- Humana (Albany, NY)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- City of New York (New York, NY)
- …for all medically related issues for medical management of workers' compensation claims . Responsibilities include: Consult managerial and legal staff in regards to ... work injury and assist with medical case management of claims . Review and process high value and complicated in-patient...the time of interview. To Apply Click "APPLY" MEDICOLEGAL ANALYST (LAW DEPT) - 06591 Qualifications 1. A valid… more
- Evolent (Albany, NY)
- …into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... findings. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data.… more
- CVS Health (Albany, NY)
- …Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the negotiation ... role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator, working with training staff, and team members as more complex cases and strategies are developed. **Required… more
- Citigroup (Getzville, NY)
- The Sec & Derivatives Lead Analyst is a senior level position responsible for product management in the FX and Treasury Operations teams. **_Responsibilities:_** + ... and develop solutions to issues related to confirmations, processing, post-settlements, claims , and treasury operations + Capable of prompt objective diagnosis as… more
- Molina Healthcare (Buffalo, NY)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines… more
- AIG (New York, NY)
- …measurement. They collaborate with Marketing, Operations and Financial Management. Actuarial Analyst Sr, AIGRM New York We are seeking an actuarial professional ... Provide business solutions to maximize risk adjusted profit. + Collaborate with claims department and underwriting team to reflect underlying trends in the review.… more
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. **Actuarial Analyst , NA FL** **North American Financial Lines Pricing** **Actuarial** **How does ... Lines book. They will proactively engage with Reserving, Risk Management, Finance, Claims , and Data & Analytics colleagues to achieve desired business outcomes and… more
- Tiffany & Co. (New York, NY)
- **Position Overview:** As the Analyst , Global Trade & Logistics, you will play a key role in supporting, analyzing, and optimizing the movement of goods across ... landed costs. + Provide guidance when needed for item classification, claims , service failures, expediting clearance/shipments, assisting with special requests, etc.… more
- Molina Healthcare (NY)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... + Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and collaborates with the national… more