- 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
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Manager, Market Intelligence Date: Jun 20, 2025 Req ID: 4800 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: TIS Strategic ... Medical Corporation is comprised of two strategic business divisions: Terumo Interventional Systems and Terumo Medical Products. We believe that the future is bright… 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
- Terumo Medical Corporation (Somerset, NJ)
- …plans, and provides training and re-training to associates, as needed. + Leverages data analytics tools and create reports for senior management to create ... Sr . Compliance Manager - Monitoring & Transparency Date:...& Medicaid Services (CMS). Performs analytics on CMS available data and provides meaningful insights to senior … 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
- Elevance Health (Woodbridge, NJ)
- **Clinical Quality Management Analyst Sr . Behavioral Health** **Location:** 111 Wood Ave. S, Iselin, NJ 08830 **Office Requirement:** This role requires associates ... locations may be considered. The **Behavioral Health Clinical Quality Analyst Sr .** is responsible for developing and conducting more complex behavioral health… more
- PVH Corp. (Bridgewater, NJ)
- …Administration and Operations. Your primary focus will be HRIS administration, data analytics, process management. Programs include health, prescription drug, life, ... third-party administrators, and insurance carriers to resolve issues, process enrollments, claims , and ensure timely service delivery. + Oversee employee eligibility… 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)
- …to contracting with government and/or insurance companies. - Experience guiding insurance claims data analysis - Experience in Management Service Organizations, ... impacted NYC communities. CHECW addresses inequity across community and healthcare systems in partnership with community, faith-based, and health care organizations.… 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
- 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
- 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
- Bank of America (New York, NY)
- …detection algorithms and systems . Perform regular audits and analysis of transaction data to detect new fraud trends. * Guiding team to Develop new fraud ... Fraud Analytics and Innovation Senior Leader - Client Protection Newark, Delaware;Plano, Texas;...data required for performing analysis. * Partner with claims , policy, strategy, and product teams to deliver … 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
- Colgate-Palmolive (Piscataway, NJ)
- …all. Colgate-Palmolive Company is seeking a highly qualified **Principal Scientist** or Senior Principal Scientist of Biomedical Imaging to join the Global Devices ... elucidate the Mode of Action (MoA), develop and substantiate novel product claims and demonstrations, in close collaboration with biological science and clinical… more