- Catholic Health Services (Melville, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Claims Analyst is responsible for monitoring, analyzing, and reporting on professional ... experience. Skills: + 5+ years of claim experience, preferably healthcare liability or other professional liability claims ....Excel and data analysis; familiarity with RMIS or similar systems a plus. + High attention to detail with… more
- Molina Healthcare (Syracuse, NY)
- …maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply ... * Loads and maintains contracts, benefit and/or reference table information into the claims payment system and other applicable systems . * Participates in defect… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …is right for you, we encourage you to apply! Job Description: Summary: The Healthcare Statistical Analyst & PFO performs technical services within the actuarial ... plan and to identify future growth opportunities in the Systems space. This role serves as the primary interface...the creation of new analysis pertaining to benefit designs, claims experience, Value Based Payment (VBP) programs and valuation… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing ... * Extracts and compiles data and information from various systems to support executive decision-making. * Mines and manages...and manages information from large data sources. * Analyzes claims and other data sources to identify early signs… more
- Molina Healthcare (New York, NY)
- …care and develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably. Performs research, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary)… more
- Molina Healthcare (Buffalo, NY)
- …care and develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably. Performs research, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary)… more
- 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
- Highmark Health (Albany, NY)
- …you will play a critical part in supporting United Concordia's dental claims operations by investigating and resolving system issues, managing a dynamic backlog ... team effectiveness. This is an opportunity to make a direct impact on claims processing efficiency and member satisfaction while working alongside a dedicated and… more
- Mount Sinai Health System (New York, NY)
- …? Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and familiarity with healthcare billing systems . ? Deep understanding of the revenue cycle, ... Mount Sinai is one of the largest US health systems with a strong reputation for quality of care...related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ?… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …with ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems , provider billing guidelines, medical necessity criteria, and ... to business analysis. . Intermediate knowledge of PC, software, auditing tools and claims processing systems . Level II (in addition to Level I Qualifications)… more