• Associate Analyst , Provider Configuration

    Molina Healthcare (Syracuse, NY)
    …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... that provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes. **JOB QUALIFICATIONS** **Required… more
    Molina Healthcare (07/25/25)
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  • Senior Analyst , Configuration Information…

    Molina Healthcare (Yonkers, NY)
    …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... or reference table information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component + Assists with… more
    Molina Healthcare (07/24/25)
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  • Sr QNXT Analyst - Contracts

    Molina Healthcare (New York, NY)
    …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... or reference table information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component + Assists with… more
    Molina Healthcare (06/22/25)
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  • Implementation Analyst

    Brighton Health Plan Solutions, LLC (New York, NY)
    …work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer Service, Legal ... resource planning. + Manage various file integrations including eligibility, accumulators, claims , etc. + Create an efficient process to manage client… more
    Brighton Health Plan Solutions, LLC (06/05/25)
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  • Scrum Master Lead Analyst - EviCore…

    The Cigna Group (Albany, NY)
    **Position Summary:** We are seeking an experienced Scrum Master to join our Claims Systems Operations team. This role is pivotal in fostering a collaborative, ... high-performing environment that supports the delivery of valuable claims system solutions. The Scrum Master will uphold SAFe framework values, facilitate team… more
    The Cigna Group (07/24/25)
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  • Fleet Analyst

    Beacon Mobility (Beacon, NY)
    …the fleet department and telematics + Manage the device RMA process, warranty claims + Manage non-reporting devices for quick resolution and minimize device downtime ... information + Oversee installation partners and installation progress of telematics systems + Manage system accessibility for all Beacon employees, drivers, etc.… more
    Beacon Mobility (06/05/25)
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  • Senior Clinical & Population Health Analyst

    Highmark Health (Albany, NY)
    …scope and complexity + 5 years with coding languages, analytical software, systems , tools and processes using claims , clinical, enrollment and provider ... data + 3 years of project leadership in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or… more
    Highmark Health (07/22/25)
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  • Senior Analyst , Underwriting

    CVS Health (Albany, NY)
    …+ Market and place stop loss policies, negotiating terms based upon claims data, strategy, relationships and cost avoidance/reduction efforts. + Work with leaders ... of the Meritain products and services along with strong business and systems knowledge. + Reviews work for accuracy and recommends pricing and/or accounting… more
    CVS Health (07/18/25)
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  • Accounts Receivable Analyst

    CVS Health (Amherst, NY)
    …the appropriate customers/accounts + Balance deposits in the accounting system + Follow systems of checks and balances + Allocate Broker commissions for payment + ... monthly invoices in accounting system + Enter and process monthly fee claims for ancillary product offerings via claim system **Required Qualifications-** + 6+… more
    CVS Health (07/16/25)
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  • Revenue Analyst , Bureau of Budget…

    City of New York (New York, NY)
    …programs in more efficient/effective approaches to program administration. - Utilizes automated systems and tools to support public health research and analysis to ... ensure claims submitted to the Grantors are accurate and timely. - Maintain research cost records submitted by programs, writes reports and prepares and conducts… more
    City of New York (05/31/25)
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