- Humana (Albany, NY)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral… 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 ... across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding, modeling, and reporting on… more
- VaynerMedia (New York, NY)
- Overall Purpose: We are seeking a Social Commerce Analyst focused on affiliate management to run day-to-day activation for multiple client brands in a fast-paced, ... managing communications through go-live. The goal is to translate disciplined affiliate operations into sales and engagement while meeting channel KPIs with clear,… more
- Trinity Health (Syracuse, NY)
- …position Monday - Friday, Day Shift Schedule **Position: Clinical Risk Management Analyst ** **Mission Statement:** We, St Joseph's Health and Trinity Health, serve ... healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical risk… more
- Highmark Health (Albany, NY)
- …improvement meetings and/or discussions. + Support analysis of the functions and operations of a business area/function and identify problem areas. Assist in the ... 1 - 3 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 0 -… more
- Amazon (New York, NY)
- Description Amazon One Medical is hiring a Actuarial Manager Analyst . Actuarial rigor is one of the keys to our success. This candidate will responsible primarily ... of actuarial reserving, forecasting and medical economics -Expertise in working with medical claims data and using programming languages such as SQL, R, SAS, Python,… more
- MVP Health Care (Schenectady, NY)
- …improvement. To achieve this, we're looking for an Overpayment Recovery and Monitoring Analyst to join #TeamMVP. If you have a passion for managing audits, medical ... in the reporting of monthly metrics and participate in cross-functional audit operations . + Handle department projects, participate in committees relevant to payment… more
- The Cigna Group (New York, NY)
- …of communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, ... to go into the NYC office 3 days per week._** The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and reports to… more
- Warner Music Group (New York, NY)
- …Department work closely with employees in the Business Affairs, Finance, Production, Operations , New Media, and Marketing departments of each label client to fulfill ... including, without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making recommendations to… more
- Evolent (Albany, NY)
- …fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate ... raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree, preferably with a quantitative major (eg actuarial, statistics, … more