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JCW is currently recruiting on behalf of a well-respected reinsurer looking to add an Assistant Vice President, Senior Claims Analyst to oversees the review, analysis, and resolution of claims under applicable insurance and reinsurance agreements. This role involves conducting claims audits, providing insights to underwriting and actuarial teams, preparing management reports, and collaborating across finance, operations, and technology functions. The position also serves as a key point of contact for claims-related matters with clients and brokers. Key Responsibilities • Manage complex professional liability claims and assist with other casualty and property matters, ensuring compliance with company standards and reserving practices., • Conduct claims audits from planning to reporting, and provide actionable insights to underwriting and actuarial teams., • Build and maintain strong relationships with brokers, clients, and internal stakeholders; participate in renewals, client visits, and market events., • Lead process improvements to enhance claims handling efficiency and mentor team members to develop technical expertise. Qualifications • 7+ years of professional lines insurance/reinsurance claims experience, including complex coverage analysis., • Proven ability to lead audits, manage high-value claims, and work independently with minimal oversight.., • Strong communication, analytical, and relationship-building skills with leadership and mentoring experience. If you're interested, please apply directly or email THE ROLE IS 4 DAYS ON SITE AND 1 DAY REMOTE IN MANHATTAN

Shipowners Claims Bureau, Inc., Managers of the American P&I Club, a marine liability mutual insurance association, and Eagle Ocean Agencies, is hiring a Compliance Analyst as part of its US team in New York City. We are seeking a highly skilled and detail-oriented analyst to join our unique insurance company which provides coverage to ships engaged in global commerce. As a Compliance Analyst, you will play a crucial role in ensuring that our company's operations adhere to applicable economic sanctions regulations, industry guidance, and internal policies. Your primary responsibility will be to monitor and assess our compliance with legal and regulatory requirements, identify potential risks, and implement effective solutions to mitigate those risks. This is a full-time hybrid work position from the New York office. Candidate Qualifications Prior experience in the global shipping industry or compliance experience in the financial or insurance context is required. Bachelor’s degree and proven analytical and communications skills required. Graduate degree is preferred. Prior experience with statutory/regulatory interpretation strongly preferred. Strong analytical skills with the ability to identify and assess potential risks. Excellent attention to detail and follow-through with assigned responsibilities. Strong interpersonal skills to collaborate effectively with domestic and foreign colleagues. Ability to work independently and handle multiple tasks with competing deadlines. Proficient in Microsoft Office suite of software and demonstrated ability to learn internal compliance platforms. Professional certifications in compliance or risk management (e.g., CRCM, CCEP) desirable but not required. Strong ethical standards and commitment to responsible handling of confidential/personal information. Economic sanctions experience is strongly preferred but not required. Responsibilities include • Collaborate with different departments within the company to ensure compliance requirements are met and provide guidance on compliance-related matters internally and to insured clients;, • Investigate any reported compliance violations, conduct root cause analysis, and recommend corrective actions;, • Provide training and education to employees on compliance-related topics to enhance their understanding of regulations and internal policies;, • Conduct audits and internal testing to assess the company's compliance with applicable laws and implementation of internal policies;, • Stay up to date with industry regulations and changes in regulatory requirements to ensure our company remains compliant;, • Develop and implement compliance programs and policies to ensure adherence to legal and regulatory standards;, • Assist in the preparation of regulatory filings and responses to inquiries from regulatory agencies;, • Receive training and participate in related testing on marine insurance principles;, • Maintain documentation of compliance activities, including policies, procedures, and compliance reports;, • Develop, manage, and maintain relationships with insured members, correspondents, brokers, lawyers, surveyors, and other third-party vendors., • Perform other duties as requested. Next Steps SCB considers its people to be its most valuable asset, which is why most recruits stay and grow within the company. SCB offers unique, diverse, and interesting work, personal development, and career progression. If you are interested in this position, please provide your resume and cover letter via email to on or before September 30, 2025. Suitable candidates will be contacted for a writing sample and/or interview.

Sr Claims Data Analyst - Hybrid NYC *Must Have P&C insurance industry experience Must Haves: • BA/BS required, MS preferred in Data Science, Business Analysis, Information Technology or equivalent combination of education and employment, • 8 - 12 years of experience in P&C insurance industry with solid understanding of P&C Insurance data, • 8 - 12 years as a technical data analyst, with experience in advanced SQL and proficient in querying data using MS SQL Server, • Demonstrated experience with data visualization tools such Power BI, Advanced SQL, Excel, PowerPoint Skills (screening will be conducted to assess knowledge of SQL, Power BI and Excel), • Experience in providing data driven consultation and business communication to executive leadership, • Strong Knowledge of analyzing datasets using Excel, • Excellent analytical, problem solving and organizational skill and mindset. Proactive, self-motivated and detail oriented. Innovative mindset to improve operational efficiencies and ability to influence change, • Highly adaptable and able to have effective discussions with various stakeholders and partners. Excellent communication and negotiation skills., • Ability to organize, plan and implement work assignments, juggle competing demands and work under pressure of frequent and tight deadlines Job Description: The Senior Data Analyst will be responsible for supporting the data, reporting and analytical needs across the entire MRSI Claims portfolio. The role will involve analyzing and synthesizing claims data from multiple sources, producing high quality insights that demonstrate a full narrative and ultimately communicating to key stakeholders internally. Successful candidate would possess technical expertise in P&C insurance, strong analytical and communication skills. The Senior Data Analyst would assume full ownership of providing descriptive analytics to various divisions within MRSI (Claims, Corporate Underwriting, Pricing, Loss Control, Actuarial and Finance) using advanced SQL queries to extract, analyze, and distribute accurate data. Senior Data Analyst would be fully responsible for the process to develop dashboards, easily digestible data visualizations and other reports to support a data driven claims operation. The Senior Data Analyst will interface with executives and senior leaders across the organization.

