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35 Jobs

  • Senior Enterprise Business Analyst

    Brighton Health Plan Solutions, LLC - New York, New York
    ... Qualifications  Minimum 6-7 years of experience as a business analyst in healthcare payer industry ... Business Analyst who can collaborate effectively with internal and external stakeholders to analyze, define ...
  • Senior Healthcare Analyst, Medical Economics | Hybrid NYC

    Healthfirst - New York, New York
    ... Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to ... Economics Analyst, you’ll map out and construct detailed analyses, confront challenging and unfamiliar ...
  • Medical Credit Balance Analyst

    Conduent - New York, New York
    ... Role** As a Medical Credit Balance Analyst, you will review and audit provider credit ... . Assisting in the development and implementation of new audit/review methodologies to identify overpayments ...
  • Medical Credit Balance Analyst

    Conduent - New York, New York
    ... Role** As a Medical Credit Balance Analyst, you will review and audit provider credit ... . Assisting in the development and implementation of new audit/review methodologies to identify overpayments ...
  • Assistant Director of State Aid Claiming

    City of New York - New York, New York
    ... PROCUREMENT ANALYST CIVIL SERVICE LIST/ EXAM NO.1194 ARE ELIGIBLE TO APPLY. AGENCY DESCRIPTION ... surveillance and bridges to healthcare systems 2) Address and prevent chronic and diet-related disease ...
  • Contract and Procurement Analyst, Bureau of Communicable Diseases

    City of New York - New York, New York
    ... Procurement Analyst and permanent comparable titles of Principal Administrative Associate III, Associate Staff Analyst, and Associate Contract Specialist. Amended Established in 1805, the New York City ...
  • Quality Measurement and Improvement Analyst - Intermediate

    Independent Health - Williamsville, New York
    ... .OverviewThe Quality Measurement & Improvement Analyst-Intermediate will integrate data from multiple sources (claims, membership, provider, risk scores, EMR, ADT, etc.) to develop reports and complex analyses to ...
  • Revenue Integrity Analyst

    The Trustees of Columbia University in the City of New York - New York, New York
    ... the Director Revenue Cycle, the Revenue Integrity Analyst provides revenue cycle support to the Department of Emergency Medicine.The Revenue Integrity Analyst is responsible for the clinical appeal ...
  • Provider Contract/Cost of Care Consultant Senior

    Elevance Health - New York City, New York
    ... looking for a senior analyst who will lead medical cost trend deep dives to uncover root-cause trend ... claims costs, improving the quality of care, and increasing member and provider network satisfaction ...
  • Sr Financial Analyst

    University of Rochester - Rochester, New York
    ... & Reimbursement Analyst performs complex financial analyses used in critical business decisions. Builds and ... complex payor claims to ensure accuracy and compliance to contract terms. Research and respond to complex ...
  • Advanced Analytics Analyst - Exempt

    Genesis Corp dba Genesis10 - New York, New York
    ... Genesis10 is seeking a Advanced Analytics Analyst for a contract with our client in ... administrative health care claims data, hospital data and device-derived data to understand clinical ...
  • Senior Analyst, Revenue Cycle App: Hybrid – 3 Days in Office (based in NYC)

    HSS - New York, New York
    ... of our transformation across the enterprise Epic Senior Analyst, Revenue Cycle App ... ) Overview: Hospital for Special Surgery has an opportunity for an experienced Epic analyst ...
  • Medical / Financial Risk Evaluation Analyst

    Humana - Albany, New York
    ... Risk Evaluation Professional 2 /Analyst is responsible for supporting the development, implementation ... / Analyst Identifies, assesses, and mitigates any medical or financial risk that arises from ...
  • Analyst, Actuarial Services

    Evolent Health - Albany, New York
    ... solve complex business problems. Collaboration Opportunities: The Analyst, Actuarial will ... ** . 1+ years of experience in a health actuarial setting -Preferred Experience in claims-based ...
  • Epic Analyst II (Resolute Professional Billing Certification) - (based in NYC)-3 days in office required

