- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... five distinct departments: 1) Centralized Data Entry (CDE), 2) Claims & Collections (C&C), 3) Division of Financial Review...& Collections (C&C), 3) Division of Financial Review and Processing (DFRP), 4) Office of Liens & Trust (OLT)… more
- City of New York (New York, NY)
- …independent action or decision, the selected candidate will perform investigation and claims processing tasks related to workers' compensation cases. Duties ... to insurance carrier for continuation of benefits. - Assist in the processing of claims utilizing manual and/or automated office systems. - Prepare and file… more
- VNS Health (Manhattan, NY)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Experience with version control (eg, ... We are looking for an ambitious and curious senior health economics analyst to join our team. Compensation Range:$93,400.00 - $116,800.00 Annual What We… more
- MVP Health Care (Schenectady, NY)
- …provider reimbursement methodologies and innovation programs. + Advanced knowledge of FACETS claims processing system and Provider billing and coding practices. ... Business Analytics, Lead Strategic Health Care Economics Analyst 625 State St, Schenectady, NY 12305, USA...for a **Business Analytics, Lead Strategic Health Care Economics Analyst ** to join #TeamMVP. If you have a passion… more
- CVS Health (Amherst, NY)
- …with heart, each and every day. **Position Summary** The **PBM Data Analyst ** performs prescription claim and accumulator audits, verifies policy coverage, assesses ... person contributes to the efficient and accurate handling of prescription claims for reimbursement through knowledge of prescription benefits and effective… more
- Molina Healthcare (Albany, NY)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare data, including ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...and manage information from large data sources + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Buffalo, NY)
- …payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is ... experience **Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims payment method. **Preferred Education**… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …for top payers across one or more domains (Enrollment & Benefit Administration, Claims processing & Reimbursements, Member & Provider Portals/Service, Clinical & ... the Role We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external stakeholders to… more
- City of New York (New York, NY)
- …Transportation/Grants & Fiscal Management division is seeking a Technical Grant Database Analyst to join its Grants Reimbursement, Compliance & CGMS team (GRC). ... GRC's mission is to oversee the timely planning, preparation, processing and submission of NYCDOT's claim reimbursement requests to the New York State Department of… more
- New York Power Authority (White Plains, NY)
- …partial estimates and ensure accurate and timely payments. + Assist in processing Additional Work Authorization Change Orders, Claims , etc. + Coordinate ... Cost Control Analyst I Location: White Plains, US **Summary** The Cost Control Analyst I position helps support Portfolio Management by providing key project… more