- Highmark Health (Albany, NY)
- …CITIZEN ** This role will serve as a link between underwriting operations , financial strategy, and process optimization. The incumbent will apply strong analytical ... maps and documentation for underwriting procedures, identifying current state operations , future state recommendations, and potential financial impacts. + Develop… more
- Molina Healthcare (NY)
- …government regulations/compliance, operations + Must have strong understanding of QNXT claims processes + Must be able to identify and troubleshoot claim ... Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data… more
- City of New York (New York, NY)
- Job Description The Office of Fiscal Operations is HRA's primary payments and accounting office, and the core responsibilities are carried out through the operation ... is recruiting to fill two (2) Community Coordinators to function as an Associate/ Analyst who will: - Prepare, maintain, and perform comparative analysis of complex… more
- Northwell Health (Lake Success, NY)
- …will be responsible for monitoring, analyzing, and facilitate resolving Epic encounter and claim edits to support accurate billing, clean claims , and timely ... plans and training materials throughout implementation and helps ensure smooth operations post-implementation. Serves as an operations consultant for Revenue… more
- CVS Health (Albany, NY)
- …sensitive matters that may compromise the integrity of the organization's operations and claims processes. **Core Responsibilities** + **Investigative ... 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
- City of New York (New York, NY)
- …Finance Group of Parking Operations is seeking to hire two (2) Staff Analyst L1 to work in the Banking Reconciliation section of the Finance unit. This position ... must be serving permanently in the title of Staff Analyst , or be reachable on Civil Service list, Exam...for chargeback disputes. Select relevant information based on the claim type and dispute code. Submit chargeback packets accurately… more
- Intermountain Health (Albany, NY)
- **Job Description:** The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... charge edits. + Audits and evaluates system automation by comparing the charge/ claim data to the clinical record. Leverages other system functionalities to expediate… more
- CUNY (Staten Island, NY)
- Business Data and Reporting Analyst , Level 2 (Provisional) - Human Resources **GENERAL DUTIES** Under supervision, provides and/or oversees expert end-user support ... systems planning, and/or technological troubleshooting while a Business Data and Reporting Analyst is a highly skilled end-user of CUNYfirst. There are 4 levels… more
- AIG (New York, NY)
- …best practices, analytical techniques, and assessing the impact of loss trends and claims emergence. Specifically, the analyst will: + Work closely with ... the way we help customers to manage risk. Join us as an Actuarial Analyst for the Casualty Specialty Markets (CSM) to play your part in this transformation.… more
- Mount Sinai Health System (New York, NY)
- …The team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations , and product development expertise. MSHP is a fast growing business ... Contracts across the Mount Sinai Health System. MSHP seeks a **Senior Contracting Analyst Lead** to analyze and report the financial performance for all Commercial… more