- Molina Healthcare (New York, 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
- Capital One (New York, NY)
- Sr . Distinguished Engineer - Fraud Technology (Remote-Eligible) As a Sr . Distinguished Engineer at Capital One, you will be a part of a community of technical ... on our customers' lives. We are looking for a Senior Distinguished Engineer to define, architect and drive the...Define and drive technical strategy and roadmap for our systems and platforms that power Fraud defenses and Fraud… more
- Molina Healthcare (New York, NY)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- Molina Healthcare (New York, NY)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- Two95 International Inc. (New York, NY)
- …SOW will meet their needs * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively navigate and do the ... Job Title: Sr . Analytics Consultant Job type : Remote Work...analyses * Lead the analytical-interrogation of their EMR/EHR and/or claims data to perform data … more
- Terumo Medical Corporation (Somerset, NJ)
- …plans, and provides training and re-training to associates, as needed. + Leverages data analytics tools and create reports for senior management to create ... Sr . Compliance Manager - Monitoring & Transparency Date:...& Medicaid Services (CMS). Performs analytics on CMS available data and provides meaningful insights to senior … more
- Acxiom (New York, NY)
- …and segment longitudinal healthcare provider and HIPAA compliant patient's health claims data to optimize targeted engagement strategies. **Audience Portfolio ... a highly analytical and detail-oriented **Healthcare & Media Strategy Sr . Analyst** to inform Acxiom Health Product in developing...Public Health. 5 - 7 years advanced analytics and data experience in healthcare systems , health-tech or… more
- Molina Healthcare (New York, NY)
- …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and ... **JOB DESCRIPTION** **Job Summary** This Sr . Analyst, Healthcare Analytics role will be responsible...I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + Data… more
- Elevance Health (Woodbridge, NJ)
- **Clinical Quality Management Analyst Sr . Behavioral Health** **Location:** 111 Wood Ave. S, Iselin, NJ 08830 **Office Requirement:** This role requires associates ... locations may be considered. The **Behavioral Health Clinical Quality Analyst Sr .** is responsible for developing and conducting more complex behavioral health… more
- Molina Healthcare (New York, NY)
- … systems to support executive decision-making + Mine and manage information from large data sources + Analyze claims and other data sources to identify ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...reports, and improvement opportunities based on analyses + Provide data driven analytics to Clinical COE, Finance, Claims… more