- 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 ... job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with...various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards.… more
- Catholic Health Services (Melville, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Claims Analyst is responsible for monitoring, analyzing, and reporting on professional ... expenses for the health system. This role supports the Risk Management team by maintaining oversight of active litigated...claim status, reserves, legal expenses, and emerging risks for senior leadership and the Claims Director. +… more
- Fordham University (Bronx, NY)
- …Position Summary: Reporting to the Senior Director of Planning, Analytics, and Risk , the Analyst , Treasury & Risk supports the University's treasury ... operations, insurance program, and enterprise risk management activities. The role is responsible for maintaining cash flow forecasting tools, assisting with… more
- AIG (New York, NY)
- …the way we help customers to manage risk . Join us as a Senior Actuarial Analyst , Reserving - Workers Compensation to take on key responsibilities within ... Senior Actuarial Analyst , Reserving - Workers...major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and ... and manages information from large data sources. * Analyzes claims and other data sources to identify early signs...tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to… more
- University of Rochester (Rochester, NY)
- …line, filling an operational gap and creating capabilities required for future success The Senior Financial Analyst will be a key member of AHP's contracting and ... + Build annual medical expense budgets and quarterly forecasts for major risk -based arrangements. + Work closely with contracting team during negotiations with… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...deep dive to support HEDIS audit and revenue at risk reporting. + Calculate and track HEDIS rates for… 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...United States Regular/Temporary: Regular Department: Office of Insurance & Risk Mgt Date Posted: Oct 6, 2025 Description JOB… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… 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