- 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 ... analysis, task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements… more
- MetLife (Oriskany, NY)
- …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the analysis ... quality improvements to the training and procedures team. * Presents findings to Senior Level Management and other key stakeholders. * Coach and mentor ADA… more
- Amazon (New York, NY)
- …Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and data ... cargo regulations, and risk management in transportation. As a Senior Risk Analyst , you will partner with...KPIs, and benchmarking that will track the global cargo claims program - Reporting business metrics to… more
- CVS Health (New York, NY)
- …Identify and create custom solutions to support and meet on going business needs. Provide comprehensive reporting and key performance metrics for reconciliation, ... revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication...and procedures to assist in new product development, create business cases from data driven strategic decision making to… more
- City of New York (New York, NY)
- …the HHS-PASSPort Payment Services Unit total more than $319 million annually. The Senior Data Analyst for HHS-PASSPort Payments is responsible for running data ... on payments to contracted Human Services-directed vendors through the PASSPort portal. The Senior Data Analyst will report directly to the HHS-PASSPort Payment… more
- Highmark Health (Albany, NY)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …to increase utilization, daily maintenance, and efficiencies within the application. The Senior Analyst will also have responsibility for the oversight of ... GPO account team's success in managing those relationships and contracts. As the Senior Analyst , the Trade Contracts organization will rely on this individual… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be ... of patients. We are accelerating a transition to a business model focused on population health management - our...potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or… more
- Rochester Regional Health (Rochester, NY)
- …records, paid claims , and national/regional benchmarks. The Quality Informatics Analyst - Senior analyzes data and trends in order to identify underlying ... Analyst - SeniorDepartment: Quality Informatics SUMMARY: The Quality Informatics Analyst - Senior is responsible for data collection, analysis, and presentation… more
- City of New York (New York, NY)
- …provide data warehousing services to constituent divisions of the Finance Office. The Senior Systems Analyst will perform technical and analytical work that will ... sources. The Finance Office is seeking an Associate Staff Analyst to function as the Senior Systems...other database programs to perform qualitative analysis for revenue claims and projects. Take initiative, work within a team… more