• Analyst , Owner Controlled Insurance…

    MTA (New York, NY)
    …: The Analyst OCIP provides varying levels of support and analysis to Senior OCIP Administration Claims Analyst , Assistant Director and Deputy Director; ... Analyst , Owner Controlled Insurance Programs Job ID: 10997...Owner Controlled Insurance Programs (OCIP) including oversight of safety, claims and administrative services provided by the insurance broker… more
    MTA (03/20/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Albany, NY)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
    Humana (05/10/25)
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  • Reimbursement Configuration Programmer…

    Excellus BlueCross BlueShield (Rochester, NY)
    …you to apply! Job Description: Summary: The Reimbursement Configuration Programmer Analyst is responsible for utilizing system development methodologies to analyze, ... to high level business requirements. The Reimbursement Configuration Programmer Analyst is expected to understand requirements, develop work plans, translate… more
    Excellus BlueCross BlueShield (04/11/25)
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  • Business Analyst / MLR Process SME

    IBM (Buffalo, NY)
    …including content creation, review and approval, digital asset management (DAM), claims management, and modular content * Implement client's E2E content supply ... for client's Vault Promomats implementation * Collaborate with other Senior Consultants supporting key deliverables and timelines * Hone...end to end content lifecycle * Ensure quality of data best practices in Veeva PromoMats and adherence to… more
    IBM (04/30/25)
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  • Reimbursement Analyst I/II/III (Hospital…

    Excellus BlueCross BlueShield (Rochester, NY)
    …* Supports reimbursement strategy and analysis through various duties included running data queries for analysis and evaluation of current to proposed reimbursement ... reports to support initiatives, and changes to process flows. * Reviews complex claims , financial models, test results, and trends with providers and hospital system… more
    Excellus BlueCross BlueShield (05/12/25)
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  • Senior Medical Stop Loss Underwriter

    Highmark Health (Albany, NY)
    …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... policies, practices, and standards. Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment… more
    Highmark Health (04/30/25)
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  • Executive Director, Data Analytics…

    City of New York (New York, NY)
    …applications and/or systems. - Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data -driven manner, with 100% ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The Department of… more
    City of New York (02/12/25)
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  • Director - Hospital Billing - Mount Sinai Health…

    Mount Sinai Health System (New York, NY)
    …be responsible for managing a team of compliance analysts, including the Senior Contract Compliance Analyst , to ensure ongoing contract compliance monitoring, ... mentor a team of contract compliance professionals, including the Senior Contract Compliance Analyst , to ensure efficient...issues, and areas of improvement, and present findings to senior leadership. * Use data -driven insights to… more
    Mount Sinai Health System (03/29/25)
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  • Global Program Manager

    AIG (New York, NY)
    …and coordinating Early Career Programs in Global Business Operations (GBO) & Claims , specifically, the Analyst Program (Global), Apprenticeship Program (UK and ... leader. Make Your Mark in Global Business Operations & Claims As a world leader in commercial and personal...the business and program needs + Responsible working with Sr leaders and Early Careers in identifying the best… more
    AIG (04/10/25)
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  • Benefits Manager

    SMBC (New York, NY)
    …records. **Work Experience** + Minimum of 5 years in a Benefits Manager or Sr . Analyst role. This is a technically oriented position that requires relevant ... vendors, addressing inquiries, resolving issues related to eligibility, coverage, and claims , and supporting onboarding and offboarding processes. + Oversee the… more
    SMBC (04/29/25)
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