- 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
- Medtronic (New York, NY)
- …interpretation, and messaging of retrospective analysis of administrative health care claims data (both public/Medicare, commercial, and hospital claims ... and health economics conferences. + Execute ad-hoc and publication-level retrospective analyses of claims data sources in SAS independently, including data … more
- CVS Health (Albany, NY)
- …+ Applying advanced Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and profit and ... to financial questions in real-time + Supporting Underwriting Managers and Sr . Managers with ad-hoc financial analyses and client implementation projects. Your… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more… more
- Highmark Health (Albany, NY)
- …network structures (eg non standard tiering) and pricing methods in a senior operational role. Translates complex group and client information into system ... configuration, including but not limited to client, group, rates, and commissions data resulting in the design and maintenance of complex groups and products.… more
- Molina Healthcare (Buffalo, NY)
- …for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along… more
- Evolent (Albany, NY)
- …Excel, SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Working on a strategic analytics team using ... or more years of experience within a healthcare analytics role, working with Claims , Membership, or Authorization Data , and consulting both internal and external… more
- AIG (New York, NY)
- …modelling team and the Retail Property Underwriting team, providing advice and data driven insights that will support Underwriting and Portfolio Management. + Lead ... American Commercial, and Specialty portfolios. + Work closely with actuarial, claims , and other functions, integrating catastrophe modelling insights into day-to-day… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …area/out of network non-par claims . In the course of this work, the Analyst will be required to work closely with others to assemble and produce documentation ... with sound and ethical procedures, objectives and controls, a Network Services Analyst analyzes and evaluates the composition and characteristics of Health Plan… more
- Trinity Health (Troy, NY)
- …Type:** Full time **Shift:** Day Shift **Description:** **Position Summary:** The Project Analyst will assist with programmatic and fiscal reporting for 5-10 grants ... staffing schedules, and supporting training efforts of the department. The Project Analyst also performs specific tasks related to outreach about program services,… more