- Molina Healthcare (Buffalo, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Axis (New York, NY)
- …is available upon request for candidates taking part in the selection process. ** Claims Business Analyst ** **How does this role contribute to our collective ... success?** We are seeking a Claims Business Analyst to join our Business...will be responsible to the Agile value stream team lead , ensuring alignment with our Agile principles and goals.… more
- Molina Healthcare (Yonkers, NY)
- …**Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- The Cigna Group (New York, NY)
- …to go into the NYC office two times per month._** The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team ... and reports to the Contracting Manager or Market Lead . This role assists and supports the day to day contracting and network activities. **DUTIES AND… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Cycle Analyst - Surgical Offices - Albany, NY - FT** If you are looking for a Revenue ... 319 S. Manning Blvd., Albany, NY. This Revenue Cycle Analyst is needed for med group surgery sites located...a plus. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations,… more
- Mount Sinai Health System (New York, NY)
- …Sinai Health System. MSHP seeks a Senior Contract Compliance (Hospital Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
- City of New York (New York, NY)
- …PERMANENT (NOT PROVISIONAL) IN THE CIVIL SERVICE TITLE OF ADMINISTRATIVE STAFF ANALYST * The Administration for Children's Services (ACS) protects and promotes the ... DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies...total more than $319 million annually. The Senior Data Analyst for HHS-PASSPort Payments is responsible for running data… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III serves as a senior member of the Pharmacy Analytics team, advancing Mount Sinai's mission through high-impact data ... that inform strategic decisions across the Health System. The Analyst plays a key role in developing interactive dashboards...others in the Data Science team and takes the lead role in project initiatives. **Qualifications** + BA or… more
- Evolent (Albany, NY)
- …Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete ... exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across...to escalate risks and issues in coordination with the lead / manager for status reporting + Responsible to… more