- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements + Communicate… more
- St. Mary's Healthcare (Amsterdam, NY)
- …policies and procedures to guide and educate insurance teams. . Collaborate with the Senior Claims Analyst to review issues, adjust workflows, and reduce ... Capital Region to earn the distinction since the Times Union launched the recognition program 14 years ago. Job Requisition: REQ 3829 Employment Type: Full-Time… more
- Warner Music Group (New York, NY)
- …music company that retains the creative spirit of a nimble independent. **Job Title: Sr . Analyst , Financial** **A little bit about our team:** Warner Music ... We're excited to share this new opportunity for a Sr . Analyst , Participations with strong analytical &...update cash forecasts and budgets, investigate audit issues and claims , perform tasks as part of the overall close… more
- 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
- Evolent (Albany, NY)
- …fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate ... raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree,...health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor,… 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 ... ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr . Analyst develops and performs audits and oversight functions involving… more
- MTA (New York, NY)
- …+ Responsible for the overall management of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. + ... OCIP programs. + Provides financial modeling and reporting to senior management and stakeholders, as well as reviewing and...and assess loss picks, ensuring accuracy in estimating future claims costs. Oversees OCIP claims and settlements… 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 (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
- City of New York (New York, NY)
- …the HHS-PASSPort Payment Services Unit total more than $319 million annually. The Senior Data Analyst for HHS-PASSPort Payments is responsible for running data ... on payments to contracted Human Services-directed vendors through the PASSPort portal. The Senior Data Analyst will report directly to the HHS-PASSPort Payment… more