- Highmark Health (Albany, NY)
- …+ **MUST BE A US CITIZEN ** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational area (eg ... claims , billing, customer service, etc.) **Preferred** + Experience in a financial analysis, underwriting support, or actuarial support role is highly desired. Strong… more
- AIG (New York, NY)
- Senior Actuarial Analyst , Reserving - Workers Compensation At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Actuarial ... Analyst , Reserving - Workers Compensation to take on key...major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions.… 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
- Humana (Albany, NY)
- …CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion ... data connecting financial outcomes with operational results, particularly in Medicaid claims and premiums. + Deliver project-based and ad-hoc reporting for Medicaid… more
- Warner Music Group (New York, NY)
- …including, without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making recommendations to ... internal label clients regarding how to respond to those claims , facilitating settlement negotiations between the party auditing and...the audit concerned; + Review and analyze the audit claims submitted by the auditor in question, as well… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and ... + Develop custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and collaborates with the national… more
- GE Vernova (Schenectady, NY)
- **Job Description Summary** The Lead Finance Analyst , Conversions, Modifications & Upgrades ("CM&U") is a key business partner to Commercial and Project Operations ... and change-order strategies Financial Excellence + Drive change order financials, claims , and dispute resolutions; support cash collections and past-due reduction +… more
- Catholic Health Services (Rockville Centre, NY)
- …Health was named Long Island's Top Workplace! Job Details The Senior Financial Analyst reports to the Reimbursement team within the Corporate Finance department, and ... annual CFR & CBR reports and requests. + Prepare and review OASAS/OMH monthly claims and support County audits. + Medicaid DSH Audit preparation. + Prepare Budget… 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