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Healthcare Claim Analyst Jobs in New York





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Job info
 
Company
**********
Location
New York City, NY
Posted Date
Feb 09, 2021
Info Source
Employer  - Full-Time  90  

13,738 Job Information Deloitte Healthcare Data Analytics & Visualization Consultant ... in New York New York Healthcare Data Analytics and Visualization Consultant ... expertise on Medicare (preferably Claims) Healthcare Analytics..

 
Company
**********
Location
New York City, NY
Posted Date
Mar 23, 2021
Info Source
Employer  - Full-Time  90  

16,436 Job Information Deloitte Federal Healthcare Data Analytics and Visualization Analyst in New York New York ... New York New York Federal Healthcare Data Analytics and Visualization Analyst Are you..

 
Company
Humana Inc.
Location
Albany, NY
Posted Date
Jun 21, 2021
Info Source
Employer  - Full-Time  90  

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

 
Company
**********
Location
Albany, NY
Posted Date
Aug 18, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Albany New York Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..

 
Company
**********
Location
Albany, NY
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

 
Company
**********
Location
Albany, NY
Posted Date
Aug 01, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

 
Company
**********
Location
Albany, NY
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

 
Company
**********
Location
Albany, NY
Posted Date
Nov 02, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Albany, NY
Posted Date
Nov 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Market Development Professional provides support to assigned health plan(s) relative to Behavioral Health RFPs, product implementations and operational support. The Senior Market Development Professional work assignments involve moderately ..

 
Company
**********
Location
Albany, NY
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
Humana Inc.
Location
Syracuse, NY
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..

 
Company
**********
Location
Albany, NY
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

 
Company
**********
Location
Albany, NY
Posted Date
Apr 17, 2023
Info Source
Employer  - Full-Time  90  

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

 
Company
**********
Location
Albany, NY
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Albany New York Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..

 
Company
**********
Location
Orchard Park, NY
Posted Date
Feb 21, 2022
Info Source
Employer  - Full-Time  90  

Job OverviewWorks with production staff to establish procedures, technical business applications, and quality control procedures. Transitions existing clients to new systems in conjunction with IT development staff. Tests and validates data ..

 
Company
**********
Location
Yonkers, NY
Posted Date
Oct 30, 2021
Info Source
Employer  - Full-Time  90  

Job ID 21000MDOAvailable Openings 1PURPOSE AND SCOPE: Conducts data quality audits of outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation ..

 
Company
Humana Inc.
Location
New York City, NY
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..

 
Company
**********
Location
, NY
Posted Date
May 18, 2023
Info Source
Employer  - Full-Time  90  

Job Description Acts as the NY/NJ regional recruitment lead whose main task will be the primary resource for recruiting nonparticipating providers into the Aetna network based on high profile employer group ..

 
Company
**********
Location
New York City, NY
Posted Date
May 30, 2023
Info Source
Employer  - Full-Time  90  

Job Title: Business Analyst 3 Location: 100% Remote (Remote, ... or data analysis preferably in healthcare or 5 years of HEDIS ... business process analysis, preferably in healthcare (i.e., documenting..

 
Company
**********
Location
Albany, NY
Posted Date
Dec 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

 
Company
**********
Location
Albany, NY
Posted Date
Nov 02, 2022
Info Source
Employer  - Full-Time  90  

Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..

 
Company
Humana Inc.
Location
Albany, NY
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Albany, NY
Posted Date
Dec 11, 2021
Info Source
Employer  - Full-Time  90  

... Humana Lead Product Manager - Healthcare API in Albany New York ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

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