- Axis (Princeton, NJ)
- …Description: This role is a highly analytical and detail-oriented position within our Claims Operations team, with a specialized focus on Bordereaux Management. ... effectively with cross-functional teams to drive process improvements and enhance claims management efficiency. *Preferred candidates will be able to commute to… more
- Deloitte (Morristown, NJ)
- …technology who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ... test changes, enhancements, and each new release as assigned. The Team Operations and Technology Transformation delivers market leading expertise and industry depth… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be ... team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations , and product development expertise. The Managed Care Contracting Team… more
- City of New York (New York, NY)
- …Office/The Division of Revenue Control & Analysis (DRCA) is recruiting one (1) Associate Staff Analyst to function as a Senior Revenue Analyst . The Senior ... Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A...sufficiency as quickly as possible. The Office of Fiscal Operations is DSS/HRA/DHS's primary payments and accounting office, and… more
- AIG (Parsippany, NJ)
- Senior Actuarial Analyst - Excess Casualty At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Actuarial Analyst , ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations , Marketing and Risk Management, among other functions.… more
- Evolent (Trenton, NJ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a ... the impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams… more
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a critical role in testing, ... The team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations , and product development expertise. MSHP is a fast growing business… more
- Highmark Health (Trenton, NJ)
- …network structures (eg non standard tiering) and pricing methods in a senior operational role. Translates complex group and client information into system ... and scalability and reusability of benefit configurations. Develop and execute claims testing plan, scenarios, documentation and defect management to ensure minimal… more
- Guardian Life (New York, NY)
- …Providing advice and support for Guardian's Product, State Filing, Actuarial, Pricing, Claims and Operations areas concerning Group life insurance, Accidental ... **Reporting Relationships** As our Compliance Lead, you will report to our Senior Compliance Leader, who reports to the Head of Group Benefits Compliance.… more
- AIG (New York, NY)
- …and Portfolio Management. + Lead the quarterly portfolio roll-up and reporting operations for select North American Commercial, and Specialty portfolios. + Work ... closely with actuarial, claims , and other functions, integrating catastrophe modelling insights into...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- MTA (New York, NY)
- …: The Analyst OCIP provides varying levels of support and analysis to Senior OCIP Administration Claims Analyst , Assistant Director and Deputy Director; ... Analyst , Owner Controlled Insurance Programs Job ID: 10997...actively contributes to managing the day-to-day operations of an Owner Controlled Insurance Programs (OCIP) including… more
- Prime Therapeutics (Trenton, NJ)
- …appropriate + Identify accounts that are subject to collections; coordinate with Senior Recovery and Resolution Analyst to support driving collections activities ... decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst...PBM experience to include:##1 year of work experience in claims processing in an operations , audit or… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, ... operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare data, including UM and… more
- Evolent (Trenton, NJ)
- …to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops ... and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Humana (Trenton, NJ)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM,… more
- Terumo Medical Corporation (Somerset, NJ)
- …and help shape wherever we go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Tax Analyst , Indirect Tax will work with the Senior ... Sr. Tax Analyst , Indirect Date: Apr 29, 2025 Req ID:...with $6+ billion in sales, 30,000+ employees worldwide and operations in more than 160 nations. Terumo Medical Corporation… more
- Evolent (Trenton, NJ)
- …the mission. Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and ... as well as Product Development efforts. **What You'll Be Doing:** + Analyse claims and authorization data to identify trends, calculate cost of care, and identify… more
- AIG (Parsippany, NJ)
- …performance measurement. They collaborate with Marketing, Operations and Financial Management. Senior Actuarial Analyst - A&H At AIG, we are reimagining the ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations , Marketing and Risk Management, among other functions.… more
- City of New York (New York, NY)
- …bodies as needed. - Perform other budget analyses and special projects as needed by Senior Staff. STAFF ANALYST - 12626 Qualifications A master's degree from an ... NOTE THAT ONLY EMPLOYEES PERMANENT IN THE TITLE STAFF ANALYST WILL BE CONSIDERED** The NYC Department of Environmental...than Personal Services (OTPS) Unit and the Revenue & Claims Unit. Candidates will be assigned to a unit… more