- Molina Healthcare (NY)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... CMS and internal audit activities. This position contributes to the development of...collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory… more
- Amazon (New York, NY)
- Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, ... The ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in transportation. As… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen....+ Assist in developing and refining internal SOPs and audit tools related to COB claim reviews. + Act… more
- City of New York (New York, NY)
- …IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The Bureau of ... Audit Services plays a leading role in risk-based assessments...all testing schedule (PS, OTPS, Fringe, Admin, LOS, EI claims ) and draft reports and submit for Supervisors review… more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data ... strategy and execution of CMS and internal audit activities. This position is responsible for supporting...all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate… more
- Molina Healthcare (Buffalo, NY)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- The Senior Trade Analyst is responsible for the daily management of Regeneron's relationship with our membership management application within Model N. It will be ... this Analyst 's responsibility to increase utilization, daily maintenance, and efficiencies... will also be a key contributor to all audit -related activities pertaining to the brand. **A typical day… 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
- Mount Sinai Health System (New York, NY)
- …Support 340B program reporting by building custom reports, identifying eligible encounters/ claims , and automating audit -ready documentation. + Collaborate with ... **Job Description** The Data Science Analyst III serves as a senior member of...integration of data from various external sources, including wholesalers, claims systems, and financial platforms. + Develop complex SQL… more
- Barnes & Noble (New York, NY)
- Title: Compliance Analyst Category: Legal EmploymentType: Full-Time Location: NY-New York (Union Square) LocationType: corporate JobLocation: New York, New York ... and customer service in our stores and online at bn.com. The Compliance Analyst is responsible for the collection and analysis of product data and documentation… more