About Harbor.ai Harbor.ai is an InsurTech startup aiming to revolutionize the enterprise insurance market. Our technology simplifies the process for insurance brokers to identify optimal coverage for their clients continuously, and this is just the beginning. Our mission is to revolutionize underwriting for better, faster, and smarter processes. As we pursue this goal, we are implementing a data-driven business model that fundamentally reshapes how insurance products are sold. Established in 2018, Harbor.ai is venture-backed and based in New York. Position Overview We're looking for a mathematically-minded professional to serve as our Quantitative Analyst, supporting critical business functions including financial management, risk analysis, and operational excellence. This role offers the opportunity to apply strong quantitative skills across financial modeling, risk analysis, and operational support while directly impacting our company's growth and success. About the Role Key ResponsibilitiesFinancial Management & Analysis: • Maintain and analyze financial models, forecasts, and reporting systems, • Support monthly, quarterly, and annual financial close processes, • Develop and monitor key performance indicators (KPIs) and financial metrics, • Conduct comprehensive risk assessments across various business lines, • Develop and maintain actuarial models for pricing and reserving, • Perform statistical analysis on claims data and loss patterns, • Provide analytical support for strategic business decisions, • Support administrative functions as needed in startup environment, • Collaborate with internal teams on data analysis and reporting needs Required Qualifications Education & Experience: • Bachelor's degree in Mathematics, Statistics, Economics, Finance, Actuarial Science, or related quantitative field, • 2-3 years of professional experience in quantitative analysis, preferably in insurance, finance, or related industry, • Advanced proficiency in Excel and statistical software, • Strong SQL skills for data extraction and manipulation, • Experience with data visualization tools (Tableau, Power BI, or similar), • Familiarity with programming languages for automation and analysis, • Exceptional analytical and problem-solving abilities, • Strong mathematical and statistical foundation, • Detail-oriented with high accuracy in quantitative work, • Excellent written and verbal communication skills, • Ability to translate complex analysis into actionable business insights, • Comfortable working in a fast-paced, evolving startup environment Preferred Qualifications • Professional certifications (CFA, FRM, ASA, or similar), • Experience with insurtech or fintech companies, • Knowledge of predictive modeling techniques Success Metrics In your first year, success will be measured by: • Accuracy and timeliness of financial reporting and analysis, • Quality of risk assessments and model development, • Contribution to operational efficiency improvements, • Effective support of strategic initiatives and cross-functional projects, • Development of scalable analytical processes and systems Please note that any emails from recruiters will be printed, then ceremoniously disposed of. Note to All Applicants: Harbor.ai is committed to providing reasonable support (called accommodations) in our recruiting processes for candidates with disabilities, long term conditions, mental health conditions, or sincerely held religious beliefs, or who are neurodivergent or require pregnancy-related support. If you need support, please reach out to . Individual pay is determined by skills, qualifications, experience, and location. Compensation details listed in this posting reflect the base salary only, and do not include bonus, equity or sales incentives, if applicable; bonuses are not guaranteed. Harbor.ai is proud to be an Equal Employment Opportunity employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state, and local law. We may use your information to maintain the safety and security of Harbor.ai, its employees, and others as required or permitted by law. Additionally, Harbor.ai participates in the E-Verify program in certain locations, as required by law. Harbor.ai is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures. If you need assistance or an accommodation due to a disability, you may contact us at .

JCW is partnered with a global re/insurer looking to add an experienced AVP, Senior Claims Analyst with deep expertise in Professional Liability and complex claims handling. In this high-impact role, you’ll manage a broad portfolio of moderate to highly complex claims, drive process improvements, and provide strategic insights to underwriters, actuaries, and leadership teams. Qualifications • 7–10+ years of experience handling Professional Lines (re)insurance claims., • Strong knowledge of U.S. legal systems and re/insurance frameworks., • Familiarity with claims audits, reserving practices, and market interaction. Responsibilities • Manage and resolve Professional Liability claims, including high-complexity cases., • Support handling of casualty and property claims across U.S. reinsurance operations., • Conduct and lead claims audits, and ensure claims are reserved and processed per company standards. If you are interested, please apply directly or email me at with a copy of your resume.

Job Description Join VillageCare as a Full-Time HealthCare Claims Analyst and take your career to the next level while working from the comfort of your home. With a competitive salary range of $58,039.46 to $65,294.40, this position offers great financial incentives while allowing you to maintain a flexible work-life balance. At VillageCare in New York, NY, you will have the opportunity to contribute to a forward-thinking organization that emphasizes customer-centric solutions and excellence in healthcare. You will be part of an energetic team that values problem-solving and integrity, empowering you to drive meaningful change in the industry. You will be given great benefits such as Medical, Dental, Vision, Life Insurance, Health Savings Account, Competitive Salary, and Paid Time Off. This role not only enhances your professional skills but also places you at the heart of a mission-driven environment focused on making a positive impact in healthcare. Apply today to be part of our dynamic team! A little about us VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. Are you excited about this HealthCare Claims Analyst job? The Full-Time HealthCare Claims Analyst position at VillageCare requires a seasoned professional with a minimum of five years of experience in healthcare claims reporting and processing, alongside in-depth knowledge of Medicaid and Medicare guidelines. The ideal candidate should possess advanced SQL coding and Excel skills to create insightful reports and dashboards. You will play a critical role in understanding healthcare reimbursement from both financial and operational perspectives, conducting audits, and performing root cause analysis to resolve identified issues with internal teams and third-party administrators (TPAs). This position involves identifying gaps in various aspects of claims processing, communicating trends and contract issues to management, and preparing comprehensive narratives and visual aids for leadership presentations. You will also coordinate workflows across departments, ensure compliance with regulations, and contribute to the development of policies and quality assurance measures. Your analytical skills will be essential in evaluating claims system coding to validate pricing and improve overall operational efficiency. Would you be a great HealthCare Claims Analyst? To excel as a Full-Time HealthCare Claims Analyst at VillageCare, candidates must possess a Bachelor's Degree in a relevant field such as Computer Science, Mathematics, Statistics, or Engineering, with a Master's degree preferred. A minimum of 3-5 years of experience in business intelligence and analytics is crucial, particularly in a healthcare environment where complex data analysis and report/dashboard development are key responsibilities. Familiarity with medical terminology and coding systems, including ICD-10, CPT, HCPCS, along with knowledge of CMS guidelines and EncoderPro, is essential. The analyst should demonstrate excellent technical proficiency in tools such as MS Excel, SQL, Tableau, and Access. Strong communication skills, both written and verbal, are imperative for effectively conveying analytical findings and collaborating with various departments. The ability to work independently while maintaining a high level of productivity will significantly contribute to success in this role. Knowledge and skills required for the position are: • Education: Bachelor's Degree required ideally in a relevant field such as Computer Science, Mathematics, Minimum Statistics and/or Engineering. Master's degree preferred., • This position requires a minimum of 3-5 years' experience in business intelligence and analytics performing increasingly complex data analysis and report/dashboard development preferably in a healthcare setting., • Knowledge of medical terminology, ICD-10, CPT, HCPCS coding CMS guidelines and EncoderPro are required., • Must be able to work independently with high level of productivity and advanced written and verbal communication skills., • Excellent technical skills (MS Excel, SQL, Tableau, Access, etc.) · Strong communication skills. MUST RESIDE IN NY, NY OR CT Will you join our team? If you believe that this position matches your requirements, applying for it is a breeze. Best of luck! Job Posted by ApplicantPro

