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30 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 ...
  • 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 ...
  • Configuration Analyst II - Pricing or Benefits

    CDPHP - Albany, New York
    ... CDPHP’s core claims systems and any integrated systems. The Configuration Analyst II will recommend ... . The Configuration Analyst II is responsible for leading the analysis, maintenance, and configuration ...
  • Configuration Analyst I - Pricing or Benefits

    CDPHP - Albany, New York
    ... implementation strategy and defining metrics to ensure the successful configuration of CDPHP’s core claims ... . The Configuration Analyst I is responsible for analysis, maintenance, and configuration of CDPHP’s ...
  • 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 ...
  • 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 ...
  • Configuration Analyst III - Pricing or Benefits

    CDPHP - Albany, New York
    ... claims systems and any integrated systems. The Configuration Analyst III will be responsible for the ... . Configuration Analyst III is responsible for oversight of the Configuration team’s delivery of the analysis ...
  • Senior Healthcare Analyst, Medical Economics | Hybrid NYC

    Healthfirst - Hybrid, New York
    ... located at 100 Church Street, NYC. As a Senior Healthcare Analyst within Medical Economics, you will manage projects from analysis to implementation and beyond, ensuring that results are achieved ...
  • Analyst Medical / Financial Risk Evaluation

    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 ...
  • Data Analyst I - Remote/Hybrid Opportunity

    University of Rochester - Rochester, New York
    ... independent judgment, the Data Analyst I is responsible for supporting the Payment Posting/Data Control Group ... , reporting unique situations and incidents and improving department operations). The Data Analyst I prepares ...
  • 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 ...
  • Epic Professional Billing Senior Analyst: Hybrid – 3 Days in Office (based in NYC)

    HSS - New York, New York
    ... Analyst IT-Applications Full-Time Hybrid – 3 Days in Office (based in NYC) Overview: Hospital for Special Surgery has an opportunity for an experienced Epic analyst ...
  • 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 ...
  • 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 ...
  • 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 ...
  • 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 ...
  • 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 ...
  • Lead Technical Writer - Clinical Quality Analyst

    Wolters Kluwer - Albany, New York
    ... working with healthcare data (e.g., HL7 V2, HL7 FHIR®, EHR data, claims data) (preferred) Experience ... quality and effectiveness of healthcare worldwide. You will be well-versed in the HL7 FHIR® standard ...
  • 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 ...
  • 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 ...
  • Revenue Integrity, Charge Capture Analyst

    Albany Medical Center - Albany, New York
    ... Analyst Revenue Integrity Under the direction of the Revenue Integrity Manager, this ... cycle reporting, data analysis, database development, information systems implementation and auditing ...
  • 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 ...
  • 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 ...
  • 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 ...
  • Data Analyst / Programmer, Public Health Sciences

    University of Rochester - Rochester, New York
    ... and creation, conducts detailed state-of-the-art analyses of healthcare claims and utilization of long ... claims. Familiarity with the US healthcare system and Department of Veterans Affairs is a plus ...
  • Senior Revenue Cycle Analyst

    Stony Brook Medicine (Stony Brook University Hospital) - Stony Brook, New York
    ... healthcare decision support, patient accounting, contract management and/or claims scrubber systems.</span ... >The Senior Revenue Cycle Analyst ...
  • Senior Revenue Cycle Analyst

    Stony Brook Medicine (Stony Brook University Hospital) - Stony Brook, New York
    ... >Experience reporting from healthcare decision support, patient accounting, contract management and/or claims ... >The Senior Revenue Cycle Analyst ...
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