• Network Services Analyst I/II/III

    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
    Excellus BlueCross BlueShield (05/24/25)
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  • Fraud Analytics and Innovation Lead Analyst

    Bank of America (New York, NY)
    …and deliver on organizational loss goals. Device and Non Monetary Fraud and Innovation Senior Analyst - This job is responsible for performing complex analyses of ... Fraud Analytics and Innovation Lead Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; New York,...capabilities, reduce customer friction, and make strategic investment decisions. Data related to customer profiles and online banking login… more
    Bank of America (07/03/25)
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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 (07/09/25)
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  • Reimbursement Analyst I/II/III

    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 (05/30/25)
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  • Senior Patient Accounts Processor

    Whitney Young Health Center (Albany, NY)
    …in a medical billing office setting. Two years experience as a Medical Biller/ Claims Examiner/ Claims Analyst demonstrating the ability to bill using ... Senior Patient Accounts Processor (Req 100962) Albany, NY...+ Inputs, reviews and updates all demographic and insurance data as necessary. + Process pending claims … more
    Whitney Young Health Center (07/02/25)
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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 (05/21/25)
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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 (05/14/25)
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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 (06/27/25)
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  • Deputy Director, OCIP Management Risk Control

    MTA (New York, NY)
    …+ Responsible for the overall management of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. + ... OCIP programs. + Provides financial modeling and reporting to senior management and stakeholders, as well as reviewing and...provides OCIP statistical cause and effect, safety and security data to all related departments to support risk management… more
    MTA (07/08/25)
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  • Auditor 1 or Trainee (NY Helps)

    New York State Civil Service (Albany, NY)
    …tax credit claims ; and identify and report discrepancies or non-compliance issues. Data Analysis and Verification: Analyze complex data sets relating to ... integrity of the tax credit mid-year advance and year-end claims . Specific duties and responsibilities include but are not...are not limited to: Auditor Trainee 2 Tax, G-16, Senior Budgeting Analyst , G-18, and State Program… more
    New York State Civil Service (07/15/25)
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