Job Description Company Overview: With an annual budget of $2.3 billion and more than 7,000 employees throughout the five boroughs, the New York City Department of Health and Mental Hygiene (NYC DOHMH) is one of the largest public health agencies in the world, serving 8 million New Yorkers from diverse ethnic and cultural backgrounds. We're tackling a broad range of public health issues with innovative policies and programs and getting exceptional results, but our work is never finished. The breadth of our innovative programs provides the widest range of choices for every member of our team. With grant funds from the Centers for Disease Control and Prevention (CDC), DOHMH is undertaking a new initiative that will meet critical infrastructure needs and make possible strategic investments that will have lasting effects on public health. Investments and improvements through this initiative will help modernize DOHMH’s foundational capabilities and data infrastructure, enabling it to partner in complex health and health care environments and, in turn, support better public health outcomes, including COVID-19. This initiative supports larger efforts to rebalance investments in public health and more equitably serve communities and populations. The selected candidate will be an employee of Public Health Solutions, a nonprofit organization which is the fiscal and administrative manager of the grant but will work be supervised by DOHMH. This is a grant-funded position ending in November 2027. The Center for Health Equity & Community Wellness (CHECW) seeks to eliminate racial and other inequities resulting in premature mortality. With an unwavering grounding in history and structural analysis, CHECW works to increase visibility of the harm perpetuated by centuries of racist, socially unjust policy while pushing towards redress for the most impacted NYC communities. CHECW addresses inequity across community and healthcare systems in partnership with community, faith-based, and health care organizations. CHECW’s work focuses on social determinants of health, including environmental and commercial determinants, and addresses both upstream and downstream factors to improve health and well-being of New Yorkers. CHECW is comprised of the Bureau of Bronx Neighborhood Health, the Bureau of Brooklyn Neighborhood Health, the Bureau of Harlem Neighborhood Health, the Bureau of Chronic Disease Prevention, the Bureau of Health Equity Capacity Building, the Bureau of Equitable Health Systems and the Bureau of Finance, Administration, and Services. The division’s Deputy Commissioner also serves as the Agency’s Chief Medical Officer. The Bureau of Equitable Health Systems (BEHS) in the Center for Health Equity and Community Wellness (CHECW) for the New York City Department of Health and Mental Hygiene (DOHMH) consists of a multi-disciplinary team that aims to engage primary care providers, hospitals, and other healthcare systems to implement evidence-based strategies; leverage information to support planning and technical assistance for providers and payers; advance policy to close the racial equity gap for priority health outcomes; and surface opportunities where health care can influence and connect individuals to social support and address the whole person, beyond physical ailments. The mortality experienced due to COVID-19 made visible the inequities that low-income patients experience in accessing the healthcare system, as well as the marginalization of essential healthcare workers. As we move forward towards an equitable COVID-19 recovery, we need to develop innovative solutions to improve the performance, equity, and efficiency of the healthcare delivery system. Job Description: DOHMH has an opening for a Senior Data Manager & Analyst reporting to the Director of Health Research & Analytics to build the population-health data infrastructure that supports the Commissioner’s priority on Birth Equity (specifically the Maternal Home Collaborative), essential diabetes work related to Local Law 52 of 2023 and other core Office of Healthcare System Strategy and Accountability (OHSSA) initiatives. Duties: • Coordinate care across systems and target resources to neighborhoods with the greatest need., • Link person-level datasets (SPARCS, vital stats, claims/EHR, RHIO, Medicaid Data Warehouse) and manage secure, governed pipelines., • Connect DOHMH, Medicaid, provider, and social services data to identify high-risk pregnant New Yorkers sooner., • Produce analyses and dashboards that translate directly into provider lists, outreach targets, and quality measures for cross-bureau action., • Support citywide population health analytics (including 1115 waiver work, birth equity, chronic disease, etc.) to guide investments in social care and care coordination., • A doctorate from an accredited college or university with a specialization in an appropriate field of public health, environmental health sciences, epidemiology, statistics, health economics, or data science., • Previous experience working in fields of experience in mixed-methods research, evaluation design, and policy analysis for more than 10 years., • Capacity and willingness to learn SPARCS and Medicaid Data Warehouse training, and converts complex datasets (MMCOR, HCRIS, CMS Nursing Home Compare) into actionable insights., • Extensive experience using SAS, R, SQL, Tableau, Oracle, Qualtrics, RED Cap, Airtable, Trello, and experience in AI productivity tools, Microsoft Word, Outlook, Excel, Access, and PowerPoint are also required., • The ideal candidate for this position must be a pro-active and self-motivated individual with the ability to work in teams and in a highly dynamic environment with multiple stakeholders and timelines., • Excellent communication (verbal & written) and interpersonal skills., • Strong analytical skills and ability to manage and report complex information., • Experience with data collection, analysis and interpretation., • Desire to grow professionally, develop new skills and willingness to work outside of comfort zone., • Experience working with the public health sector and coordinating projects involving multiple stakeholders., • Ability to prioritize and work in fast-paced environment with hard deadlines., • Hybrid Work Schedule., • Generous Paid Time Off and Holidays., • An attractive and comprehensive benefits package including Medical, Dental and Vision., • Flexible Spending Accounts and Commuter Benefits., • Company Paid Life Insurance and Disability Coverage., • 403 (b) + employer matching and discretionary company contributions., • College Savings Plan., • This is a temporary grant-funded position ending in November 2027., • This individual must reside in the tri-state area (NY, NJ, CT) by their confirmed start date., • Preference may be given to individuals residing in New York City (5 boroughs) or surrounding New York State counties. We look forward to learning more about you! PHS is proud to be an equal opportunity employer and encourages applications from women, people of color, persons with disabilities, LGBTQIA+ individuals, and veterans. Monday-Friday 35 Hours Per Week

Job Description Company overview With an annual budget of $2.3 billion and more than 7,000 employees throughout the five boroughs, the New York City Department of Health and Mental Hygiene (NYC DOHMH) is one of the largest public health agencies in the world, serving 8 million New Yorkers from diverse ethnic and cultural backgrounds. We're tackling a broad range of public health issues with innovative policies and programs and getting exceptional results, but our work is never finished. The breadth of our innovative programs provides the widest range of choices for every member of our team. With grant funds from the Centers for Disease Control and Prevention (CDC), DOHMH is undertaking a new initiative that will meet critical infrastructure needs and make possible strategic investments that will have lasting effects on public health. Investments and improvements through this initiative will help modernize DOHMH’s foundational capabilities and data infrastructure, enabling it to partner in complex health and health care environments and, in turn, support better public health outcomes, including COVID-19. This initiative supports larger efforts to rebalance investments in public health and more equitably serve communities and populations. The selected candidate will be an employee of Public Health Solutions, a nonprofit organization which is the fiscal and administrative manager of the grant but will work be supervised by DOHMH. This is a grant-funded position ending in November 2027. The Division of Finance has central responsibility and authority for policy analysis, program development, performance tracking and improvement, financial management, resource maximization and technical assistance. Finance helps to ensure that programs and administrative operations have the information, analysis, funding and technical capacity to deliver critical services effectively and meet DOHMH's objectives. Finance values motivated, energetic individuals committed to achieving excellence in a public sector environment and a desire to be part of a city agency that is revolutionizing public health and mental hygiene services. Job description DOHMH has an opening for a Revenue Analyst. This position will be reporting the Assistant Director of Grants and Intra-cities Claiming and assisting with the ensuring that the city is properly utilizing and collecting grant revenue in accordance with uniform guidance. Duties: • Monitor the fiscal operation of city, federal, state and private grant funded programs to ensure compliance and assist programs in more efficient/effective approaches to program administration, • Collects, classified, evaluates, and analyzes economic data submitted by programs and prepares reports, • Research the programmatic implications of proposed policies, including identifying the impact to, Personnel Services and Other Than Personnel Services budgets, • Updating of internal systems and monitoring Grant spending; reviewing OTPS encumbrances and personnel expenditures; assist in the preparation of budget modifications, journal entries, and grants closeouts, • Make recommendations to the program representatives for changes and corrections of errors, • Prepare fiscal summary reports and analyses, making recommendations to supervisory staff concerning provision of additional funding of existing or new programs, • Assist in the development and implementation of new policies and procedures, • Work closely with internal personnel for all contract, budget, and payment data to ensure claims are efficiently processed and meet all due dates., • Maximize agency reimbursement by ensuring all expenditures are captured and reported accurately in claims., • Accurately analyze patterns of spending and revenue while providing management with scenario analysis and trends., • Create accurate billed and unbilled receivables, and appropriately realize payments in the City’s Financial Management System (FMS)., • A master's degree from an accredited college or university in economics, statistics, finance, management, business administration, public administration, public policy or related field; or, • A baccalaureate degree from an accredited college or university, including or supplemented by 24 semester credits in one or more of the course areas of economics, statistics, finance, management, mathematics, business administration, public administration, and public policy, 12 semester credits of which must have been in economics; and one year of satisfactory full-time experience in one or more of the fields of finance; economic, fiscal or statistical research; policy analysis; or quantitative, business, market or financial analysis. Graduate semester credits in any of the areas described in "1" above may be substituted for the undergraduate semester credits on the basis that each 3 graduate semester credits may be substituted for 6 of the required undergraduate semester credits., • Previous experience working in fields related to economics, statistics, finance, management, business administration, public administration, public policy or related field for at least 1 year., • Capacity and willingness to learn the city’s Finance Systems, and Federal/State payment systems., • The ideal candidate for this position must be a pro-active and self-motivated individual with the ability to work in teams and in a highly dynamic environment with multiple stakeholders and timelines., • Experience with stakeholder engagement and project management., • Excellent communication (verbal & written) and interpersonal skills., • Strong analytical skills and ability to manage and report complex information., • Experience with data collection, analysis and interpretation., • Desire to grow professionally, develop new skills and willingness to work outside of comfort zone., • Experience working with the public health sector and coordinating projects involving multiple stakeholders., • Ability to prioritize and work in fast-paced environment with hard deadlines., • Hybrid Work Schedule., • Generous Paid Time Off and Holidays., • An attractive and comprehensive benefits package including Medical, Dental and Vision., • Flexible Spending Accounts and Commuter Benefits., • Company Paid Life Insurance and Disability Coverage., • 403 (b) + employer matching and discretionary company contributions., • College Savings Plan., • This is a temporary grant-funded position ending in November 2027., • This individual must reside in the tri-state area (NY, NJ, CT) by their confirmed start date., • Preference may be given to individuals residing in New York City (5 boroughs) or surrounding New York State counties. Monday-Friday 35 Hours per week

