- Molina Healthcare (Albany, NY)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… 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 ... processes, global cargo regulations, and risk management in transportation. As a Senior Risk Analyst , you will partner with our Third-Party Administrator (TPA)… more
- 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 ... assignments + Experience in documenting IT requirements and summarization + Experience with administrative claims data such as pharmacy or medical claims +… 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 &...to contractual agreements + Compile, analyze and review transactional data to support statement reporting + Interpret, and summarize… more
- Norstella (Albany, NY)
- Sr . Medical Analyst Company: MMIT Location: Remote, United...in need. We are seeking a Senior Medical Analyst to join our team and drive data -driven ... in healthcare data analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and… more
- New York Power Authority (White Plains, NY)
- Sr Cost Control Analyst Location: White Plains, US **Summary** The Senior Cost Control Analyst position helps support Portfolio Management by providing ... as well as managing invoicing and contract budget verifications. Additionally, the Senior Cost Control Analyst identifies project risks throughout the project… more
- Evolent (Albany, NY)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a ... Senior Analyst , Performance Analytics to join our...Professional experience in healthcare analytics (eg medical and pharmacy claims data , membership data , or… more
- Evolent (Albany, NY)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy,… more
- Molina Healthcare (New York, NY)
- …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… more
- Molina Healthcare (Yonkers, NY)
- …DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
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