Trabajos claims analyst en Jersey City, New JerseyCrear alertas

Key Responsibilities Investigates and facilitates the resolution of claims issues by analyzing systems and processes across multiple operational areas Coordinates efforts among internal departments to resolve issues within strict timelines Performs claims and trend analysis while ensuring docume

Key Responsibilities Serve as a subject matter expert for pharmacy COB processes and claims processing logic Analyze, monitor, and enhance processes and adjudication logic for pharmacy COB point-of-sale claims Lead projects related to process or logic changes across internal and external areas

A company is looking for a Claims Management Analyst III.

A company is looking for a Senior Allocation Analyst to support the forensics team in building claim-level allocation models and analytics. Key Responsibilities Perform quantitative analysis on potential policy exposure for complex insurance claims Build loss allocation models for mass torts and

Job DescriptionSalary: $70,000-$110,000 DOE About Rosenbaum Personal Injury Lawyers Rosenbaum Personal Injury Lawyers is a pre-eminent New York City personal injury firm that has been representing individuals throughout the New York City metro region for over 40 years. The firm prides itself on the exemplary quality of service that it delivers to its clients and has successfully represented clients with all types of personal injury claims. Summary Rosenbaum Personal Injury Lawyers is seeking an FP&A Analyst to work alongside the Director of Operations to assist with budgeting and financial reporting and analysis. Key Responsibilities • Oversee accounts payable, accounts receivable, and general ledger alongside Director of Operations, • Prepare and analyze reports in QuickBooks for review by Director of Operations, • Develop and monitor budgets and financial forecast, • Reconcile QuickBooks transactions, and research and resolve discrepancies, • Perform additional duties for Director of Operations as needed Education and Experience • Bachelor's degree in Accounting, Finance, or related field, • 2+ years of experience with financial reporting and financial analysis, • 1+ years of experience with QuickBooks required Qualifications An individual must be able to perform each essential duty satisfactorily to perform this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Proficiency in QuickBooks and Microsoft Suite (Word, Excel), • Ability to work well under pressure and meet tight deadlines, • Excellent analytical and problem-solving skills, and attention to detail, • Strong communication skills, both verbal and written, with the ability to interact professionally with clients and colleagues, • Ability to prioritize tasks effectively and manage time efficiently in a fast-paced environment, • Discretion and confidentiality when handling sensitive information Benefits and Additional Information • Comprehensive health insurance, 401k, and PTO, • Professional development opportunities, • Friendly and collaborative work environment This role is full-time and is on-site at our New York City office in downtown Manhattan. Business hours are Monday-Friday, 9:00am-5:30pm. Pay Range $70,000-110,000 annually, depending on experience Applicants for employment in the U.S. must possess work authorization which does not require sponsorship by the employer for a visa. Equal Employment Opportunity Rosenbaum Personal Injury Lawyers is an equal opportunity employer and affords equal employment opportunity to all applicants regardless of race, color, religion, gender, creed, national origin, age, disability, sexual orientation, veteran status or any other legally protected classification under local, state or federal laws. Acknowledgement The above job description is not intended to be an all-inclusive list of duties and standards of the position. Employees will follow any other instructions, and perform any other related duties, as assigned by their supervisor.

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 Please note that the pay range provided is a good faith estimate for the position at the time of posting. Final compensation may vary based on factors including, but not limited to knowledge, skills and abilities, as well as geographic location. Incentives and/or benefits packages may vary depending on the position. 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 applicable federal, state or local laws. 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.