Job Description Hi, we're Oscar. We're hiring an Analyst to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Analyst, Payment Integrity is responsible for supporting Coordination of Benefits efforts for Payment Integrity. This role is responsible for investigating and verifying proper payment of Oscar medical and pharmacy claims. You will report to the Senior Manager, Payment Integrity. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a hybrid role in our New York City office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid Pay Transparency: The base pay for this role is: $27.31 - $35.84 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year. Responsibilities • Analyze, investigate and confirm if dual coverage exists for Oscar membership, • Support leadership to scope, size, prioritize items and deliver Coordination of Benefits solutions, • Utilize data analysis skills and tools to develop accurate, quantitative analyses of payment issues, • Complete quality reviews of coordination of benefits vendor findings, • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • 2+ years of experience in Payment Integrity, • 1+ years in claims processing, auditing or health care operations, • 2+ years of experience working with large data sets using excel or a database languageBonus points, • Some experience using SQL At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job Description Join VillageCare as a Senior Financial Data Analyst in the dynamic healthcare sector. This exciting opportunity allows you to contribute to impactful financial decision-making while working from the convenience of your home. Enjoy the flexibility of a remote work environment, allowing you to balance your professional and personal life effectively. With a competitive salary ranging from $87,647.11 to $98,603.00, you will be rewarded for your expertise and dedication. Your analytical skills will play a crucial role in enhancing our customer-centric services and driving excellence in healthcare delivery. If you're looking for a position that combines flexibility, professional growth, and the chance to make a difference, consider applying today. Join our energetic team based in New York, NY, and be part of a forward-thinking organization dedicated to transforming healthcare. Hello, we're VillageCare VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. Make a difference as a Senior Financial Data Analyst - Healthcare As a Senior Financial Data Analyst at VillageCare, you will be integral to enhancing our Finance department's reporting capabilities. You will develop and maintain customized reports and dashboards using SQL, Tableau, and RedShift, collaborating closely with the IT department to automate these reports for efficient metric monitoring. Your role involves designing and developing dashboards while creating member economics reports that empower leadership in strategic business decisions. You'll also be responsible for automating regulatory reports for the New York State Department of Health and CMS, leading the medical claims reinsurance reporting and reconciliation process. Additionally, you'll support the completion of monthly and quarterly provider group financial statements while documenting reporting rules in partnership with the provider team and manager. Your efforts will ensure timely and accurate reporting, consistently reflecting VillageCare's commitment to Service Excellence, as you tackle various ad hoc requests that arise. Would you be a great Senior Financial Data Analyst - Healthcare? To thrive as a Senior Financial Data Analyst at VillageCare, candidates must possess a Bachelor's degree in Healthcare, Finance, or a related field, or equivalent professional experience. A minimum of five years in a relevant position is essential, with a proven ability to perform complex data analysis and develop insightful reports and dashboards in a healthcare setting. Successful candidates will demonstrate strong analytical and logical thinking skills, coupled with exceptional attention to detail. The capacity to multi-task while maintaining high levels of accuracy is crucial in this fast-paced environment. Additionally, strong communication skills, both verbal and written, are required for effective collaboration with team members and stakeholders. Your ability to present complex findings clearly and build interpersonal relationships will significantly contribute to the organization's success in strategic decision-making. Knowledge and skills required for the position are: • Education: Bachelor's degree in Healthcare, Finance or relevant field or equivalent years of experience required. Job Posted by ApplicantPro

