- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research . ... The Sr. Analyst , Claims Research serves as a senior-level subject matter expert in...regulatory and contractual requirements. + Leads and manages major claims research projects of considerable complexity, initiated… more
- Molina Healthcare (Syracuse, NY)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- Highmark Health (Albany, NY)
- …and claims staff regarding the final adjudication of complex claims . Research and investigate conflicting benefit structures in multi-payor situations. ... is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various… more
- Mount Sinai Health System (New York, NY)
- …largest US health systems with a strong reputation for quality of care and research . We have over 38,000 employees working together to provide billions of dollars in ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- City of New York (New York, NY)
- …Responsibilities include but are not limited to: - Assist in the review of claims of wrongful conviction. - Conduct preliminary research into the factual and ... District Attorney's Office (DANY) has an opening for a Post-Conviction Justice Investigative Analyst this spring. In this position, the analyst will support… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... Office of Revenue is recruiting for (1) Admin Staff Analyst NM III to function as a(n) Executive Director,...to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop… more
- Evolent (Albany, NY)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... Evolent and its customers in the Performance Suite where Evolent does not pay claims . + Support the design of data transfer protocols during client onboarding and… more
- CUNY (Staten Island, NY)
- Business Data and Reporting Analyst , Level 2 (Provisional) - Human Resources **GENERAL DUTIES** Under supervision, provides and/or oversees expert end-user support ... systems planning, and/or technological troubleshooting while a Business Data and Reporting Analyst is a highly skilled end-user of CUNYfirst. There are 4 levels… more
- Evolent (Albany, NY)
- …models and approaches aimed at quantifying and articulating our value. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy ... positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Analyst , Performance Suite Analytics utilizes and develops analytic tools to… more
- MetLife (Oriskany, NY)
- Job Title Short Term Disability (STD) Senior Quality Analyst Job Location Virtual within a Commutable Distance of Aurora IL, Bloomfield, CT, Cary NC, Oriskany NY, or ... You'll Help Us Build a Confident Future (Key Responsibilities): The STD Senior Quality Analyst is responsible for: * Virtual roles work from a home office with… more