Job Description Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a holistic approach to diagnosing, managing and treating digestive health conditions. Oshi Health has been recognized by Modern Healthcare and Builtin as the recipient of Best Place to Work awards. This recognition highlights our dedication to creating a workplace environment that prioritizes our team, fosters inclusivity, and is committed to our mission. We take time to get to know each patient, develop a personalized, whole-person care plan that includes identification of symptom triggers and prescription of evidence-based interventions, including medications, dietary changes, and mental health support. Our care is delivered virtually through our app, via secure messaging and telehealth visits. When in-person diagnostics or procedures are needed, we take a concierge approach and coordinate access, care and follow up with local providers. For more information, visit us at: Oshi Health will never contact job candidates via text message or any other messaging platform including WhatsApp, Signal, and Telegram. All official correspondence will occur through email. We will never ask you to share bank account information, cash a check from us, or purchase software or equipment as part of your interview or hiring process. If you have concerns, please reach out to , and we'll confirm whether you're engaging with one of our Oshi teammates! Senior Clinical Operations Analyst Are you a highly-motivated, analytical leader looking to make a bigger impact at an organization that changes lives? Do you thrive in a rapidly evolving, fast-paced environment requiring creativity, resourcefulness, high energy, and an ability to adapt quickly? Are you passionate about healthcare and looking to create a revolutionary new approach to digestive healthcare with a radically better patient experience? If so, you could be a perfect fit for our team who share a mission to eliminate the impact of digestive health conditions through redesigned GI care that patients love. The Team: The Analytics team is a small but mighty team at Oshi, responsible for empowering the entire organization with actionable insights and tools to drive decisions that fuel sustainable growth and operational excellence. Our team is scrappy, analytical, highly strategic, and interacts with every part of the business to support business objectives. The team consists of talented analysts who are skilled in both doing hands-on data analysis as well as collaborating with other teams across the organization to develop KPIs and the analytics tooling necessary for insight generation. The Role: We're looking for a strategic and collaborative Senior Clinical Operations Analyst to play a critical role in optimizing Oshi's clinical practice. As a member of the Analytics team, this role will generate data-driven insights, build and maintain core data models and reporting, and enable business decisions, with a focus on clinical operations. Partnering closely with clinical team leadership, this role will use data to measure, analyze, and optimize our clinical practice to improve efficiency, quality, and provider satisfaction. What You'll Do: • Data-Driven Clinical & Operational Strategy: Bring a high level of analytical rigor to help us deeply understand all facets of our clinical operations and provider workflows. You'll conduct comprehensive analyses to identify key trends, measure the impact of our efforts, and uncover opportunities to improve efficiency and the overall quality of patient care., • Performance Measurement & Optimization: You will design and maintain performance dashboards and build new analytical tools to track key performance indicators (KPIs) for the clinical team. This includes analyzing metrics related to provider utilization, patient outcomes, scheduling efficiency, and capacity planning. You will use these insights to pinpoint and eliminate bottlenecks in workflows, ultimately reducing administrative burden and streamlining operations. You have 3-5 years of experience in analytics, with at least 2 years in a healthcare or clinical setting. • Technical Proficiency: You are proficient in using SQL and Excel to query, organize, and analyze data. You have experience with healthcare data systems (e.g. EHRs, scheduling platforms, and claims databases) and business intelligence tools (e.g. Metabase). Experience with statistical tools (e.g. R, Python) is a bonus., • Analytical Mindset: You have strong problem-solving skills with a track record of using data to inform strategy and decision-making. You are adept at data visualization and storytelling techniques and can easily spot patterns, opportunities, and areas for improvement. You thrive on using data to inform decisions., • Clear Communicator: You possess excellent communication skills and have the ability to translate complex analyses into clear, actionable recommendations for non-technical stakeholders., • Life-Long Learner: You are eager to learn new techniques and tools to drive your analyses to the next level. You are comfortable becoming proficient in new platforms and databases., • You have a passion for Oshi Health's mission and a strong desire to drive clinical and operational excellence., • Mission-driven organization focused on innovative digestive care, • Thrive on diversity with monthly DEIB discussions, activities, and more, • Virtual-first culture: Work from home anywhere in the US, • Competitive compensation and meaningful equity, • Employer-sponsored medical, dental and vision plans, • Access to a "Life Concierge" through Overalls, because we know life happens, • Discretionary paid time off — take what you need, when you need it, • 13 paid company holidays to power down, • Team events, such as virtual cooking classes, games, and more 1. Own the Outcome, 2. Do the Right Thing, 3. Be Direct & Open, 4. Learn & Improve, 5. TEAM - Together Everyone Achieves More, 6. Thrive on Diversity At Oshi, we determine salary ranges using market benchmarking and a geo-neutral compensation philosophy—your pay is based on the role and level, not your location. We believe in offering competitive compensation that reflects your unique skills, experience, and qualifications. While the salary range provided outlines the potential earning scope for this role, final offers are tailored to each candidate's expertise, contributions, and alignment with internal equity among peers in similar roles. Oshi utilizes the entire compensation range, and we expect candidates offered positions with our company to fall widely throughout the range. The candidate we hire may have more experience (or less) than what is outlined in this job description. If that's the case, an updated level and salary range will be shared during the hiring process. Oshi Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment 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. Compensation Range$115,000—$140,000 USD Note: This job description serves as a general overview and may be subject to change based on organizational needs and requirements. Oshi Health is an equal opportunity employer that is committed to creating a diverse work environment. To do that, we champion a workplace where each and every person is treated with dignity and respect and is valued for their unique perspective and contributions. Oshi Health's policy is to maintain a working environment that encourages mutual respect, promotes harmonious and congenial relationships between employees, and is free from all forms of discrimination and harassment of any employee (or applicant for employment or service provider) by anyone, including supervisors, co-workers, vendors, or clients. Harassment and discrimination in any manner or form is expressly prohibited. There is no tolerance for discrimination or unequal treatment of any kind on the basis of race, color, religion, creed, gender, sex, sexual orientation, gender identity or expression, pregnancy, sexual and reproductive health decisions, national origin, age, disability, genetic information, marital status or civil partnership/union status, familial status, military or veteran status, predisposition or carrier status, domestic violence victim status, alienage or citizenship status, unemployment status, sexual violence or stalking victim status, caregiver status, or any other characteristic protected by law. This practice applies to all terms, conditions and privileges of employment including, but not limited to, recruitment, selection, promotion, demotion, transfer, layoff, rehire, termination of employment, development and training, compensation, benefits and retirement. For more information, visit us at

