- Norstella (Albany, NY)
- Sr . Medical Analyst Company: MMIT Location: Remote,...and support patients in need. We are seeking a Senior Medical Analyst to join our team and ... to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You… more
- Hartford Steam Boiler Inspection and Insurance Company (New York, NY)
- Actuarial Analyst Sr **Company** HSB **Location** New York , United States Location: Remote, USA Join HSB's expanding pricing team and make a difference by ... methods to deliver proactive insights and innovative solutions to empower our business , including but not limited to developing rates and forecasts, identifying key… more
- Evolent (Albany, NY)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process… more
- TYLin (New York, NY)
- …be considered for candidates with global insurance program experience. TYLin is seeking a Senior Analyst , Insurance & Claims Administration to support the ... compliance, and claims handling. + You will also work with business stakeholders to gather data, generate insights, and present recommendations to support… more
- Molina Healthcare (Syracuse, NY)
- …pertaining to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr . Analyst works with health plans and operations departments to ... of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the...and compliance with State and Federal regulatory guidelines. The Sr . Analyst develops and performs audits and… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data.… 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
- Highmark Health (Albany, NY)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Hospital Billing) Analyst who will primarily be ... of patients. We are accelerating a transition to a business model focused on population health management - our...potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or… more