- Evolent (Albany, NY)
- …Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst ... scoping of analytic work; be comfortable breaking new ground + Execute high- quality analyses with accuracy and attention to detail; anticipate challenges and… more
- Highmark Health (Albany, NY)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Molina Healthcare (Yonkers, NY)
- …+ Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare ... **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
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Data Analyst ** **(Location - Albany, NY)** **Summary:** The Data Analyst will work ... the Division of Data Services & Analytics (DDSA) Data Quality team. The position is multi-role in nature and...and business context of various elements related to Medicaid claims . Related efforts will include the production of reports… more
- Mount Sinai Health System (New York, NY)
- …Sinai is one of the largest US health systems with a strong reputation for quality of care and research. We have over 38,000 employees working together to provide ... billions of dollars in high- quality care each year for millions of patients. We...Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding,… 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
- City of New York (New York, NY)
- …Description PLEASE NOTE THAT ONLY EMPLOYEES PERMANENT IN THE TITLE STAFF ANALYST WILL BE CONSIDERED** The NYC Department of Environmental Protection (DEP) enriches ... all New Yorkers by providing 1.1 billion gallons of high- quality drinking water, managing wastewater and stormwater, and reducing...than Personal Services (OTPS) Unit and the Revenue & Claims Unit. Candidates will be assigned to a unit… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of...Five years minimum of managed care experience in insurance claims or contracts Four to Five years of financial… more
- City of New York (New York, NY)
- …for all medically related issues for medical management of workers' compensation claims . Responsibilities include: Consult managerial and legal staff in regards to ... to the claimant's work injury and assist with medical case management of claims . Review and process high value and complicated in-patient billing. Coordinate with… 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 ... accuracy in a timely manner to meet department standards of turnaround time and quality . + Audit loaded provider records for quality and financial accuracy and… more