- Molina Healthcare (Yonkers, NY)
- …accurate and timely implementation and maintenance 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 customers as it pertains to contracting,… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... identify and troubleshoot claim discrepancies by utilizing benefit and provider contracts, regulatory requirements and various claims related resources + Strong… more
- Amazon (New York, NY)
- …management through innovative software solutions. We're seeking an experienced application analyst to lead the architecture, configuration, and management of ... 95 distinct insurance programs. The solutions developed and maintained by the Application Analyst cover the full claims lifecycle, encompassing processes such as… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The Analyst , Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. Designs ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and related financial data like risk...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- AIG (New York, NY)
- …data driven insights that will support Underwriting and Portfolio Management. + Lead the quarterly portfolio roll-up and reporting operations for select North ... American Commercial, and Specialty portfolios. + Work closely with actuarial, claims , and other functions, integrating catastrophe modelling insights into day-to-day… more
- Federal Reserve Bank (East Rutherford, NJ)
- …of the Bank's employees, customers, visitors, tenants and property. **Your role as Lead Project Manager, Construction Management:** The Lead Project Manager will ... include a program manager, project manager, project coordinator, and a business analyst . **The expectation** **is t** **o be onsite** **full-time** **in East… more
- Mount Sinai Health System (New York, NY)
- …contract law, and the revenue cycle, with particular focus on PB and HB claims . o Understanding of the legal and regulatory environment surrounding healthcare ... healthcare billing (hospital and professional), adhere to internal policies, regulatory requirements, and contractual obligations. This leadership position will be… more
- City of New York (New York, NY)
- Job Description *Applicants must be permanent in the title of Administrative Staff Analyst or have a permanent comparable civil service title.* Reporting to the ... Chief Operating Officer, the Director of Disability Retirement Services will lead the Division, providing strategic oversight for the processing of disability and… more