- 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
- 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
- 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
- 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
- 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
- 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
- Evolent (Albany, NY)
- …Stay for the culture. **What You'll Be Doing:** Evolent Health is looking for a Senior Product Owner to be a key member of the Product team, focused on client ... the features into product releases. + Serve as a senior product owner on an Agile development team for...Degree + 2+ years' experience in healthcare, IT business analyst , and/or product management + Experience working with FHIR… 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