- Elevance Health (Iselin, NJ)
- …2025-07-18 Position Title: CPHQ - HCQM - BH Clinical Quality Management Analyst Sr Job Description: Clinical Quality Management Analyst Sr . Behavioral Health ... Alternate locations may be considered. The Behavioral Health Clinical Quality Analyst Sr . is responsible for developing and conducting more complex behavioral health… more
- Foursquare (New York, NY)
- …this position supports a wide range of People Team functions, including systems management, data and analytics, onboarding and offboarding, employee engagement, ... benefits orientation, asset coordination, and feedback analysis. Own and manage People systems and integrations , conducting regular data audits, supporting… more
- DLA LLC (New York, NY)
- …on engagements Accumulate, review and analyze financial and operational data Assess and evaluate project (cost) controls, project authorization, competitive ... process, man-hour reporting, project reporting, project budget tracking and delay claims analysis Provide clear, concise, and appropriate documentation of work… more
- 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: Jul 19, 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
- 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
- ServiceNow, Inc. (New York, NY)
- …of the Fortune 500(R). Our intelligent cloud-based platform seamlessly connects people, systems , and processes to empower organizations to find smarter, faster, and ... to make the world work better for everyone. The Sr Director of Insurance Go to Market (GTM) AMS...related pursuits within the global market connecting with more senior and C-suite stakeholders, taking our messaging, communications and… 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)
- …and composing responses in order to provide requested information. The Senior Data Analyst will utilize various ACS payment systems tools such as PASSPort, ... Services Unit total more than $319 million annually. The Senior Data Analyst for HHS-PASSPort Payments is...- Learn and master the operation of the various data systems used to gather and report… more
- Ascensia Diabetes Care (Parsippany, NJ)
- …rebates. Ensuring data is error-free and loaded correctly in operational systems . + Reviewing and processing all claims accurately, identifying possible ... we invite you to join our team! As the Sr . Rebate Administrator, you will be an integral member...or more of the following: Managed Care rebates, Medicaid claims , government and Trade/Mail Order claims , and… 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
- AIG (Jersey City, NJ)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the latest tools to ... excellence. The team is responsible for shielding the company's systems from security risks, while designing technology strategies that...will create an impact Full Stack Tech Lead / Sr . Developer will lead a technical team or be… 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
