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... Office of Revenue is recruiting for (1) Admin Staff Analyst NM III to function as a(n) Executive Director,...to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop… more
- Molina Healthcare (Yonkers, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and… more
- CenterWell (Albany, NY)
- …part of our caring community and help us put health first** The Billing Analyst is responsible for supporting the organization's billing operations with a focus on ... to ensure billing accuracy, regulatory compliance, and effective reporting. The Billing Analyst serves as a positive role model and consistently promotes the… more
- Elevance Health (New Hyde Park, NY)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more