    HSS - New York, New York
    ... Epic Analyst II (Resolute Professional Billing Certification) Information Technology ... : Hospital for Special Surgery has an opportunity for an experienced Epic analyst to collaborate on all ...
  • Senior Regulatory Operations Executive

    Rapp Worldwide - New York, New York
    ... Matter Expert) in the agency. You know the claims as well as the copywriters and the brand colors as well ... CRM programsMust have Healthcare experience and deep understanding of MLR process ...
  • Deputy Director of Compliance and Payments, Bureau of Mental Hygiene Administration

    City of New York - New York, New York
    ... communications, and stronger surveillance and bridges to healthcare systems 2) Address and prevent chronic and ... budgeting, research, analysis, compliance, payments, and verification of claims or invoices submitted by ...
  • Pharmacy Analytics Consultant I/II

    Excellus Health Plan Inc. - Rochester, New York
    ... across the enterprise. The analyst collaborates with a multidisciplinary team (e.g., clinical, financial ... feasibility of the administration and implementation of products.Communicate effectively with all ...
  • Risk Adjustment Analyst I/II/III/IV

    Excellus Health Plan Inc. - Rochester, New York
    ... Analyst gathers, standardizes, and consolidates financial claims, membership and premium data into data ... Job Description: Summary: The Risk Adjustment Analyst ...
  • Payment Advisor

    KeyCorp - Syracuse, New York
    ... how the healthcare payments process, claims payment, revenue cycle and finance departments work</li ... Sales Analyst, effectively prepare sales presentations, relationship reviews, business process reviews ...
  • Business Systems Configuration Analyst

    Intermountain Health - Albany, New York
    ... (Analyst I)** Two years of experience working with business systems or in healthcare, with a ... Job Description: At SelectHealth, the Business Systems Configuration Analyst is ...
  • Provider Contract/Cost of Care Consultant Senior

    Elevance Health - Latham, New York
    ... looking for a senior analyst who will lead medical cost trend deep dives to uncover root-cause trend ... claims costs, improving the quality of care, and increasing member and provider network satisfaction ...
  • Provider Contract/Cost of Care Consultant Senior

    Elevance Health - Middletown, New York
    ... looking for a senior analyst who will lead medical cost trend deep dives to uncover root-cause trend ... claims costs, improving the quality of care, and increasing member and provider network satisfaction ...
  • Data Scientist 4

    Oracle - Albany, New York
    ... including EHR, billing, lab, eligibility, or claims. Knowledge of FHIR, QDM, or other healthcare data ... healthcare industry, standard methodologies, and regulatory reporting requirements to provide our customers ...
  • Senior Cost Control (3 positions) - Statewide

    New York State Civil Service - Albany, New York
    ... . Duties Description Primary PurposeSenior Cost Control Analyst reviews and recommends approval of construction change orders, analyzes claims, and participates in the negotiation of claim settlements on ...
  • Senior Health Care Fiscal Analyst/ Health Care Fiscal Analyst Trainee, Central Office;

    New York State Civil Service - Albany, New York
    ... Title Senior Health Care Fiscal Analyst/ Health Care Fiscal Analyst Trainee, Central Office ... , healthcare administration, hospital administration, or public administration including or supplemented by 12 ...
  • Senior Cost Control / Claims Analyst - Albany, NY

    New York State Civil Service - Albany, New York
    ... York Title Senior Cost Control / Claims Analyst - Albany, NY ... . Duties Description Primary PurposeSenior Cost Control Analyst reviews and recommends approval of ...
  • Associate Director, Immunology Medical Affairs Data Analytics

    J&J Family of Companies - Albany, New York
    ... Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to ... are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver ...
  • Senior Data Analyst

    Rochester Regional Health - Rochester, New York
    ... >Healthcare Claims and Membership DataRisk adjustment experience preferredData ... with healthcare data transformation, analysis, and interpretation. Ownership and support in the ...
  • Call Center Internal Manager

    Aither Health - Amherst, New York
    ... when you explain it, people get it Experience in hiring or running a team Healthcare claims ... client relationship managers, HIVE Cost Containment Negotatior and HIVE Inventory Control Analyst ...
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