Job Description About MCU: At Municipal Credit Union, we believe that an incredible culture helps create a happy and motivated team that works hard to achieve the best results for themselves and their members. For more than 100 years, MCU has provided affordable financial products and convenient services to a membership base that is now comprised of over 600,000 individuals. With each new generation we have the pleasure of interacting with, we maintain the credit union promise of people helping people. Our Mission: To help hard-working New Yorkers build better tomorrows Our Vision: Be New York's most loved financial institution by helping our members build their best financial futures Overview: The Fraud Analyst is responsible for continuously working towards preventing and mitigating losses to ensure the highest level of loss avoidance and reduction. Act independently with great latitude and is a primary liaison for the department with other channels/departments relating to internal needs/assistance. Work with the VP, Financial Crimes & Intelligence and Risk Management Team to improve investigations, analyses and identifying control and procedural issues. Responsibilities: Specific duties include, but are not limited to, the following: • Review and critically analyze alerts and information from various systems pertaining to financial crimes that include, but are not limited to: Bank Fraud, Check Fraud, Counterfeits, Alterations, Forged Endorsement, Forged Maker, Kitting, New Account Fraud, Loan Fraud, Identity Theft, Returned Deposited Items, ACH Fraud, Wire Fraud, ATM Fraud, Unjust Enrichments, Internal Investigations, Inquiry cases and Other Losses for disposition and escalation., • Perform investigative practices to include but not limited to: complying with regulatory requirements, conduct interviews, compile documentation and evidence, and develop initial investigative reports in the case management system for further investigation by the appropriate fraud investigator(s), • Contact members and/or branch personnel regarding fraud claims, • Identify new and emerging fraud trends and patterns and report findings to the Investigations Manager, • Develop, recommend and deploy counter measures and analyze impact for FCI regarding omni-channel fraud, • Proactively seek to improve efficiency, reduce and mitigate losses, • Research, evaluate and identify control deficiencies/violations that contribute to the fraud, and make recommendations to Investigations Manager to enhance controls, • Ensure quality, uniformity and compliance with regulations throughout the MCU footprint and adhere to standard operating procedures for the Financial Crimes & Intelligence, • Work collaboratively with other departments to recommend solutions that impact performance, risk, losses and threats to the organization, • Be a valuable contributor to influence operational best practices within FCI, • Perform other duties as requested and special projects as assigned Requirements: • Bachelor or Associate degree in Criminal Justice, Business, or Accounting, related field or work experience required, • Minimum of 3 years of fraud analysis and investigation experience in the financial industry, • Omni- channel experience to include but not limited to ACH, Wire, Check Fraud, Identity Theft, etc., • Industry recognized certifications, (I.e. - CFE, is a plus but not required), • Basic knowledge and understanding of Federal/State/Local criminal statutes, bank regulatory, and compliance, • Flexible hours as required, • The ability to maintain confidential information, • Proven initiative to be a self-starter and proactive approach, • Professional appearance demeanor, • Must be able to demonstrate a team mentality, • Ability to perform in a high-volume environment and meet deadlines while maintaining exceptional attention to detail, • Technologically proficient, • Proficiency in Verafin Monitoring/Case Management (preferred) Why you'll be a good fit: Our Core Values are an integral part of who we are and who we hire. By living our Core Values, every day, we continue to attract the best and brightest talent, achieve unsurpassed results and continuously challenge ourselves to be better than yesterday. These values are at the heart of our organization and within every teammate. To be a great fit, you’ll bring the following Results - We are passionate about winning. Agility - We proactively anticipate, respond and pivot to ensure MCU wins. Integrity - We operate with the highest ethical standards and highest degree of honesty. Belonging - We cultivate a culture of inclusion and teamwork. Ownership - We take personal responsibility and hold ourselves accountable for the results. What we can offer you: Competitive compensation, medical and dental benefits. 401K with employer match Flexible paid time off We are committed to hiring, training, cultivating, promoting, and celebrating an environment where we have a welcoming and fulfilling place for all people to call home. Diversity of race, thought, sexual orientation, age, veteran status, religion, and disability will empower us to thrive as individuals, as teams, and as an organization. Municipal Credit Union (MCU) is an Equal Opportunity Employer. Municipal Credit Union provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Job Description Research Analyst Class Action Capital is a boutique class action claims management firm in the global litigation finance industry specializing in the identification, research, data analysis and filing of complex class action claims for corporate clients. As a Research Analyst at Class Action Capital, you will work collectively on the Research and Data Team to help conduct research, create reports, and support organizational communication to improve operation efficiency. The ideal candidate demonstrates an eagerness to learn and is a creative individual with solid business acumen. Responsibilities • Analyze, sort, and filter data based on research parameters from various sources., • Conduct in-depth market research on industry trends., • Clean and normalize datasets to derive actionable insights, trends, and patterns., • Create and develop reports, data visualizations, presentations and dashboards to communicate insights., • Organize, transform, and structure large data sets to assist in answering research questions., • 1-3+ years of relevant professional work experience., • Bachelor’s degree is required., • Proficiency with Microsoft Excel required., • Ability to communicate key ideas clearly and concisely, both verbally and in writing., • Excellent attention to detail., • Compensation: $75,000-85,000 + Annual Bonus, • Hybrid Workforce; 3 Days onsite in Manhattan & 2 Days Remote, • Health Insurance (Medical, Dental & Vision), • 401K Match, • Paid Time Off (Vacation, Sick & Public Holidays), • Training & Development, • Wellness Resources #LI-DNI

Job Description Hi, we're Oscar. We're hiring a Senior Analyst to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Senior Analyst, Payment Integrity role organizes, scopes, prepares, investigates and/or executes on solutions and process improvements within edits and ideation. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. You will report to the Senior Manager, Payment Integrity. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a hybrid role in our New York City office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid Pay Transparency: The base pay for this role is: $69,600 - $91,350 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities • Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity internal claims processing edits and external vendor edits., • Respond to internal and external inquiries and disputes regarding policies and edits., • Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope., • Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change., • Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions., • Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems., • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate., • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • A bachelor's degree or 4+ years of commensurate experience, • 3+ years of experience in claims processing, coding, auditing or health care claims operations, • 3+ years experience in medical coding within payment integrity, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices., • 2+ years experience deriving business insights from datasets and solving problems, • 1+ years experience improving business workflows and processes, • 1+ years experience collaborating with internal and/or external stakeholdersBonus points, • 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar), • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job DescriptionThis position will be responsible for understanding and documenting user needs so that an appropriate system can be developed to meet those needs. This will be accomplished by identifying user problems with the existing system and opportunities for reengineering. Qualified candidates will possess a Bachelor's Degree in Computer Science or related discipline and five years' experience as a Systems/Business Analyst. Experience should include solid background in user problem identification, problem assessment, development of alternative solutions, cost/benefit analyses of alternative solutions and working with programmers during the design, development and implementation phases of the project to ensure that user needs are being satisfied. Outstanding verbal and written communication skills, proven problem solving ability and excellent negotiating skills are essential. Experience in preparation of project plans a must. Outlined below are the expected tasks for the integration consultant: 1. Requirement Analysis: Conduct a thorough assessment of integration requirements, including data formats, frequency of exchange, and system dependencies., 2. Solution Design: Develop a comprehensive integration architecture that accommodates the unique needs of PeopleSoft, MTA Origami, and the third-party administrator's Risk Management Information/Claims Management System., 3. System Configuration: Configure integration middleware or tools to establish communication channels between the systems, ensuring compatibility and seamless data transfer and migration., 4. Data Mapping and Transformation: Define data mappings between different systems and implement transformation rules to harmonize data formats and structures., 5. API Development: Develop custom APIs or leverage existing APIs to enable real-time data exchange between PeopleSoft, MTA Origami, and the third-party administrator's Risk Management Information/Claims Management System., 6. Testing and Validation: Conduct rigorous testing to ensure the accuracy, reliability, and performance of integration solutions under various scenarios and load conditions., 7. Deployment and Go-Live Support: Coordinate deployment activities and provide support during the transition phase to minimize disruptions and maximize user adoption., 8. Monitoring and Maintenance: Implement monitoring tools and procedures to track integration performance, detect anomalies, and address maintenance tasks proactively., 9. Documentation and Knowledge Transfer: Document integration processes, configurations, and troubleshooting steps and provide training to internal teams for ongoing support and maintenance., 10. Technical Project Management Support: Provide implementation and ongoing project management support for Legal, Safety and Risk IT group across products such as Origami, TPA program and claims management tools. Skills: Category | Name | Required | Experience Technical Skills | Configuration Management | Yes | | Technical Skills | Data Modeling | Yes | | Technical Skills | Integration | Yes | | Technical Skills | Systems Analyst | Yes | Flexible work from home options available.

