- New York State Civil Service (New York, NY)
- …detectives, data analysts, and legal support analysts, to conduct complex, long-term healthcare fraud and patient abuse and neglect investigations. The Medicaid ... NY HELP No Agency Attorney General, Office of the Title Medical Analyst : Legal Nurse, Fraud /Patient Abuse (6413) Occupational Category Legal Salary Grade NS… more
- Molina Healthcare (Syracuse, NY)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... coordinating data extractions, gathering requirements, supporting payment integrity teams, primarily fraud , waste and abuse. + Experience working on SQL, PowerBI,… more
- CVS Health (Albany, NY)
- …3-5 years. + Strong analytical and investigative skills, with experience in healthcare fraud detection. + Proficiency in interpreting claims data, medical ... it all with heart, each and every day. **Position Summary** The Senior Analyst , Investigations at Aetna International plays a pivotal role in safeguarding the… more
- Capgemini (New York, NY)
- Financial Crime Compliance Analyst Choosing Capgemini means choosing a company where you will be empowered to shape your career in the way you'd like, where you'll ... world. **Job Description** We're seeking a Financial Crime Compliance Analyst to join the CRA team, which specializes in...to the design and enhancement of compliance programs covering fraud , market abuse, and insider trading **Required Skills and… more
- Carrington (Albany, NY)
- …our amazing team and work remote from home!** The Quality Control Servicing Analyst will be responsible for independently conducting audits of the servicing business ... regulatory requirements, and investor/agency/product specific guidelines. Also, ensure that all fraud red flags are identified and fully investigated, and findings… more
- MVP Health Care (Fishkill, NY)
- …improvement. To achieve this, we're looking for an Overpayment Recovery and Monitoring Analyst to join #TeamMVP. If you have a passion for managing audits, medical ... auditing and/or reviewing, customer care, membership, pharmacy, or relevant healthcare industry experience. + Intermediate knowledge of provider reimbursement… more
- CVS Health (Albany, NY)
- …plan sponsor. The lead reviewer is accountable for the validation of existing fraud waste and abuse business rules and leads designed to detect aberrant billing ... Aetna business. + Keep current with new and emerging fraud , waste, and abuse schemes and trends through training...3-5 years of data interpretation and analysis experience. + Healthcare background. + Experience with internal claims data and… more
- RELX INC (New York, NY)
- …Team: A global leader in information and analytics, we help researchers and healthcare professionals advance science and improve health outcomes for the benefit of ... and research, health education and interactive learning, as well as exceptional healthcare and clinical practice. At Elsevier, your work contributes to the world's… more
- S&P Global (New York, NY)
- …the department has been amongst the fastest-growing areas within S&P Global. Our analyst teams in London, Toronto, New York, Dallas, Singapore and Noida serve over ... of several industry sectors, eg Biotechnology & Pharmaceuticals, Food & Drug Retailing, Healthcare Providers & Services, or Software & IT Services + Experience of… more