- Excellus BlueCross BlueShield (Rochester, NY)
- …Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... assignment accuracy, insuring the physician documentation supports the hospital coded data . Essential Accountabilities: Level I . Analyzes and audits acute inpatient… more
- Mount Sinai Health System (New York, NY)
- …Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
- Seton Education Partners (Bronx, NY)
- …on Special Education to provide mandated services to Students with Disabilities. The Analyst develops and maintains data systems that track the academic outcomes ... Elementary School Special Education Compliance and Billing Analyst Bronx, New York Seton Education Partners seeks a mission-driven, detail-oriented leader to serve… more
- MTA (New York, NY)
- …provides varying levels of support and analysis to Senior OCIP Administration Claims Analyst , Assistant Director, and Deputy Director; actively contributes to ... Analyst , Owner Controlled Insurance Programs Job ID: 13288...Owner Controlled Insurance Programs (OCIP), including oversight of safety, claims , and administrative services provided by the insurance broker… more
- City of New York (New York, NY)
- …- Work closely with internal personnel for all contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet ... AND THOSE THAT ARE REACHABLE ON THE ASSOCIATE STAFF ANALYST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program...ensuring all expenditures are captured and reported accurately in claims . - Reconcile DOHMH submitted claims after… more
- Rocket Software (Albany, NY)
- …vendors and carriers to resolve issues, monitor service levels, and ensure accurate data exchange. + Analyze claims , utilization, and cost trends; prepare ... BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and local benefit… more
- Capgemini (New York, NY)
- … analyst will support optimization initiatives for policy servicing claims management and customer engagement platforms Key Responsibilities Collect and analyze ... Experience Analyst Choosing Capgemini means choosing a company where...across insurance applications This role requires strong proficiency in data analysis user experience metrics and domainspecific workflows The… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- … data workflows. + Validate end-to-end business processes such as claims adjudication, provider data updates, enrollment transactions, pricing, and benefits ... Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health...knowledge of EDI X12 transactions (834, 837, 835, 270/271), Claims , Enrollment, and Provider data workflows. +… more
- Evolent (Albany, NY)
- …Product Focus** **Overview:** Evolent is seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data -driven initiatives focused on ... our culture. **What You'll Be Doing:** + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to… more
- Molina Healthcare (Buffalo, NY)
- …various systems to support executive decision-making. * Mines and manages information from large data sources. * Analyzes claims and other data sources to ... JOB DESCRIPTION Job Summary Provides senior level analyst support for medical economics analysis activities, including...evaluate the impact of provider reimbursement changes * Provides data driven analytics to finance, claims , medical… more