- Highmark Health (Albany, NY)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… 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 ... team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations , and product development expertise. The Managed Care Contracting Team… more
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a critical role in testing, ... The team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations , and product development expertise. MSHP is a fast growing business… more
- AIG (New York, NY)
- Senior Actuarial Analyst , Reserving - Workers Compensation At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Actuarial ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations , Marketing and Risk Management, among other functions.… more
- Cognizant (Albany, NY)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... consulting firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …so that others can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work cross-functionally across various departments ... to support implementation of the S&OP (Sales & Operations Planning) process. You will assist in managing a...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Highmark Health (Albany, NY)
- …process improvement meetings and/or discussions + Analyze the functions and operations of a business area/function and identify problem areas. Create process ... state business processes. + Act as subject matter expert/technical operations expert. Recommend process efficiencies, strategies for improvement, and/or...5 - 7 years of experience in a Business Analyst or Business Process Analyst role or… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... and implementation of changes that impact the product. + Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit… more
- CVS Health (Albany, NY)
- …knowledge of configuration management tools and systems to support organizational operations . + Codes and/or writes custom configurations or extensions to tailor ... and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live… more
- MTA (New York, NY)
- …The Analyst OCIP provides varying levels of support and analysis to Senior OCIP Administration Claims Analyst , Assistant Director, and Deputy Director; ... Analyst , Owner Controlled Insurance Programs Job ID: 13288...actively contributes to managing the day-to-day operations of an Owner Controlled Insurance Programs (OCIP), including… more