- 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
- 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
- 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
- Molina Healthcare (Yonkers, NY)
- …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... containment information. + Evaluate, write, and present healthcare utilization and cost containment reports and makes recommendations based on relevant findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of… more
- Highmark Health (Albany, NY)
- …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + None… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III serves as a senior member of the Pharmacy Analytics team, advancing Mount Sinai's mission through high-impact ... deliver data products that inform strategic decisions across the Health System. The Analyst plays a key role in developing interactive dashboards and optimizing SQL… more
- Mount Sinai Health System (New York, NY)
- …requires onsite occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst III is a senior role, collaborating with stakeholders from across ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …II- Patient Accounts Corporate 42nd Street (100% on site) -Full-Time Days** The Financial Analyst Underpayment II is a senior level analyst who gathers ... the Assistant Vice President or Director. Does data mining, analyses of underpaid claims and detail report reviews. Prepare standard monthly reporting for the AVP. +… more
- City of New York (New York, NY)
- …Services seeks a dynamic, motivated and detail-oriented individual to serve as an Analyst in the Administrative Payment Unit. The Analyst will perform desk ... dynamic, motivated and detail-oriented individual to serve as an Analyst in the Administrative Payment Unit. The Analyst...are not limited to: - Audit OTPS invoices and claims for payment by ensuring invoices and supporting documentation… more