- Healthfirst (NY)
- … business rules within the claims processing system. + Identify claims configuration and contract implementation defects and improve departmental performance ... are adequately implemented based on technical planning documents. + Ensure post implementation accuracy of claims configuration implementations and mass claim… more
- Amazon (New York, NY)
- …of leading the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of complicated insurance data ... cross-functional teams on the day-to-day execution of new and existing program implementation . * Drive small to medium operational enhancement projects. * Research… more
- Molina Healthcare (Buffalo, NY)
- …review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution ... functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on … more
- Molina Healthcare (Syracuse, NY)
- **JOB DESCRIPTION** **Job Summary** Responsible for 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… more
- Cognizant (Albany, NY)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... communication between business unit's) and IT from initial requirements to final implementation ; From a project perspective, owns the entire DM and ensure it… more
- CDPHP (Albany, NY)
- …CDPHP's core claims systems and any integrated systems. The Configuration Analyst III will be responsible for the technical oversight of all departmental audit ... to be a part of that experience. This configuration analyst is a technical position that will focus on...of the analysis, maintenance, and configuration of CDPHP's core claims systems and applications application systems, as well as… more
- Mount Sinai Health System (New York, NY)
- …Care Contracting Team within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial, ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- MTA (New York, NY)
- …provides varying levels of support and analysis to Senior OCIP Administration Claims Analyst , Assistant Director and Deputy Director; actively contributes to ... Analyst , Owner Controlled Insurance Programs Job ID: 10997...Owner Controlled Insurance Programs (OCIP) including oversight of safety, claims and administrative services provided by the insurance broker… more
- Seton Education Partners (Bronx, NY)
- Elementary School Special Education Compliance and Billing Analyst Bronx, New York Seton Education Partners seeks a mission-driven, detail-oriented leader to serve ... as the Elementary School Special Education Compliance and Billing Analyst for the Brilla Public Charter Schools Network. This position reports directly to the… more
- Citigroup (Getzville, NY)
- …Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market products; ... in the timely investigation, and resolution of Interbank / Corporate Compensation Claims . The candidate will need to effectively interact with the front office,… more