- New York State Civil Service (Albany, NY)
- NY HELP No Agency DASNY - Dormitory Authority of the State of New York Title Senior Cost Control / Claims Analyst - Albany, NY Occupational Category Other ... and/or construction complexity, environmental issues and other non-traditional project variables. Senior Cost Control Analyst also reviews and provides comments… more
- CareFirst (Baltimore, MD)
- …strategy and delivery of two key analytic tools that will be built using provider and claims data. The Analyst will sit on the Value and Sales Enablement team ... reporting on all network, provider, and contractual performance. This senior level individual contributor will bring coding and dashboard...and sales enablement. The purpose of a Sr. Data Analyst is to find meaning in data as a… more
- CVS Health (Carson City, NV)
- …assigned, high profile providers or groups (ie local, individual providers, small groups/systems) to establish, oversee, and maintain positive relationships by ... regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs.Optimizes interactions with… more
- Trinity Health (Conshohocken, PA)
- …ability to contribute to and provide primary accountability for managing/leading small projects or portions of projects is expected. Responsibilities include, but ... initiatives which support business needs and enhance the performance of payer claims analysis, product development and the managed care contracting process. Gathers… more
- CVS Health (Albany, NY)
- …on a diversified book of business including Mid-Market, Select/Key Accounts, Small Group, and our Captive/Alternate channels. Required Qualifications + 1-2 Years ... Marketing and placement of stop loss policies, negotiating terms based upon claims data, strategy, relationships and cost avoidance/reduction efforts + Works with… more
- Capgemini (El Paso, TX)
- …client. Performs tasks in line with the written procedures or assigned by senior staff under supervision. Deepening knowledge in one process or more. General ... * Processes used: * B2C4.1.3 Collect From Tier 3 Customer (Low Risk, Small ) * B2C4.1.4 Retained Collection * B2C4.1.5 Escalate unpaid amounts * B2C4.1.6 Perform… more
- WTW (New York, NY)
- …management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy ... to work on clients ranging from Fortune 500 companies to mid- and small -sized organizations, alongside multiple client service teams, subject matter experts in our… more
- Hartford HealthCare (Newington, CT)
- …or recommendations to workflows; breaks down identified problems into small components, understands underlying issues, simplifies and processes complex issues; ... of high financial risk and make resolution recommendations to senior management. . Lead projects as assigned to successful,...policies and standard work that will speed processing of claims payments and reduce the amount of follow up… more
- JPMorgan Chase (Columbus, OH)
- …to work collaboratively with partners such as Service Product Group, Claims & Disputes Product organization, Machine Learning and Intelligence Operations, Finance, ... conclusions, often for executives, in regularly-scheduled analytics meetings chaired by the analyst in this role + Support the creation of dashboards and… more
- General Dynamics Information Technology (Fairfax, VA)
- …**Job Description:** At GDIT, people are our differentiator. Our work depends on a Senior Business Intelligence Analyst joining our team to support the Centers ... the Healthcare Fraud Prevention Partnership (HFPP), you will manage a small team of Business Intelligence Developers, collaborating with Subject Matter Experts… more
- UIC Government Services and the Bowhead Family of Companies (King George, VA)
- …contract administration. + Working closely with the Program Manager and Financial Analyst to monitor performance, reduce risk and reduce days sales outstanding ... on more complex proposals and contracts. + Providing regular reporting to senior management on contract issues. + Interfacing with the Government Contracting… more
- Geisinger (Wilkes-Barre, PA)
- …exome sequencing study (MyCode), and access to Geisinger's health plan administrative claims data. The candidate will also tap into Geisinger's highly advanced, ... syndrome, pharmacoepidemiology, genetics of CKD. Resources include research data analyst support, project manager, project coordinators, and a research assistant.… more