Claims Analyst jobs in New York, NY

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Appeals Analyst

Newark, NJ
Experience in complex claims processing necessary. The incumbent manages the resolution of the Health Claims Authorization Processing and Payment Act (HCAPPA2)...

Appeals Analyst -MACBIC/HCAPPA

Newark, NJ
Experience in complex claims processing necessary. The incumbent manages the resolution of the Health Claims Authorization Processing and Payment Act (HCAPPA2)...

Provider Resolution Analyst

Newark, NJ
Requires 4+ years claims experience. Prefers knowledge of FACETS or other Medicaid/commercial claims processing platform;...

Medical Policy Analyst

Newark, NJ
Provide timely and accurate responses to inquiries from the claim policy teams in relation to courtesy pre-d requests, claims pending for medical review and...

Actuarial Analyst II

Newark, NJ
This is a mid-level analyst position within the Actuarial department. Develop mathematical modeling techniques and statistical concepts to determine probability...

Risk Adjustment Analyst

Newark, NJ
Clinical and medical claims data and disease diagnostic coding practice a plus. Experience with manipulating large amounts of clinical and medical claims data...

Contract Reimbursement Analyst

Newark, NJ
This position is responsible the daily support and administration of reimbursement system(s) for participating acute care physicians, hospitals and ancillary...

Analytics Analyst III

Newark, NJ
Claims elements, membership, authorization, etc.). Provide claims, provider and membership data in support of trend and utilization analytics....

Data Science/Predictive Modeler

Newark, NJ
Provide claims, provider and membership data in support of affordability, trend and utilization analytics. The analyst will settle deliverables and deadlines...

Integration Lead

Newark, NJ
Business and systems claims processing knowledge. The Integration Lead is responsible for leading implementations and enterprise-wide projects, analysis, and/or...
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