- 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 ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… 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
- Axis (New York, NY)
- …of the Financial Lines book. They will proactively engage with Reserving, Risk Management , Finance, Claims , and Data & Analytics colleagues to achieve desired ... upon request for candidates taking part in the selection process. **Actuarial Analyst , NA FL** **North American Financial Lines Pricing** **Actuarial** **How does… 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
- Molina Healthcare (Syracuse, NY)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Receives information from outside… more
- IBM (New York, NY)
- …content supply chain transformation including content creation, review and approval, digital asset management (DAM), claims management , and modular content * ... transformation including content creation, review and approval, digital asset management (DAM), claims management , and...review and approval, digital asset management (DAM), claims management , and modular content * Consulting… more
- City of New York (New York, NY)
- …policy analysis, program development, performance tracking and improvement, financial management , resource maximization and technical assistance. Finance helps to ... payments in compliance with financial policies and procedures. - Examine invoices, claims , fee collection or applications for recoupments, refunds and verify their… more
- AIG (New York, NY)
- Make your mark in Catastrophe Risk Management The North American Catastrophe Risk Management team is responsible for catastrophe modelling and portfolio exposure ... management for AIG's North American Insurance businesses. Effective Catastrophe Management is integral to the success of the business and our catastrophe… more
- Molina Healthcare (Yonkers, NY)
- …or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and ... skills to identify root cause and assist with problem management as it relates to state requirements. + Analyzes...Business Analysis and/or Systems Analysis + 1-3 years of Claims or Adjustment experience in Medicare and/or Medicaid +… more
- St. Mary's Healthcare (Amsterdam, NY)
- …law. Responsibilities: * Interpret and analyze data from multiple sources including claims , provider, patient, and encounters data. Identify and assess the business ... areas of high financial risk and make resolution recommendations to senior management . * Perform trend analysis and key performance indicator (KPI) variances to… more