- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research . ... The Sr. Analyst , Claims Research serves as a senior-level subject matter expert in...regulatory and contractual requirements. + Leads and manages major claims research projects of considerable complexity, initiated… more
- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- Mount Sinai Health System (New York, NY)
- …largest US health systems with a strong reputation for quality of care and research . We have over 38,000 employees working together to provide billions of dollars in ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- Molina Healthcare (Yonkers, NY)
- …system tables in the user interface. * Applies experience and knowledge to research and resolve claim/encounter issues and pended claims , and updates system(s) ... JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... Office of Revenue is recruiting for (1) Admin Staff Analyst NM III to function as a(n) Executive Director,...to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop… 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
- Mount Sinai Health System (New York, NY)
- …onsite occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …largest US health systems with a strong reputation for quality of care and research . We have over 38,000 employees working together to provide billions of dollars in ... across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding, modeling, and reporting on… more
- WTW (New York, NY)
- …**The Role** We are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance analyst you will ... **Other:** Keep abreast of laws and regulations impacting employee benefits, claims procedures, and notice requirements by using our legal database subscriptions… more
- City of New York (New York, NY)
- …provide opportunities for New Yorkers and communities to flourish. The Senior Revenue Analyst will play a critical role in ensuring timely claiming and revenue ... with latitude for independent initiative, this position will perform senior-level research analysis and provide operational support essential to DYCD's fiscal… more
- Guardian Life (New York, NY)
- As the **Product Filing Analyst ** you will be responsible for drafting, filing and securing regulatory approval of new group and retail insurance contracts, as well ... contract language can have on administration, marketing, sales, underwriting, pricing, claims and, ultimately, financial performance. + BS in Business Administration… more
- Molina Healthcare (New York, NY)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Yonkers, NY)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
- City of New York (New York, NY)
- …recruiting for one (1) PAA III position to function as the Human Services Payment Analyst in the DHS Human Services Unit who will: - Perform quality assurance review ... and CARES within the prescribed period. - Reconcile monthly claims and maintain a claim-control register to ensure the...and outside vendors to resolve matters concerning payment; perform research and analysis as necessary. - Validate and ensuring… more
- Philadelphia Insurance Companies (New York, NY)
- …reviewing governance-related submissions from individual group companies, and performing research on governance best practices and procedures + Gather, prep ... the managers of the GPA department + Assist in research to support the actuarial loss reserve process reviews...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii,… more
- Molina Healthcare (Yonkers, NY)
- Ideal Candidate would work remotely but reside in Connecticut** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, ... and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop… more
- MVP Health Care (Tarrytown, NY)
- …accuracy of claims and supporting overall payment accuracy. + Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, ... reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature. + Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare… more
- World Insurance Associates, LLC. (Syosset, NY)
- …cases + Create monthly financial reporting packages including detailed premium, claims , membership, commission, and cash reconciliation information + Create weekly, ... + Provide timely, courteous and accurate response to all inquiries, conducting research when necessary and communicating results + Process all necessary paperwork by… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... Administration (HASA) is recruiting for one (1) Admin Staff Analyst NMI to function as Director of Budget and...monitor the activities of professional staff engaged in fiscal research and quantitative analysis of invoices related to the… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIIVIL SERVICE TITLE The Department of Social Services (DSS) is comprised of the ... Data Analysis Unit is recruiting one (1) Administrative Staff Analyst NM2 to function as the Director of Quality...essential to sensitive and accurate claiming and accounting for claims submitted to the State to ensure that all… more