• ADA Senior Quality Claims…

    MetLife (Oriskany, NY)
    …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the analysis ... the training and procedures team. * Presents findings to Senior Level Management and other key stakeholders. * Coach...supported. Required: * 3+ years of experience managing ADA claims . * Experience managing absence claims for… more
    MetLife (06/13/25)
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  • Senior Business Analyst…

    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
    Molina Healthcare (07/30/25)
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  • Sr . Risk Analyst , Cargo…

    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 data ... ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in...cargo regulations, and risk management in transportation. As a Senior Risk Analyst , you will partner with… more
    Amazon (06/05/25)
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  • Sr . Analyst , Pharmacy…

    CVS Health (New York, NY)
    …transactions, initiatives, and to support our store colleagues. The Retail Adjudication Products Sr Analyst will work cross functionally with both and external ... and key performance metrics for reconciliation, revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication and… more
    CVS Health (07/16/25)
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  • Sr . Analyst , Financial

    Warner Music Group (New York, NY)
    …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
    Warner Music Group (05/30/25)
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  • Sr . Medical Analyst

    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
    Norstella (07/31/25)
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  • Actuarial Analyst Sr

    AIG (New York, NY)
    …performance measurement. They collaborate with Marketing, Operations and Financial Management. Actuarial Analyst Sr , AIGRM New York We are seeking an actuarial ... Provide business solutions to maximize risk adjusted profit. + Collaborate with claims department and underwriting team to reflect underlying trends in the review.… more
    AIG (07/30/25)
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  • Sr Analyst , Performance Suite…

    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
    Evolent (06/24/25)
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  • Sr QNXT Analyst - Contracts

    Molina Healthcare (New York, NY)
    …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
    Molina Healthcare (06/22/25)
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  • Deputy Director, OCIP Management Risk Control

    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
    MTA (07/08/25)
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