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 DescriptionDocument Management Analyst IIEmployment Type: Full-Time, Entry-levelDepartment: Litigation Support CGS is searching for a Document Management Analyst to help support the Civil Division of a large federal agency in addressing civil pandemic- related health care fraud and/or opioid-related matters. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Critical duties include:-Drafting investigatory subpoenas and discovery requests;-Reviewing and analyzing documents and information obtained during investigations or turned over during litigation discovery, preparing demonstrative exhibits and aiding attorneys in presentations, meetings and court proceedings;-Researching, collecting and analyzing data, developing metrics, statistics and other tracking methods to measure and assess the data; creating and maintaining databases and constructing complex database queries; converting complex data into easily comprehensible reports, PowerPoint presentations and other data visualizations for investigations and litigation;-Assisting in the preparation for and participating in witness interviews and depositions;-Analyzing incoming information to identify violations of the Controlled Substances Act and/or the False Claims Act;-Reviewing electronic evidence using platforms such as Relativity;-Data mining and organization;-Data analysis using Excel, Access and similar software;-Coordination with investigators, consultants and expert witnesses;-Preparing talking points, presentations and other materials;-Working collaboratively with Assistant U.S. Attorneys and legal support staff. Requirements:-Must be a United States Citizen-Must be eligible to receive a federal security clearance -Must be familiar with all Microsoft Office products, specifically Microsoft Excel-Must have a Bachelors Degree or higher-Must be willing to work in a fast pace team environment and willing to support multiple projects at a time-Legal experience is a plus-Familiarity with DOJ processes and systems is a plus Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government-contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work.Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation!Explore additional job opportunities with CGS on our Job Board: more information about CGS please visit: or contact:Email: We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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 MISSION STATEMENT Acacia Network, the leading Latino integrated care nonprofit in the nation, offers the community, from children to seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are visionary leaders transforming the triple aim of high quality, great experience at a lower cost. Acacia champions a collaborative environment to deliver vital health, housing and community building services, work we have been doing since 1969. By hiring talented individuals like you, we’ve been able to expand quickly, with offices in Albany, Buffalo, Syracuse, Orlando, Tennessee, Maryland and Puerto Rico. POSITION OVERVIEW Under the supervision of the Director of Revenue Cycle, the denial analyst will be responsible for timely billing and account receivable functions including claims filing, patient billing and accounts receivables from patients and third-party carriers. The incumbent will closely monitor patient/client accounts. KEY ESSENTIAL FUNCTIONS • Responsibilities include third party insurance billing and review and processing of payments., • Knowledge of electronic 835 & 837 processes, • Review of trial balances and adjustment of accounts after payment, • Assist with loading encounters if needed., • Maintains accurate records of billing claim submission., • Updating patient’s demographic and generating Billing Reports, • Check patient payments., • Reviewing EOBs, • Claim denial reconciliation., • High school diploma or GED required., • Minimum of 2 years’ experience in medical billing, • Demonstrate knowledge of medical billing principles and practices, • Understanding of Insurance benefits, • Knowledge of OASAS Article 32, Article 28 & 31 billing rules & compliance, • Excellent computer skills including the Microsoft Windows computer environment, Microsoft Word, Excel, PowerPoint, and electronic communications tools: internet and email., • Demonstrate use of Nextgen, Epaces and various managed care web portals., • Must be team oriented and possess a positive attitude with a willingness to be flexible and helpful., • Must be able to multi-task with strong organizational skills., • Excellent interpersonal skills and able to communicate both verbally and in written form., • Commitment to cultural diversity and sensitivity Acacia Network provides a comprehensive and competitive benefits package to our employees. In addition to a competitive salary, our benefits include medical, dental, and vision coverage. We also offer generous paid time off, including vacation days and paid holidays, to support a healthy work-life balance. We prioritize the well-being of our employees both professionally and personally. As an Equal Opportunity Employer, we encourage individuals from all backgrounds to apply.

