- Molina Healthcare (Rochester, NY)
- …and implementation of changes that impact the product. + Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit ... Evaluate root cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. + Provide actionable insights and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency ... to establishing rates, rating structures and systems and reserves. The Actuarial Analyst has accountability to providing in depth analysis on the overall risk… more
- WMCHealth (Valhalla, NY)
- Compliance Analyst , 340B Program ( On-Site ) Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Executive/Management Department: Pharmacy ... Internal Applicant link Job Details: Job Summary: The 340B Program Compliance Analyst is responsible for maintaining regulatory compliance within the 340B Program… more
- Evolent (Albany, NY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- **Overview** **Scope of Responsibilities:** **The Data Solutions Analyst ** will partner cross functionally to understand underlying business issues and will utilize ... reporting to create tools/processes to create efficiencies. As a Data Solutions Analyst , you will be responsible for spearheading initiatives that eliminate manual… more
- Axis (New York, NY)
- …structure and forms for P&C products + Collaborate with compliance/legal, underwriting, actuarial, claims and operations staff to ensure P&C products comply with ... for candidates taking part in the selection process. **Senior Insurance Compliance Analyst ** Job Family Grouping: Product Development & Support Job Family: Senior … more
- Humana (Albany, NY)
- …facilities. They will work closely with IT, the pricing software vendor, CIS BSS, claims operations , and other business teams involved in the administration of ... and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... Office of Revenue is recruiting for (1) Admin Staff Analyst NM III to function as a(n) Executive Director,...to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop… more
- AIG (New York, NY)
- …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations , Marketing and Risk Management, among other functions. ... Senior Actuarial Analyst , Reserving - Workers Compensation At AIG, we...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- Warner Music Group (New York, NY)
- …that retains the creative spirit of a nimble independent. **Job Title: Sr. Analyst , Financial** **A little bit about our team:** Warner Music Group's Center of ... excited to share this new opportunity for a Sr. Analyst , Participations with strong analytical & financial capabilities, to...update cash forecasts and budgets, investigate audit issues and claims , perform tasks as part of the overall close… more