Financial Claims Examiner II Jobs in New York, NY

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Guidewire UAT- Orange County CA but 100% remote

Tech Rakers

•

Remote

Third Party, Contract

Job Title: Guidewire UAT Location: Orange County CA but 100% remote Duration: 18 months (Extensions) Top Skills' Details Bachelor s degree in Accounting/Finance preferred or relevant technical field. Progressive and relevant systems/applications, and/or accounting experience. At least 2 years of prior accounting systems testing experience. Prior insurance accounting or similar field is a plus. Prior experience with Guidewire or Tableau is a plus. Detail-oriented and appreciation for work accurac
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Posted 3 days ago

Application Analyst Epic Resolute Professional Billing, Claims & Remittance

Tranzeal, Inc.

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Remote or San Francisco, California, USA

Contract

Application Analyst Epic Resolute Professional Billing, Claims & Remittance Job Summary: We re seeking an experienced Application Analyst with deep expertise in Epic Resolute Professional Billing, Claims, and Remittance modules. This role will be key in implementing, optimizing, and supporting Epic billing applications, enhancing revenue cycle workflows, and ensuring system integrity and performance. Key Responsibilities: Lead configuration and implementation of Epic Resolute and Claims/Remittan
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Posted 19 days ago | Updated 18 hours ago

Data Warehouse Architect w/ AI & R Python

GreyCell Labs, Inc

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New York, New York, USA

Contract, Third Party

84 months Data Modeling experience in designing and creating DataMart, Data warehouse using Star & Snowflake Schemas in Insurance industry 84 months experience with designing and implementing ML, Predictive and AI systems. 84 months experience with Spotfire Analyst, Web Player using Iron Python, Python, Java Scripts, and R 84-month experience in developing, documenting, maintaining end to end ETL data pipeline using IBI Data Migrator (or similar tools) 24 months experience in developing data war
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Posted 7 days ago | Updated 1 hour ago

Technical Business Analyst (Claims/HRP)- W2

PamTen Inc

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Remote

Contract

Project Description: This position is responsible for understanding stakeholder needs and business issues to be addressed in the Enrollment Applications. Collaborate with the Product owner to assess configuration, EDI Eligibility transactions data mapping, Open Enrollment process, Exchange (Affordable Care Act) processes. Understand Eligibility and Premium billing functions. Assess requirements associated with new input and output Eligibility feeds, define UAT scope/testing needs and validate re
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Posted 18 days ago

Epic Resolute PB Claims Analyst

Talent Groups

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Remote

Full-time

Position: Epic Resolute PB Claims Analyst Location: Remote Job Type: Direct Hire Job Description:The Professional Billing Claims Analyst position will be housed under a subsidiary organization. To implement, maintain, support, and maximize the use of clinical, financial, and administrative portions of the software applications utilized by client in conducting daily operations under the direction of the Manager of Professional Billing and Claims.Responsibilities: Maintaining current clinical, f
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Posted 4 days ago

Senior Software Engineer - Law Applications

Metropolitan Transportation Authority

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New York, New York, USA

Full-time

Description JOB TITLE: Senior Software Engineer SALARY RANGE: $123,053 - $145,243 HAY POINTS: 551 DEPT/DIV: IT Corporate Products SUPERVISOR: Product Director, Legal, Safety and Risk LOCATION: 2 Broadway New York, NY 10004 HOURS OF WORK: 9:00 am - 5:30 pm This position is eligible for telework which is currently two day per week. New hires are eligible to apply 30 days after their effective date of hire. Summary: Leads requirements management, software design and engineering, and testing a
Posted 21 days ago | Updated 4 hours ago

Specialist Software Engineer

Metropolitan Transportation Authority

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New York, New York, USA

Full-time

Description JOB TITLE: Specialist Software Engineer SALARY RANGE: $ 108,933 - $ 130,719 HAY POINTS: 451 DEPT/DIV: Information Technology SUPERVISOR: Manager, Product Development (C) LOCATION: Vario 2 Broadway, New York, NY 10004 HOURS OF WORK: 9:00 am - 5:30 pm (7.5 hours/day) or as required) This position is eligible for telework, which is currently two days per week. New hires are eligible to apply 30 days after their effective date of hire. The Metropolitan Transportation Authority is
Posted 19 days ago | Updated 4 hours ago

