- FlexStaff (New York, NY)
- …procedures. Adheres to the agency's corporate compliance program, including the code of business conduct, the NYS and federal false claims acts, whistleblower ... **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… more
- CVS Health (Albany, NY)
- …regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education need. **Required Qualifications** ... * Working knowledge of business segment specific codes, products, and terminology. * 3-5...and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of… more
- World Insurance Associates, LLC. (Syosset, NY)
- …cases + Create monthly financial reporting packages including detailed premium, claims , membership, commission, and cash reconciliation information + Create weekly, ... presentation to clients on financial performance of insurance programs + New Business Financial Evaluations, as needed by sales team + Provide timely, courteous… more
- Hamilton-Fulton-Montgomery BOCES (Johnstown, NY)
- The HFM BOCES Business Office is looking for a Deputy Treasurer. This is a non-represented, 35 hour, Monday-Friday position with full benefits. This position ... certified payroll or Board resolution; Oversees the preparation of Warrant of Claims for all accounts including generation of warrants, entering of purchase order… more
- CVS Health (Albany, NY)
- …reviewer is accountable for the validation of existing fraud waste and abuse business rules and leads designed to detect aberrant billing patterns and reviewing ... to determine the impact of the scheme on Aetna business . + Keep current with new and emerging fraud,...analysis experience. + Healthcare background. + Experience with internal claims data and healthcare coding. + Must be able… more
- Philadelphia Insurance Companies (New York, NY)
- …in all that we do, providing the best professional service to our business partners, allowing them to achieve their goals. Our talented team delivers actuarial, ... that resolve problems in the best interest of the business + Analytical and reasoning skills with the capability...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii,… more
- WTW (New York, NY)
- …Risk, including adjustments for model limitations, near-term climate conditions, and claims experience. + Working with clients, jointly with other Willis commercial ... issues and trends, summarising findings and potential materiality to current/future business strategy. + Exploring and evaluating new modelling techniques (eg… more
- Molina Healthcare (Albany, NY)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc. +… more
- MTA (Brooklyn, NY)
- Tests and Measurement Specialist Job ID: 13741 Business Unit: New York City Transit Location: Brooklyn, NY, United States Regular/Temporary: Regular Department: NYC ... below at the discretion of the MTA. Transit Management Analyst Trainee (OA/TA): Transit Management Analyst Trainee...classification documents * Performing audits in regard to employee claims that they are not performing duties that are… more
- Highmark Health (Albany, NY)
- …degree + 10-15 years experience in support of a Marketing function or Data Analyst role or in a business environment with responsibility for application of ... Support Analyst or equivalent training and experience in a business , specialty pharmacy, clinical pharmacy or clinical environment with direct responsibility for… more