- Mount Sinai Health System (New York, NY)
- …across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding, modeling, and reporting on ... + In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and payment reconciliation. + Familiarity with **Stratajazz** ,… more
- Norstella (Albany, NY)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- NYU Rory Meyers College of Nursing (New York, NY)
- Position Summary Manage claims adjudication by identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care, Commercial ... by payers. Contact payer to resolve appeals and final solution to claims . Collaborate with the Director of Insurance Strategy in developing, implementing and… more
- CVS Health (Albany, NY)
- …stakeholders that rely on the team's analyses and business expertise. The Sr. Analyst Business Consultant will use data and analytical skills to support financial ... Reporting & Analysis: + Develop and maintain regular reporting on revenue, claims analysis, utilization, and drivers; researching any anomalies. + Provide support… more
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- CVS Health (Albany, NY)
- …do it all with heart, each and every day. **Position Summary** The Senior Analyst , Account Management will serve as a fully dedicated advocate to senior employees ... Liaising with healthcare providers. + Submitting and tracking out-of-network claims . + Managing administrative processes such as pre-authorizations and… more
- Northwell Health (Lake Success, NY)
- **Req Number** 166494 Flexstaff is currently hiring a Full Time Board Certified Behavioral Analyst . One BCBA needed for Manhattan and a second in the Bronx. The BCBA ... the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more
- University of Rochester (Rochester, NY)
- …gap and creating capabilities required for future success The Senior Financial Analyst will be a key member of AHP's contracting and information management ... + Preferred - Five years experience with health care data, including claims , fee schedules, Electronic Medical Record data (particularly EPIC), fee schedules, and… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS… more
- City of New York (New York, NY)
- …recruiting for one (1) PAA III position to function as the Human Services Payment Analyst in the DHS Human Services Unit who will: - Perform quality assurance review ... Accelerator, FMS, and CARES within the prescribed period. - Reconcile monthly claims and maintain a claim-control register to ensure the accuracy of reimbursement.… more