Data Analyst - Cloud (Remote)

S2Tech

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Remote

Full-time

Data Analyst - Cloud Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a strong reputatio
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Posted 3 days ago | Updated 3 days ago

Senior Data Analyst

PARAKEET WORLD SOLUTIONS LLC

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Remote

Full-time

Job Title : Senior Data Analyst Location: Fort Worth, TX (100% Onsite)Type: Full-Time (W2 only)Duration: 5 Months This is a FTE req from an existing client, which is in software consulting company. They would hire the candidate on their payroll to work on the clients We are seeking an experienced Senior Data Analyst to join our client s Enterprise Data team. The ideal candidate will have 8+ years of hands-on experience, with a deep understanding of the P&C insurance domain, strong data modellin
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Posted 3 days ago | Updated 3 days ago

Senior Data Analyst

City of New York

•

New York, New York, USA

Full-time

Company Description Job Description THE SELECTED CANDIDATE WILL BE OFFERED A SALARY OF $106,602. THIS POSITION IS ONLY OPEN TO CANDIDATES WHO ARE PERMANENT (NOT PROVISIONAL) IN THE CIVIL SERVICE TITLE OF ADMINISTRATIVE STAFF ANALYST* The Administration for Children's Services (ACS) protects and promotes the safety and well-being of children and families through child welfare and juvenile justice services and community supports. ACS manages community-based supports and foster care services an
Posted 10 days ago | Updated 7 hours ago

Product Owner - Policy Administration Platform, Worksite

MassMutual

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New York, New York, USA

Full-time

Product Owner, Business Process Strategy, Full-Time/Hybrid, Boston, New York, Springfield The Opportunity As a Product Owner on our Worksite Team, you'll be responsible for executing against and helping to shape the product roadmap for a group benefits policy administration platform supporting an ongoing portfolio of voluntary benefit products. You will be expected to navigate multiple concurrent projects from a high level and able to also quickly dive into the weeds with teams as needed to ad
Posted 1 day ago | Updated 22 hours ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or New York, New York, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted 11 hours ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Queens, New York, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted 11 hours ago | Updated moments ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Staten Island, New York, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted 11 hours ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Yonkers, New York, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted 11 hours ago

Systems Architect with Workers Compensation

System Edge (USA) L.L.C.

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New York, New York, USA

Third Party, Contract

Note: We are the direct prime vendors with the State Of New York. Job Title: Systems Architect with Workers Compensation Job ID: HBITS-07-14177 Location: 199 Church Street, New York NY 10007 (Onsite) Duration: 30 months JOB DESCRIPTION: 24 months of experience with Azure DevOps Server, including expertise in source control, building and releasing pipelines, work item tracking, and automated deployment processes. 84 months of experience utilizing NYCIRB (New York Compensation Insurance Rating Bo
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Posted 16 hours ago | Updated 2 hours ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

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Remote or New York, New York, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause
Posted 11 hours ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

•

Remote or Queens, New York, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause
Posted 11 hours ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

•

Remote or Staten Island, New York, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause
Posted 11 hours ago | Updated 1 hour ago

AI Innovation Lead - Data Science Lab

Guardian Life Insurance Company

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Remote or New York, New York, USA

Full-time

Lead AI Innovation Lead - Data Science Lab Overview Guardian is on a transformation journey to evolve into a modern, forward-thinking insurance company committed to enhancing the wellbeing of its customers and their families. As part of the Data & AI team, this role presents a distinctive opportunity to collaborate with the CDAO and the Head of Data Science, actively contributing to Guardian's ongoing evolution. Guardian's Data & AI team spearheads a culture of data insights across Guardian,
Posted 47 days ago | Updated 7 hours ago