- 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
- Brighton Health Plan Solutions, LLC (New York, NY)
- …and IT teams, spanning one or more work streams, including: Client Implementation , Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider ... About The Role Brighton Health Plan Solutions is looking for an Implementation Manager with experience managing a complex, program of strategic projects that span… 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
- Independent Health (Buffalo, NY)
- …to practice manager(s) any issues or concerns identified in the practices. The Analyst is responsible for the practice implementation of the comprehensive ... that fosters growth, innovation and collaboration. **Overview** The HCC Coding Quality Analyst is responsible for delivering educational seminars and/ or content to… more
- New York State Civil Service (Albany, NY)
- …or after implementation . Minimum Qualifications For Appointment to Business Systems Analyst Trainee 1:* Reachable on current Civil Service eligible list for this ... Service Law. Eligible titles include, but are not limited to: Administrative Analyst Trainee 1, Claims Services Representative Trainee 1, Contract Management… 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 (Hospital 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
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- SUNY Oneonta (Oneonta, NY)
- …Finance and Administration. Applications are invited for the role of Internal Control Analyst . This position plays a key role in supporting the development, ... implementation , and ongoing refinement of the University's internal control...and managing the investigation and processing of small legal claims . Reporting to the Associate Vice President of Finance… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …the Role We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external stakeholders to ... top payers across one or more domains (Enrollment & Benefit Administration, Claims processing & Reimbursements, Member & Provider Portals/Service, Clinical & Care… more
- Baylor Scott & White Health (Albany, NY)
- …and/or level **Job Summary** **100% Remote position** The Benefit Configuration Analyst examines configuration change requests. They establish the technical scope, ... Functions of the Role** + Execute the build and implementation of benefit plan adjudication rules + Coordinate the...accurate configuration of business requirement + Analyze larger sets claims data to evaluate patterns of billing as it… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …encourage you to apply! Job Description: Summary: The Reimbursement Configuration Analyst is responsible for utilizing system development methodologies to analyze, ... in response to high level business requirements. The Reimbursement Configuration Analyst is expected to understand requirements, develop work plans, translate the… 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
- Highmark Health (Albany, NY)
- …colleagues. Successfully articulate issues, problems, and solutions. Conduct pre-and post- implementation review. Assist in the planning/designing and facilitation of ... in the design and delivery of business process solutions, implementation strategies, and control measures, including scoping, leading, and...3 - 5 years of experience in a Business Analyst or Business Process Analyst role or… more
- University of Rochester (Rochester, NY)
- …GENERAL PURPOSE With latitude for initiative and independent judgment, the Data Analyst I is responsible for supporting the Payment Posting/Data Control Group and ... situations and incidents and improving department operations). The Data Analyst I prepares, analyzes and distributes reports to Senior...Review and accept daily Epic claim runs. + Correct claims and rebills in Relay Health. + Analyze, reconcile,… more