- Molina Healthcare (New York, NY)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Amazon (New York, NY)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... Senior Risk Manager. The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of success in procurement,… more
- Capital One (New York, NY)
- Sr . Distinguished Engineer - Fraud Technology As a Sr . Distinguished Engineer at Capital One, you will be a part of a community of technical experts working to ... on our customers' lives. We are looking for a Senior Distinguished Engineer to define, architect and drive the...Define and drive technical strategy and roadmap for our systems and platforms that power Fraud defenses and Fraud… more
- Two95 International Inc. (New York, NY)
- …SOW will meet their needs * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively navigate and do the ... Job Title: Sr . Analytics Consultant Job type : Remote Work...analyses * Lead the analytical-interrogation of their EMR/EHR and/or claims data to perform data … more
- Warner Music Group (New York, NY)
- …company that retains the creative spirit of a** **nimble independent.** **Job Title: Sr . Analyst, Financial** **A little bit about our team:** Warner Music Group's ... development opportunities. We're excited to share this new opportunity for a Sr . Analyst, Participations with strong analytical & financial capabilities, to join our… more
- Molina Healthcare (New York, NY)
- … 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 database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- City of New York (New York, NY)
- … data warehousing services to constituent divisions of the Finance Office. The Senior Systems Analyst will perform technical and analytical work that will ... seeking an Associate Staff Analyst to function as the Senior Systems Analyst within Management & Policy...and qualitative analysis of special projects from ORMD and senior executive staff. Manage large amounts of data… more
- City of New York (New York, NY)
- …financing and strategy in New York City. The Bureau of Equitable Health Systems seeks to hire an entrepreneurial Senior Policy Advisor with demonstrated ... impacted NYC communities. CHECW addresses inequity across community and healthcare systems in partnership with community, faith-based, and health care organizations.… more
- MTA (New York, NY)
- …Origami with integrating applications such as PeopleSoft and third-party Risk Management/ Claims Management Systems + Experienced in technical troubleshooting of ... Senior Software Engineer - Law Applications Job ID:...solutions Develops complex software solutions by studying information needs, systems flow, data usage, and work processes,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Mount Sinai is one of the largest US health systems with a strong reputation for quality of care and research. We have over 38,000 employees ... Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible… more
- Molina Healthcare (Yonkers, NY)
- …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and ... **JOB DESCRIPTION** **Job Summary** This Sr . Analyst, Healthcare Analytics role will be responsible...I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + Data… more
- Medtronic (Manhattan, NY)
- …Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through ... vendor credentialing requirements + **IBHRE** **/RCES** **certification (** **required** **at Sr and Prin levels)** + Practical and demonstrated knowledge of… more
- Mount Sinai Health System (New York, NY)
- …Training in computerized medical billing + 3 years experience in medical billing or health claims , with experience in IDX billing systems in a health care or ... **Job Description** ** Senior Billing Specialist-Obstetrics and Gynecology Administration-Mount Sinai Beth...these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution.… more
- Molina Healthcare (Yonkers, NY)
- … systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ,… more
- Mount Sinai Health System (New York, NY)
- …analytical skills with the ability to interpret complex contract terms and financial data . + Proficient in contract management systems , modeling software, and ... within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System...Revenue Cycle team to integrate contract terms into billing, claims , and payment systems . + Provide support… more
- New York State Civil Service (New York, NY)
- …HELP No Agency DASNY - Dormitory Authority of the State of New York Title Senior Field Representative - NYC - 5 Boroughs and Long Island Occupational Category Other ... York State NY Zip Code 10005 Duties Description Primary PurposeThe Senior Field Representative exercises independent judgment and makes high-level decisions while… more
- Marc Jacobs (New York, NY)
- …Marc Jacobs International, powered by the creative genius of Marc Jacobs, seeks a Senior Manager of Accounting to join the Accounting team based in its New York ... City (SoHo) headquarters. The Senior Manager applies IFRS and company accounting principles and appropriate internal controls to ensure the integrity of the general… more
- Nestle (New York, NY)
- …for your development and growth. Join us! **POSITION SUMMARY:** The Senior Freight Coordinator will oversee and coordinate outbound freight for Nespresso's ... certain billing requirements are being followed + File carrier claims + Identify the root cause when targets are...dashboards related to transportation and KPI performance + Analyze data using tools like Power BI and Excel to… more
- Parker Hannifin Corporation (Hauppauge, NY)
- Contract Administrator Senior Location : HAUPPAUGE, NY, United States Job Family : Program Management Job Type : Regular Posted : Jul 10, 2025 Job ID : 58168 Back to ... requirements. Determines customer contractual requirements for new products and/or systems (ie Proposals that include engineering design and system hardware)… more