- 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 ... of insurance claims processes, global cargo regulations, and risk management in transportation. As a Senior Risk Analyst , you will partner with… more
- Molina Healthcare (Syracuse, NY)
- …Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment… 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
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV ( Risk Adjustment Data Validation) team, contributing to the ... Databricks, not all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate data sources, with… more
- Molina Healthcare (NY)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- AIG (New York, NY)
- Make your mark in Catastrophe Risk Management The North American Catastrophe Risk Management team is responsible for catastrophe modelling and portfolio exposure ... the business and our catastrophe modelers play a critical role in managing our global risk appetite. Day to day pricing and portfolio roll-up is carried out at our… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- Axis (New York, NY)
- …strategy of the Financial Lines book. They will proactively engage with Reserving, Risk Management, Finance, Claims , and Data & Analytics colleagues to achieve ... insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We… 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
- St. Mary's Healthcare (Amsterdam, NY)
- …collections. Perform detail analysis of discrepancies, report areas of high financial risk and make resolution recommendations to senior management. * Perform ... law. Responsibilities: * Interpret and analyze data from multiple sources including claims , provider, patient, and encounters data. Identify and assess the business… more
Recent Jobs
-
Warehouse Services Coordinator
- BlackBox (Inver Grove Heights, MN)
-
Stage Manager (Outdoor Immersive Event)
- Historic Hudson Valley (Pocantico Hills, NY)
-
Physiatrist
- Provider Solutions & Development (Spokane, WA)
-
Assistant Director, Pathway Programs and Student Belonging - Georgetown University Medical Center
- Georgetown Univerisity (Washington, DC)