- CVS Health (New York, NY)
- …effective solutions related to adjudication and processing of pharmacy and vaccine/ medical claims , maintaining current services, support optimalization of ... to support our store colleagues. The Retail Adjudication Products Sr Analyst will work cross functionally with...administrative claims data such as pharmacy or medical claims + Experience in Retail Pharmacy… 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
- Norstella (Albany, NY)
- Sr . Medical Analyst Company: MMIT Location:...faster and support patients in need. We are seeking a Senior Medical Analyst to join our ... to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You… more
- 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
- Evolent (Albany, NY)
- …team at Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
- Molina Healthcare (Buffalo, NY)
- …the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements. + Create Business Requirements ... technical teams + Appeals & Grievance, healthcare services, or claims background **Preferred License, Certification, Association** Certified Business Analysis… 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 (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be ... potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Molina Healthcare (NY)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... + Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and collaborates with the… more