Claims Analyst jobs in New York, NY

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Claims Operations Analyst

Newark, NJ
The incumbent will also participate in audit reviews, and provide SME support for the Claims Team. Serve as SME for Claims Team, facilitate periodic workflow...
SharePointMicrosoft PowerpointExcel

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...
Time ManagementRNMedical Coding Certification

Sr. Business Analyst-Claims Monitoring

Newark, NJ
Knowledge of claims highly preferred. Responsible for conducting research and root cause analysis for customers with the goal of recommending and implementing...
Project ManagementSASSQL

MCR Support Analyst

Newark, NJ
Claims systems knowledge is preferred. Requires technical proficiency in Horizon claims operating models. Requires broad understanding of claims systems and...
Microsoft PowerpointMicrosoft OfficeMicrosoft Word

Provider Tech Support Analyst

Newark, NJ
Prefers an understanding of healthcare provider and claims systems. This position is accountable for providing support to Network Data Management and all...
Microsoft WordMicrosoft PowerpointMicrosoft Office

Provider Network Data Analyst

Newark, NJ
NASCO Claims engine including POD, NAPS and ADMIN file. Relationship management to provider offices for collaboration of large scale requests such as Mergers of...
Data MiningMicrosoft Office

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...
Predictive AnalyticsInformaticaProject ManagementVisual BasicSASand 1 more...

Analytics Analyst II

Newark, NJ
Provide claims, provider and membership data in support of affordability, trend and utilization analytics. The analyst will settle deliverables and deadlines...
Microsoft SQL ServerSASOracleMicrosoft OfficeTableauand 1 more...

Sr. Data Reporting Analyst (SSIS and SSRS)

Newark, NJ
Must have healthcare claims processing or claims management experience. Addendum for the Government Programs Data Reporting Analyst III role....
Microsoft SQL ServerSASSQL

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...
Microsoft SQL ServerSASOracleMicrosoft OfficeTableauand 2 more...
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