- WelbeHealth (Albany, NY)
- …Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and ... accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. **Essential Job… more
- AIG (New York, NY)
- Job Description Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim ... + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit... Claims by supporting Quality Assurance / Regional Audit processes, ensuring mitigation of indemnity and expense exposure… more
- Warner Music Group (New York, NY)
- …the contractually-defined scope) of the audit concerned; + Review and analyze the audit claims submitted by the auditor in question, as well as the relevant ... recommendations for the WMG label client(s) concerned regarding how to respond to the audit claims in a given audit ; + Facilitate the settlement of each … more
- Jacobs (Buffalo, NY)
- …the Contract, determine validity * Day-to-day tracking, review, and management of delay claims assigned to the successful candidate * Audit contractor's claim ... is where you belong. This candidate will work in the claims department, analyzing delay claims brought against the State within a geographic region. The… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and claims processing platform. . Manages case volumes and review/ audit schedules, prioritizing case load as assigned by Management. . Consistently demonstrates ... Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical… more
- WMCHealth (Valhalla, NY)
- Compliance Analyst , 340B Program ( On-Site ) Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Executive/Management Department: Pharmacy ... Internal Applicant link Job Details: Job Summary: The 340B Program Compliance Analyst is responsible for maintaining regulatory compliance within the 340B Program… more
- Justworks (New York, NY)
- Analyst , Quality Assurance Workers Compensation New York, New York Apply Who We Are At Justworks, you'll enjoy a welcoming and casual environment, great benefits, ... Workers Compensation Operations Function Who You Are The Quality Assurance Analyst will help manage the day-to-day operations of Justworks' Workers Compensation… 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
- Genesis Healthcare (Roosevelt, NY)
- …and possible career growth opportunities. POSITION SUMMARY: The Licensed Behavior Analyst will provide services designed to facilitate improved behavior and skill ... a related field. 2. Must hold and maintain BCBA certification from the Behavior Analyst Certification Board (BACB). 3. Must hold a Licensed Behavior Analyst … 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 ... (DHS). DSS-AO maintains the operation of the Office of Audit and Quality Assurance (OAQA), Office of Compliance &...Office of Revenue is recruiting for (1) Admin Staff Analyst NM III to function as a(n) Executive Director,… more