- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a critical role in testing, ... Opportunity for advancement within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... fashion. In collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to...Five years minimum of managed care experience in insurance claims or contracts Four to Five years of financial… more
- Independent Health (Buffalo, NY)
- …culture that fosters growth, innovation and collaboration. **Overview** As a Risk Revenue Analyst - Senior the incumbent will provide a full scope of actuarial and ... testing to assess impacts on pricing outcomes. + Establish and implement claims review processes to support risk adjustment. Analyze data and provide strategic… more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end ... Databricks, not all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate data sources, with… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Data Analyst ** **(Location - Albany, NY)** **Summary:** The Data ... of database structures and business context of various elements related to Medicaid claims . Related efforts will include the production of reports in support of the… 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
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. **Actuarial Analyst , NA FL** **North American Financial Lines Pricing** **Actuarial** **How does ... Lines book. They will proactively engage with Reserving, Risk Management, Finance, Claims , and Data & Analytics colleagues to achieve desired business outcomes and… more
- St. Mary's Healthcare (Amsterdam, NY)
- …law. Responsibilities: * Interpret and analyze data from multiple sources including claims , provider, patient, and encounters data. Identify and assess the business ... report areas of high financial risk and make resolution recommendations to senior management. * Perform trend analysis and key performance indicator (KPI) variances… more
- AIG (New York, NY)
- …American Commercial, and Specialty portfolios. + Work closely with actuarial, claims , and other functions, integrating catastrophe modelling insights into day-to-day ... business, and portfolio optimization strategies. + Carry out other modelling business activities including event response, business planning, budgeting, profit studies, portfolio optimization, reinsurance purchasing, and other exercises where catastrophe risk… more