- MetLife (Oriskany, NY)
- …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the analysis ... the training and procedures team. * Presents findings to Senior Level Management and other key stakeholders. * Coach...supported. Required: * 3+ years of experience managing ADA claims . * Experience managing absence claims for… 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
- 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 ... ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in...cargo regulations, and risk management in transportation. As a Senior Risk Analyst , you will partner with… more
- CVS Health (New York, NY)
- …and key performance metrics for reconciliation, revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication and ... processing of pharmacy and vaccine/medical claims , maintaining current services, support optimalization of existing vendor product portfolio, provide continual… 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
- 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 ... potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or...with a strong understanding of both hospital and professional claims processes. ? Previous experience in a role that… 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 ... success in managing those relationships and contracts. As the Senior Analyst , the Trade Contracts organization will...fees outlined in GPO contracts. + Effectively resolve all claims in an accurate and timely manner. Proactively review,… 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
- City of New York (New York, NY)
- …Office/The Division of Revenue Control & Analysis (DRCA) is recruiting one (1) Associate Staff Analyst to function as a Senior Revenue Analyst . The Senior ... Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A...to ensure the settlement of Federal and State grant claims . Hours/Shift: 9 AM - 5 PM Work Location:… more
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