- Two95 International Inc. (New York, NY)
- …working knowledge of healthcare data, including data from EMR/EHR and/or from medical and pharmacy administrative claims ; strong preference will be given ... * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively...analyses * Lead the analytical-interrogation of their EMR/EHR and/or claims data to perform data quality checks * Partner… more
- Humana (Albany, NY)
- …informaticists to define various clinical concepts and extract clinical information from medical , pharmacy, and lab claims for analytics and modeling purposes ... Healthcare or managed care working experience + Experience working with medical , pharmacy, lab claims + Experience working with big data and using PySpark, Spark… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements + Communicate… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …range of DME products used in orthopedic practice. + Knowledge of medical insurance claims procedures and documentation. + Excellent communication, ... by a physician. Assists with the efficient operation of the Excelsior Durable Medical Equipment Program. Fits and educates patients regarding proper care and use of… more
- CVS Health (Albany, NY)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... for administrative and office support staff such as secretarial/administrative assistants, medical assistants, schedulers, data management and medical records… more
- Deloitte (Rochester, NY)
- …and business terms) with PBMS + Experience performing analytical analysis of medical & pharmacy claims , including understanding financial impact of network ... emerging trends and cost drivers + Work directly with medical and PBM vendors to analyze the program offering...in rate negotiation, and analyzing financial terms for both medical and pharmacy + Prepare financial projections and rate… more
- Command Investigations (New York, NY)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or ... include Microsoft Word and Microsoft Outlook (email) Full-Time benefits Include: + Medical , dental and vision insurance + 401K + Extensive performance bonus program… more
- Amazon (New York, NY)
- …Team and Amazon Defense Counsel on litigated complex bodily injury (BI) claims for Amazon's expanding worldwide delivery fleet. Key job responsibilities Essential ... total compensation package, in addition to a full range of medical , financial, and/or other benefits. For more information, please visit… more
- Guidehouse (New York, NY)
- …insights that address client business problems, which include but are not limited to medical and pharmacy claims (open and closed), formulary and managed care ... Ability to work with large data sets such as claims data. + Excellent attention to detail and ability...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… more