- Aston Carter (Parsippany, NJ)
- Job Title: Medicaid Claims Analyst Job Description We are seeking a Medicaid Claims Analyst to review summary data for claim submissions to ... states/programs and proposing, applying, and documenting proper payment amounts. The analyst will complete Medicaid analysis for assigned states/programs,… more
- Molina Healthcare (Yonkers, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... on researching, presenting and documenting is required, + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience is highly… more
- Mount Sinai Health System (New York, NY)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Hospital Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …is responsible for the processing of Managed Care Commercial, Medicare Part D, Managed Medicaid , and Medical Agreement rebate claims in accordance with the terms ... Managed Care Rebate Analyst - Hybrid Date: Jun 19, 2025 Location:...utilization data, applying rules to determine included and excluded claims , assigning appropriate rebate percentages to utilization sales, and… 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
- City of New York (New York, NY)
- …housing, and assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides vocational services ... while supervising them regarding the unit's daily activities. The Senior Contract Analyst supervises the conduct of the field visits to vendors and Supportive… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …new people to make a difference with. **The opportunity** The Purchase Based Rebates Analyst , processes commercial rebate claims in accordance with the terms and ... Analyst , Purchase Based Rebates, Brand & Generic Date:...Model N Flex system and/or manually. * Calculate Brand/Generic claims accurately and timely, provide monthly accrual needs to… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... as well as automated analytical Reporting modules related to Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. + Analysis and reporting related to Managed… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of...Five years minimum of managed care experience in insurance claims or contracts Four to Five years of financial… more
- Mount Sinai Health System (New York, NY)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... 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
- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... latitude for independent judgment and initiative, the SSO Data and Systems Analyst (DSA) will be responsible for identifying and troubleshooting various issues for… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The Department of ... Analytics & Verification is recruiting for (1) Administrative Staff Analyst NM III to function as an Executive Director,...- Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner,… more
- City of New York (New York, NY)
- …Responsible for ensuring the accurate and timely submissions of Homebase, Anti-Eviction and Medicaid claims . Supervise the data and correction reports within a ... Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE The Bureau of Revenue Optimization...SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and… more
- YAI (Manhattan, NY)
- …for assigned region(s), regularly collaborating with applicable program leadership, financial analyst and/or other finance staff to support complete and accurate ... (eg Regional Centers, NJ DDD, etc.) and resubmits revised or corrected claims upon receipt and/or in accordance with applicable agency requirements. + Reconciles… more
- City of New York (New York, NY)
- …for over 500 active contracts. - Direct the processing of approximately 30,000 Medicaid reimbursement claims per month, related to a class-action settlement. - ... Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE, OR BE PERMANENT IN A...Services Payments Unit is recruiting one (1) Administrative Staff Analyst (NM-2) to function as the Director of Human… more
- City of New York (New York, NY)
- Job Description YOU MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE, PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. The ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services… more