Job Description Company Overview: Public Health Solutions (PHS) is a 501(c)3 non-profit community-based organization (CBO) that has existed for 70 years to improve health equity and address health-related social needs (HRSN) for historically underserved marginalized communities. As the largest public health nonprofit serving New York City, we improve health outcomes and help communities thrive by providing services directly to vulnerable families, supporting community-based organizations through our long-standing public-private partnerships, and bridging the gap between healthcare and community services. We focus on a wide range of public health issues including food and nutrition, health insurance, maternal and child health, sexual and reproductive health, tobacco control, and HIV/AIDS. Learn more about our work at healthsolutions.org. PHS administers WholeYouNYC (WYNYC), a coordinated community resource network that builds trustworthy and reliable pathways between healthcare providers, health plans and CBOs providing critical resources in the community that address the social drivers of health. WYNYC brings together over 100 organizations offering various programs – such as food, housing, employment, health insurance, and sexual health services – across all five boroughs. These services and programs make it possible for New Yorkers to live their healthiest lives and ultimately reduce health disparities and advance health equity. To date, our network has already impacted thousands of lives through community partnerships and referrals, generating millions in estimated healthcare savings. New York State (NYS) recently announced the availability of $500M statewide to support Social Care Network (SCN) lead entities responsible for coordinating social care delivery in various regions across the state. Public Health Solutions (PHS) and our WYNYC network were awarded the role of regional SCN for Brooklyn, Manhattan, and Queens. This is a grant-funded position ending March 31, 2027. Position Summary: PHS seeks to be a data-driven organization, able to inform our activities and priorities based on what we are learning about the communities we serve and the impact of our services on those communities. The Data Analysts’ role will be primarily to support billing and finance reporting and data management for the Social Care Network. We seek an experienced Data Analyst-Operations, who will report to the Senior Director, Quality and Evaluation within the Quality and Evaluation team. The ideal candidate will: • Be a compelling data storyteller., • Be comfortable presenting to and engaging with various stakeholders (i.e., both written and verbal)., • Be adept at helping others, at varying levels of data literacy, to optimize data tracking methods and understand data to support decision-making and fulfill program needs and objectives., • Have experience building reports and/or dashboards in Microsoft Excel and Power BI., • Be familiar with social care coordination and/or working with Managed Care Organization (MCO) datasets and other claims data., • Be comfortable analyzing and interpreting results from datasets with varying structures and levels of cleanliness in Microsoft Excel, R, STATA, or Python., • Be comfortable supporting continuous quality improvement projects through planning, implementation, and monitoring. Specifically, the Data Analyst-Operations will: • Work with teams to ensure quality of metrics and alignment with program objectives, New York State requirements, and organizational needs and objectives., • Use and visualize data to proactively identify program and/or data quality issues, develop programmatic solutions, and implement those solutions., • Extract and analyze data from the data warehouse, and other data sources, to develop ad hoc reports and dashboards, providing actionable insights that enable Social Care Network leadership to make data-informed decisions and drive targeted interventions., • Review, manipulate, and extract billing data to develop detailed cost and revenue reports, delivering insights that support understanding of network financial performance and drive strategic revenue optimization., • Support teams with data management, data cleaning, data analysis, and data visualization in order to carry out day-to-day monitoring and quality improvement., • Support training and capacity building efforts both internally and to Social Care Network partners., • Participate in team and stakeholder meetings, as needed., • Bachelor’s degree; 2-5 years’ experience., • Experience visualizing and communicating data so that it is easily understood by a variety of stakeholders., • Experience telling stories with data, in written and/or oral communication., • Experience working with claims data and medical billing., • Experience using data to identify issues and develop recommendations., • Fluency with Microsoft Excel (specifically, PowerQuery, LOOKUP functions and PivotTables)., • Fluency conducting data analysis using Microsoft Excel, R, STATA, or Python. • Hybrid Work Schedule., • Generous Paid Time Off and Holidays., • An attractive and comprehensive benefits package including Medical, Dental and Vision., • Flexible Spending Accounts and Commuter Benefits., • Company Paid Life Insurance and Disability Coverage., • 403(b) + employer matching and discretionary company contributions., • College Savings Plan., • Ongoing trainings and continuous opportunities for professional growth and development. At PHS, we place immense value on diversity within our teams, understanding that varied backgrounds and experiences significantly enhance our community and propel us toward our goals. If you find you don’t have experience in all the areas listed above, we still encourage you to apply and share your background and experiences in your application. We are eager to discover how your unique perspective can bring positive transformations to our team and help advance our mission of creating healthier, more equitable communities. We look forward to learning more about you! PHS is proud to be an equal opportunity employer and encourages applications from women, people of color, persons with disabilities, LGBTQIA+ individuals, and veterans. Monday – Friday 9:00am to 5:00pm 35 Hours per week

The AVP, Senior Claims Analyst is responsible for, but not limited to analysing, and processing claims under the applicable (re)insurance contracts, performing claims audits, providing analysis to underwriters and reserving actuaries, and participate in and lead collaborative projects in support of

Duration: 6 12 months +++ Hybrid 3 Days a Week: Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken, PA; Dallas, TX; Fargo, ND; Garden City, NY; Houston, TX; Jacksonville, IL; Lenexa, KS; Los Angeles, CA; Lubbock, TX; Morristown, NJ; Mt Juliet, TN; New York, NY; Purchase, NY; Topeka, KS

Oversee the review and tracking of Family First related claims to ensure final approval and submission for State and Federal reimbursement; monthly compare YTD analyses of claims to log of all submitted claims and to ceiling reports. Supervise a team of 2 claims analysts who will help to research, r

Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing, and Service. The Provider Contracting Lead Analyst serves as an integral mem

Supervise a team of 2 claims analysts who will help to research, reconcile and prepare the Family First related parts of the foster care and child welfare claim. The Claims Analyst will be responsible for the below duties:. Coordinate between foster care and welfare claiming areas to ensure that cla

Impactful Role: You will be a key player in shaping and strengthening our global insurance and claims administration programs. Senior Analyst, Insurance & Claims Administration. TYLin is seeking a Senior Analyst, Insurance & Claims Administration to support the execution of our global insurance and

Job Description Hi, we're Oscar. We're hiring an Associate to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Associate, Payment Integrity is responsible for ensuring claims are paid accurately and timely with the highest quality. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement within edits and ideation. The Associate provides thought leadership for Payment Integrity process and workflows that impact claims payments and works closely with cross functional partners on execution of changes. You will report to the Senior Manager, Payment Integrity. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a hybrid role in our New York City office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid Pay Transparency: The base pay for this role is: $88,800 - $116,550 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities • Provide subject matter expertise and in-depth understanding of Payment Integrity internal claims processing edits, external vendor edits and Oscar reimbursement policies., • Identify claims payment issues from data mining, process monitoring, etc., provide scoping and action steps needed to remediate the issue., • Respond to internal and external inquiries and disputes regarding policies and edits., • Document industry standard coding rules and provide recommendations on reimbursement policy language and scope., • Ideate payment integrity opportunities based on a deep knowledge of industry standard coding rules. Translate into business requirements; submit to and collaborate with internal partners to effectuate change., • Provide training and education to team members when necessary., • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate., • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • A bachelor's degree or 4+ years of commensurate experience, • 4+ years of experience in claims processing, coding, auditing or health care claims operations, • 4+ years experience in medical coding, • 3+ years of experience working with large data sets using excel or a database language, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices.Bonus points, • 3+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar), • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job Description Hi, we’re Healthee. We’re on a mission to support employees and transform their health care experience. We’re building an AI powered platform that is designed to support every employee with healthcare benefits, navigate their plans and optimize care. Want to join our mission-driven team? Read on. Associate Health Benefits Analyst responsibilities: • Compiling and organizing health plan data and analyzing that data to assist in delivering essential health plan information to users, • Performing data validation to ensure accuracy and clarity for the data model, • Investigating data to find patterns and trends, and performing research tasks on different health insurance topics, which will help improve the product, • Utilizing different data sources for analyses and converting that data into usable information that is easy to understand., • Developing reports and presentations, and communicating analytic insights to management. Requirements We are looking for: • Minimum of a Bachelor’s degree in a life-science, medical, or quantitative discipline (such as mathematics, statistics, epidemiology, or economics), or in healthcare management, health care administration, or business administration., • Experience in the US health insurance or health benefits administration industries (1-3 years), • Analytical skills and a great interest in the US healthcare and insurance world, • Professional or substantive applied academic research experience with large electronic healthcare databases - especially administrative claims data, hospital billing data, and/or electronic health records, and clinical coding taxonomies, • Experience analyzing health policy proposals, legislation, and/or regulation Benefits: • Health Care Plan (Medical, Dental & Vision), • Retirement Plan (401k, IRA), • Life Insurance (Basic, Voluntary & AD&D), • Paid Time Off (Vacation, Sick & Public Holidays), • Family Leave (Maternity, Paternity), • Short Term & Long Term Disability, • Training & Development, • Hybrid Work, • Wellness Resources Salary: For New York City-based hires only: Compensation Range: $60K-$65K base salary, subject to standard withholding and applicable taxes. In addition to base salary, the role includes opportunity to receive an equity based on Company’s plans and in accordance with Company’s policies. Compensation finally awarded to the candidate will be commensurate with the candidate’s skills and experience. Compensation ranges for candidates in locations outside of New York City may differ based on the cost of labor and such additional factors for such other locations.

