- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** As a Risk Revenue Analyst -Senior the incumbent will provide a full scope of actuarial and statistical ... testing to assess impacts on pricing outcomes. + Establish and implement claims review processes to support risk adjustment. Analyze data and provide strategic… more
- Tiffany & Co. (New York, NY)
- **Position Overview:** As the Analyst , Global Trade & Logistics, you will play a key role in supporting, analyzing, and optimizing the movement of goods across ... meeting metrics. + Analyze shipment and brokerage data to improve door to door lead time and leverage trade policies & programs to minimize landed costs. + Provide… more
- Evolent (Albany, NY)
- …audiences. + Synthesize complex analyses into succinct presentations. + Lead customer interactions fostering trust, expertise and cooperation. + Extract, ... manage, and analyze claims and operational data using industry-standard metrics. + Process...using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree,… more
- American Express (New York, NY)
- …and customer experiences. **How will you make an impact in this role?** As a Senior Analyst on the Small Business Cash Back team, you will play a key role in serving ... to a broad set of enterprise partners. **Key Responsibilities:** + Lead end-to-end customer communications processes, including the development and maintenance of… more
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. **Actuarial Analyst , NA FL** **North American Financial Lines Pricing** **Actuarial** **How does ... Lines book. They will proactively engage with Reserving, Risk Management, Finance, Claims , and Data & Analytics colleagues to achieve desired business outcomes and… more
- IBM (New York, NY)
- …including content creation, review and approval, digital asset management (DAM), claims management, and modular content * Implement client's E2E content supply ... chain operating model * Lead requirements elicitation for client's Vault Promomats implementation *...content creation, review and approval, digital asset management (DAM), claims management, and modular content * Consulting experience with… more
- 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
- Highmark Health (Albany, NY)
- …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... and non-technical, and internal and external audiences, and the ability to lead through influence + Healthcare industry expertise and experience, knowledge about the… more
- TEKsystems (Hicksville, NY)
- …Billing or Hospital Billing module to manage charges, benefit engines, claims , and payment processors. * Workflow Analysis and Improvement: Analyze workflows, ... resolving application issues and providing technical assistance. * Implementation and Upgrades: Lead or participate in the implementation of new systems or features,… more
- Molina Healthcare (NY)
- …Prepare and design test plans and test cases with the help of testing lead for both new and existing features (regression testing). + Vendor Management: Provides ... + SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting… more