- Cognizant (Albany, NY)
- …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... Finance teams through analyzing key business issues related to UM and CM processes and...and manage information from large data sources + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Medtronic (New York, NY)
- …data + Demonstrated business communication and presentation skills, both live and remote + Experience in analysis of large administrative claims or EHR ... to support the development of internal evidence in support of business development and reimbursement strategy, as well as primary peer-reviewed publication-level… more
- Molina Healthcare (Buffalo, NY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- CVS Health (Albany, NY)
- …and Aetna's Government Services Medicare Advantage and Prescription Drug Plan business . This position will provide analytical and reporting support for certain ... financial components impacting the net cost of pharmacy claims . The colleague will: + Apply quantitative skills and...quantitative skills and analytical methods to support Part D business needs. + Foster strong technical skills by manipulating… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Axis (New York, NY)
- …insurance or reinsurance contract interpretation and dispute management. * Prior experience as a reinsurance claims analyst . Salary range anticipated 150-240K. ... the selection process. Reinsurance Claim Lead Job Description Job Family Grouping: Reinsurance Claims Job Family: Claims The Casualty Reinsurance Claims Lead… more
- Elevance Health (Latham, NY)
- ** Business Analyst II MBHP EDI Encounters** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... GA, Durham, NC, Richmond, VA or Latham, NY. The ** Business Analyst II MBHP EDI** **Encounters** is...Capabilities and Experiences:** + Knowledge of systems capabilities and business operations highly preferred. + Strong claims … more