Job Description Elementary School Special Education Compliance and Billing Analyst Bronx, New York Seton Education Partners seeks a mission-driven, detail-oriented leader to serve as the Elementary School Special Education Compliance and Billing Analyst for the Brilla Public Charter Schools Network. This position reports directly to the Elementary School Director of Student Services and is based in the Bronx, NY. About Seton Education Partners Co-founded in 2009 by KIPP pioneer Scott W. Hamilton and Teach for America alumna Stephanie Saroki de García, Seton Education Partners is a response to the dramatic decline of urban Catholic schools which have historically been the greatest equalizing factor for economically underserved children, families and communities in America for decades. Specifically, Seton expands opportunities for parents in underserved communities to choose an academically excellent, character rich, and—for those who seek it—vibrantly Catholic education for their children. As a national non-profit, Seton partners with (arch)dioceses and others across the country to implement innovative and sustainable new models that bridge the best of Catholic education's rich tradition with new possibilities. Seton was born of the belief that a tremendous opportunity exists to revitalize urban Catholic schools in America and strengthen the education they provide. The challenges are significant, to be sure, but with an entrepreneurial and innovative spirit, much can and should be done, not only to preserve this national treasure but also to build on its foundation for the benefit of thousands of children in America’s most underserved neighborhoods. Seton has pioneered multiple innovative and high-impact solutions to the shuttering of Catholic schools in underserved communities. Seton is working to take these remarkable achievements to scale by managing a network of schools and programs that ensure that thousands of underserved children whose Catholic schools close—and other local children—have access to an academically excellent, character-building, and, for those who choose it, faith-nurturing education. Seton provides a national model for how other cities facing the shuttering of Catholic schools can continue to serve children and families with limited educational options. For more information on Seton Education Partners, please visit . About the Brilla Schools Network Brilla Public Charter Schools is a network of K-8th grade schools that currently serves nearly 1,600 students from Mott Haven, University Heights and Highbridge in the Bronx. The network plans to grow from a current four elementary and two middle schools to four elementary and four middle schools educating some 4,000 students in the Bronx. Core to our mission is that our students become young men and women of good character and spirit and be prepared for excellence in high school, college, and beyond. Brilla combines a classical approach to education -- an emphasis on virtue formation, Truth, Beauty, and Goodness, and direct instruction of a content-rich curriculum that has stood the test of time -- with co-teaching practices and individualized online learning.* We approach the formation of our students holistically and also set high academic expectations. Ours is a joyful community that honors the dignity of each student, family member and staff. About El Camino Network El Camino, which means “The Way” in Spanish, is an optional, privately-funded Catholic after-school faith formation program that is closely partnered with Brilla charter schools. El Camino helps children, their families and their catechists to know, love and serve Christ and His Church; develop the habits, dispositions and beliefs that are indispensable to human flourishing and happiness; and live as disciples in this world and saints in the next. El Camino honors the teaching authority of the Catholic Church. Since 2013, over 260 children have been baptized through our program. El Camino currently serves approximately 40% of Brilla’s students for 90 minutes a day, Monday through Thursday. Children receive homework help from experienced teachers, a nutritious snack, and 30 minutes each of catechism and physical fitness. Additionally, children and families have opportunities for shared and personal prayer and character formation. This video provides a snapshot of El Camino. El Camino will grow to serve children through 8th grade, growing a grade level at a time each year. About the job of Elementary School SPED Compliance and Billing Analyst This role is responsible for ensuring the highest levels of compliance and programmatic integrity in services for students with disabilities across Brilla's K-8 schools. The Special Education Compliance and Billing Analyst ensures the accurate and timely submission of special education billing and compliance reports while developing data-driven systems to support student services. This role requires meticulous attention to detail, strong organizational skills, and collaboration with internal teams and external agencies to ensure compliance with the NYC Department of Education (NYC DOE) and New York State (NYS) reporting requirements. The Special Education (SPED) compliance and Billing analyst is the foundation of the network Student Services Team, which builds compliance and data systems that allow seamless communication between our Brilla campuses and the Network Team. The analyst directly supports campuses by monitoring the case management process for initials, annual, and re-evaluation IEP meetings. Another key responsibility is to support the Elementary Schools Director of Student Services by recruiting related services professionals through partnership with the Committee on Special Education to provide mandated services to Students with Disabilities. The Analyst develops and maintains data systems that track the academic outcomes of students with disabilities aligned with our assessment cycles. This role works closely with the campus Student Services teams and provides compliance systems training as requested. This role is ideal for a detail-oriented professional passionate about ensuring compliance and improving outcomes for students with disabilities. Main Responsibilities • Submit bi-monthly special education billing claims to the NYC DOE by verifying the accurate implementation of IEP services at elementary campuses, • Monitor and support the IEP case management process for initials, annuals, and re-evaluations at K–4 schools, ensuring meetings are held and documented on time, • Prepare and submit monthly ATS verification reports in collaboration with the Data Team, ensuring elementary schools are fully compliant with NYC DOE and NYSED reporting requirements, • Develop and maintain systems to track service mandates, provider assignments, and student encounter attendance for all students with disabilities in elementary grades, • Collaborate with the Committee on Special Education to support the recruitment, onboarding, and credential tracking of related service providers (e.g., Speech, OT, PT) serving elementary students, • Ensure that all new elementary Student Services staff have access to SESIS, internal compliance tools, and shared network folders aligned to Brilla protocols, • Create data dashboards and tools to track academic progress of students with disabilities at the elementary level, using assessment data such as NWEA, Amplify, and interim results, • Conduct monthly audits of service implementation data and provide feedback to campus-based Student Services Coordinators to improve accuracy and fidelity, • Provide targeted compliance training and systems support to K–4 Student Services teams, updating them on regulatory changes and best practices for documentation and service delivery, • Support the Director of Student Services by identifying areas for improvement in compliance systems and contributing to the continuous development of network-wide special education practices Candidates for the position must possess the following personal characteristics: • Unquestioned integrity and commitment to Seton’s mission and values, • Personal responsibility with humility, • A relentless drive for excellence, • A strong belief that all children can achieve both moral and academic excellence, • Strong knowledge of federal and state regulations and NYSED reporting requirements, including IDEA, and Section 504, • Demonstrated success in improving outcomes for students with disabilities in urban education., • Strong data analysis skills, with experience using student performance data to drive programmatic improvements., • Experience with billing and compliance audits for special education services., • Experience with special education compliance, billing, or data management in an educational setting, • Knowledge of NYC DOE special education policies, ATS, and billing reimbursement processes., • Strong proficiency in data analysis and reporting tools (e.g., Excel, Google Sheets, and student information systems)., • Exceptional organizational skills and attention to detail., • Ability to collaborate effectively with school leaders, data teams, and service providers., • Strong problem-solving and project management skills., • Experience working with students with disabilities or in special education administration., • Familiarity with special education case management systems and IEP tracking software., • Understanding of state and federal special education funding regulations., • Ability to travel approximately 10-20% of the time, primarily within the US To Apply Initial application materials include a cover letter, contact information for three references, and a resume that contains information about your background and leadership experience. Resumes without cover letters will not be reviewed. Seton Education Partners provides equal employment opportunity for all applicants and employees. The base salary range for this position is $65,000 to $85,000 per year, along with a comprehensive benefits package that includes medical, financial, and other benefits. New hires will typically start at the lower end of this range, depending on their relevant experience, job-related knowledge, skills, and internal equity considerations. Compensation is determined based on our salary scales. Powered by JazzHR KAMIh6busv

