- Evolent (Albany, NY)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy,… more
- Molina Healthcare (Albany, NY)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… more
- MetLife (Oriskany, NY)
- …You'll Help Us Build a Confident Future (Key Responsibilities): The STD Senior Quality Analyst is responsible for: * Working with senior team members and areas such ... Disability (STD), State Plans, PFML, and concurrent Absence Management Solutions (AMS) claims to ensure we meet or exceed customer expectations. Will engage business… more
- 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
- NBC Universal (New York, NY)
- …in RFPs and vendor evaluations. + Data Analysis & Reporting + Analyze claims data , utilization trends, and cost drivers to identify opportunities for plan ... 2025, subject to the satisfaction of customary conditions. Position Summary: The Analyst , Health and Welfare Benefits plays a critical role in the administration,… more
- Molina Healthcare (New York, NY)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- Robert Half Finance & Accounting (Dobbs Ferry, NY)
- Description We are looking for a skilled Financial Analyst /Manager to join our team in White Plains, New York. In this role, you will play a pivotal part in ... analyzing financial data , preparing budgets, and providing strategic insights to support...identify opportunities for optimization. * Monitor billing, collections, and claims processes to improve revenue flow and address inefficiencies.… more
- Highmark Health (Albany, NY)
- …requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement ... Epic modules. **Preferred** + 2+ years of Healthcare Revenue Cycle experience ( Claims , Patient Access, Billing) + Epic Certification in Resolute Hospital Billing… more
- FlexStaff (New York, NY)
- **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 ... Service Plans, Comprehensive Functional Assessments, Behavior Plans, Human Rights Presentations, data sheets, and progress notes. Ensures OPWDD Survey standards for… more
- Hartford Steam Boiler Inspection and Insurance Company (New York, NY)
- Actuarial Analyst Sr **Company** HSB **Location** New York , United States Location: Remote, USA Join HSB's expanding pricing team and make a difference by providing ... enhancements and product strategies in collaboration with HSB's underwriting, claims and engineering units. Qualifications Education and Experience: + Bachelor's… more
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