- EmblemHealth (New York, NY)
- …and design analytics and reporting to measure or estimate financial impact of health plan business problems and potential or actual solutions, addressing ... Analyze business problems related to financial experience of the health plan , particularly related to how care...working with healthcare data including but not limited to claims , testing results and pharmacy data required Strong communication… more
- New York City Economic Development Corporation (New York, NY)
- …occasionally, discuss with external parties and/or their insurance brokers Manage firm-wide claims process, working closely with the Legal Department on all ... claims , perform deductible reserves analysis, manage property ...for insurance modifications and waivers Guide and manage Senior Analyst in all facets of assigned tasks Build strong… more
- CVS Health (New York, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and key performance metrics for reconciliation, revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication… more
- Kuehne+Nagel (Jersey City, NJ)
- …At Kuehne+Nagel, our work contributes to more than we imagine. **** As a Liability Claims Analyst , you will be an integral team member of the North America ... to over 30 countries worldwide since 1972. As Claim Analyst you will handle Marine Liability claims ...health and welfare benefits, a 401k retirement savings plan , tuition reimbursement, and incentive compensation for eligible roles.… more
- Mount Sinai Health System (New York, NY)
- …in analytics development expertise, preferably in health care, or for a health provider, health plan or accountable care organization, including either: ... **Job Description** The Data Science Analyst III is a senior role, collaborating with...is a strong plus. + Experience working in a health plan or consulting actuarial, financial reporting… more
- Mount Sinai Health System (New York, NY)
- …in analytics development expertise, preferably in health care, or for a health provider, health plan or accountable care organization, including either: ... **Job Description** The Data Science Analyst II collaborates with stakeholders from across the...is a strong plus. + Experience working in a health plan or consulting actuarial, financial reporting… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions is looking for an Implementation Manager with experience managing a complex, program of strategic projects that ... Project Management (CAPM) certification is preferred but not required. About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement… more
- Molina Healthcare (Yonkers, NY)
- …experince:** Bachelor's Degree or equivalent experience Prior experience in Payment Integrity and/or COB/ Claims roles at a health plan or vendor. Familiarity ... care is required, and a background in payment integrity-either at a health plan or vendor-is strongly preferred. **Knowledge/Skills/Abilities** + Review Medicaid… more
- Stryker (Mahwah, NJ)
- **What you will do:** As a Senior Legal Analyst you will be responsible for scheduling and matter management; drafting and updating legal contracts, agreements and ... assisting with legal presentations; and improving internal processes. The Senior Legal Analyst must prepare accurate and timely reports using data analytics. The… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …but are not limited to, Employee Assistance Program, Employee Stock Purchase Plan , Tuition Assistance, Flexible Spending Accounts, Health Savings Account, Life ... Managed Care Rebate Analyst - Hybrid Date: Jul 18, 2025 Location:...are** Together, we're on a mission to make good health more affordable and accessible, to help millions around… 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 , Excess ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an… more
- City of New York (New York, NY)
- …AIDS live healthier and more independent lives. We assist with an individualized service plan that targets the support and necessary benefits that are specific to a ... Other HASA's services include home care and homemaking services, mental health and substance abuse screening and treatment referrals, transportation assistance,… more
- Molina Healthcare (Yonkers, NY)
- …The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to ... Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… 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:...are** Together, we're on a mission to make good health more affordable and accessible, to help millions around… more
- Molina Healthcare (Yonkers, NY)
- …reports including forecasts and makes recommendations based on relevant findings. Performs Health Plan strategic analysis and planning and coordinates across ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment… more
- TEKsystems (New York, NY)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered...to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
- Endo International (Woodcliff Lake, NJ)
- …helping everyone we serve live their best life. **Job Description Summary** The Analyst , Contracts & Pricing is responsible for sales pricing and contracts teams. ... rebate review of all rebates and benefits in Model N. + Assist Finance in claims and post audit claims resolution **25%** + Ensures contract compliance + Manage… more
- City of New York (New York, NY)
- …Description PLEASE NOTE THAT ONLY EMPLOYEES PERMANENT IN THE TITLE STAFF ANALYST WILL BE CONSIDERED** The NYC Department of Environmental Protection (DEP) enriches ... the environment and protects public health for all New Yorkers by providing 1.1 billion...than Personal Services (OTPS) Unit and the Revenue & Claims Unit. Candidates will be assigned to a unit… more
- AIG (New York, NY)
- …measurement. They collaborate with Marketing, Operations and Financial Management. Actuarial Analyst Sr, AIGRM New York We are seeking an actuarial professional ... solutions to maximize risk adjusted profit. + Collaborate with claims department and underwriting team to reflect underlying trends...in accordance with the terms of the applicable incentive plan . In addition, we're proud to offer a range… more
- American Express (New York, NY)
- …improprieties. The team is also responsible for the reporting of Whistleblower claims , Significant Ethics Violations, and certain instances of Fraud to the Audit ... Global Compliance & Ethics and Control Management teams. This Analyst role reports to the Director, Amex Ethics Office...you and your loved ones' physical, financial, and mental health , as well as providing the flexibility you need… more
