- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. **Actuarial Analyst , NA FL** **North American Financial Lines Pricing** **Actuarial** **How does ... Lines book. They will proactively engage with Reserving, Risk Management, Finance, Claims , and Data & Analytics colleagues to achieve desired business outcomes and… more
- Molina Healthcare (Buffalo, NY)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines… more
- CVS Health (Albany, NY)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and… more
- St. Mary's Healthcare (Amsterdam, NY)
- …law. Responsibilities: * Interpret and analyze data from multiple sources including claims , provider, patient, and encounters data. Identify and assess the business ... report areas of high financial risk and make resolution recommendations to senior management. * Perform trend analysis and key performance indicator (KPI) variances… more
- AIG (New York, NY)
- …American Commercial, and Specialty portfolios. + Work closely with actuarial, claims , and other functions, integrating catastrophe modelling insights into day-to-day ... business, and portfolio optimization strategies. + Carry out other modelling business activities including event response, business planning, budgeting, profit studies, portfolio optimization, reinsurance purchasing, and other exercises where catastrophe risk… more
- Highmark Health (Albany, NY)
- …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + None… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III serves as a senior member of the Pharmacy Analytics team, advancing Mount Sinai's mission through high-impact ... deliver data products that inform strategic decisions across the Health System. The Analyst plays a key role in developing interactive dashboards and optimizing SQL… more
- Mount Sinai Health System (New York, NY)
- …requires onsite occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst III is a senior role, collaborating with stakeholders from across ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst II collaborates with stakeholders from across the organization to develop ... goal setting, and effective performance measurement. The Data Science Analyst II demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …II- Patient Accounts Corporate 42nd Street (100% on site) -Full-Time Days** The Financial Analyst Underpayment II is a senior level analyst who gathers ... the Assistant Vice President or Director. Does data mining, analyses of underpaid claims and detail report reviews. Prepare standard monthly reporting for the AVP. +… more