Sr Claims Data Analyst - Hybrid NYC. The Senior Data Analyst will be responsible for supporting the data, reporting and analytical needs across the entire MRSI Claims portfolio. The Senior Data Analyst would assume full ownership of providing descriptive analytics to various divisions within MRSI (C

Sr Claims Data Analyst - Hybrid NYC. The Senior Data Analyst will be responsible for supporting the data, reporting and analytical needs across the entire MRSI Claims portfolio. The Senior Data Analyst would assume full ownership of providing descriptive analytics to various divisions within MRSI (C

As a Claims Analyst III, you will be responsible for identifying, investigating, and resolving multiple coverage issues at the earliest appropriate time and providing clear and concise written and verbal communication of policy coverage issues to insureds, brokers, underwriters and risk managers. Cl

Sr Claims Data Analyst - Hybrid NYC. The Senior Data Analyst will be responsible for supporting the data, reporting and analytical needs across the entire MRSI Claims portfolio. The Senior Data Analyst would assume full ownership of providing descriptive analytics to various divisions within MRSI (C

The team serves as a claims technical resource, as well as provides assistance and expertise across Hiscox by identifying and promoting claims best practices and facilitating required improvements. This is a high-impact role suited for an experienced insurance claims compliance professional or attor

Completes business expense claims promptly and follows up on reimbursements if necessary.

Job Title: Project Manager Location: Newark, NJ Type: Contract Contractor Work Model: Onsite Pay range: $48.PROJECT MANAGER SUMMARY: Based in Newark.Occasional site visits to the Burlington, Camden and Mercer, as well as Hudson and Bergen County areas will be required.The person must have Microsoft

We are hiring AWS Cloud Migration Project Manager for the Location Manhattan, NY (Hybrid) 14 plus years of IT Infrastructure experience Have successfully delivered 2–3 major cloud migrations in enterprise environments Experienced in programs involving 5000+ servers and 100+ applications Skilled in

This is a Project Manager/Business Analyst dual-role, full-time, contractor position in our data services area. Ability to create project plans and provide project status/stats tracking progress against plan Proficiency in project management tools and software Ability to manage multiple workstreams

JOB TITLE: Infrastructure Project Manager JOB LOCATION: Newark, NJ (hybrid) WAGE RANGE*: 56.JOB NUMBER: SAIJP00038255 REQUIRED EXPERIENCE:Bachelor's degree in business, Information Technology, Computer Science or related degree with 5+ years of experience as an IT Project Manager.Additional years of

Title: Content Marketing Project Manager (Enterprise Financial Services) Location: NY (4 days on-site) Duration: 6+ month contract Rate: $70-76/hr.W2 Work Requirements: US Citizen, GC Holder, or authorized to work in the U.POSITION DESCRIPTION & KEY RESPONSIBILITIES Oversee content planning, project

Job Title: Property Management Administrative Assistant Job location: 2516 Grand Avenue Department: All Geel Properties FLSA : Non-Exempt / Professional Reports to: Director of Property Management and Development, DPMD Function: Provides administrative support for the DPMD Hours: 35 Hours per week P

Our client, a major bank in New York City, is looking for IT Business Analyst - Compliance Systems. Business Analyst IT for Compliance Technology Will bridge business needs and IT solutions within the compliance field. Keywords: compliance business analyst SQL Oracle snowflake powerbi AML SEC FINRA

Business Analyst – Innovation & Emerging Technologies Remote (with travel) | Long-Term | 2 Openings At iSphere, we thrive at the intersection of business and technology—and right now, we’re looking for two Business Analysts who can help our clients harness the potential of IoT, Robotics, and A

Project Manager / Project Manager II New York City, Albany, NY Fusco Personnel is actively recruiting for a Project Manager/Project Manager II to join our client in leading the nation in the fight for global climate change and the transition to a clean-energy powered economy.This is a full-time, dir

CBAP, CCBA) Responsibilities: Conducting research and analysis to identify business problems and opportunities Collaborating with stakeholders to gather requirements and develop solutions Creating and maintaining project plans and timelines Monitoring and reporting on project progress and outcomes P

Job Title: Technical Product Owner (TPO)/ Business Analyst Location: NJC, NJ Experience: 12–15+ Years Employment Type: Full-Time Overview: We are looking for a seasoned Technical Product Owner / Business Analyst with 12–15+ years of experience in the financial services domain, specializing in se

Job Summary: We are seeking a detail-oriented and analytical Healthcare Business Analyst to join our team. Experience with healthcare data sources (EHRs, claims data, clinical registries, etc.

Job Title: Data Analyst / Project Coordinator Location: Jersey City, NJ, Hybrid (3 days in-office, 2 days remote) Pay Rate: Up to $55.

We are supporting a large healthcare organization that is currently seeking a Data Analyst to join their team.

Job Overview We are seeking a full-time detail-oriented and organized Office Administrator for a financial/political office.The ideal candidate will have a strong background in office tasks and administrative support, with at least 10 years of experience, excellent communication skills and the abili

Private Wealth Fund located in Midtown, Manhattan is seeking to hire an experienced Administrative Assistant (Contractor) to provide high-level administrative support to multiple Senior Vice Presidents (SVPs).This role will primarily focus on managing expense reporting, calendar scheduling, and day-

A+ Personnel celebrates its 38th Anniversary in the staffing industry in 2025! We have successfully been placing qualified candidates with top corporations, from entry to C-Level, in New Jersey and New York.We would like to thank our client companies and outstanding candidates for their major contri

Our client, a nationwide leader in manufactured corrugated products, has an immediate need for an experienced Customer Service Representative, to join their winning team in Moonachie.Our candidate of choice will bring prior corrugated experience as a CSR and be responsible for supporting our custome