Job Description Our Company: Originally founded in 1975, BCI has continually evolved to become a leader in the women’s fashion industry. Launching initially with CHAUS and private label lines and then expanding into a multi-brand platform business, we have been at the forefront of market trends and the changing retail environment. Our brands, including CeCe, Vince Camuto, Ted Baker, 1.State and Parker, each serve unique customer demographics but are united in their commitment to quality and style. As we expand our presence, BCI remains dedicated to innovation, excellence, and women’s empowerment through fashion. Overview: BCI Brands, based in New York, NY, is seeking a detail-oriented and results-driven AR Chargeback Analyst to join our team. This role is responsible for managing and disputing retailer chargebacks, ensuring compliance with vendor requirements, and supporting timely collections. The ideal candidate will bring at least two years of experience working with major U.S. retailers, strong Excel skills, and a solid understanding of factoring and chargeback processes. As a key liaison between customers, internal teams, and external partners, the AR Chargeback Analyst will play a critical role in safeguarding revenue, improving compliance, and driving process efficiency. Responsibilities: • General familiarity with major USA retailer’s vendor compliance requirements, • Research and dispute customer chargebacks at wholesale level (shortages, cost differences, shipping violations, EDI violations, etc.), • Make recommendations for better adherence to customer compliance., • Correspond with all customers regarding timely collections of receivables and chargebacks., • Experience in negotiating and reviewing all chargebacks for repayment or credit., • Review weekly status reports with management., • Communicate internally (Customer Operations, Sales, Logistics) as well as directly with customers to resolve all open claims, • Work with the warehouse to ensure compliance of chargeback-related issues as well as the returns process., • Process reconciliation, cash application, chargebacks, and write-offs with management approval., • Research misapplied cash and unidentified payments by contacting customers, • Work with Factor on invoice dispute notifications (provide invoice copies, POD’s, etc. when needed). Requirements • Minimum 2 years of experience working with large retailers, accessing portals to obtain claim copies, dispute chargebacks, etc., • Minimum 2 years of experience with factoring and chargebacks., • Associate degree in Accounting, Finance, or any other business-related function preferred, but not required. (Working experience may be considered in lieu of degree.), • Knowledge of Exenta, Simparel or BlueCherry ERP & Carixa deduction management system is a plus, but not required., • Knowledge of Factoring process, • Confident communicator with the ability to interact at all levels, including working closely with customers and cross-functional teams., • Strong Excel capabilities, including knowledge of X/VLOOKUP, Pivot Tables, etc., is a MUST., • Experience working in retailer portals (preferably Belk, Nordstrom, Macy’s, Dillard’s, JCPenney and Walmart)., • Results-oriented and comfortable working in a fast-paced environment requiring prioritization and ownership., • Exceptional customer service skills., • Good communication, organization, and analytical skills., • Ability to adjust to changing priorities and workload while managing deadlines simultaneously., • Positive and professional demeanor., • Excellent written and verbal communication skills. The salary range for this full-time role is dependent upon experience between $75,000-$85,000. Benefits • Health Benefits (Medical, Dental & Vision), • Life Insurance, • Flexible Spending Account, • 401k Program, • Paid Time Off, • Robust Holiday Schedule, • Training & Development, • Growth Opportunities! BCI IS AN EQUAL OPPORTUNITY EMPLOYER Applicants are considered regardless of race, color, religion, creed, age, sex, pregnancy, family responsibility, national origin or ancestry citizenship, marital status, sexual orientation, transgender status, veteran’s status, genetic information, or as a qualified individual with a disability or any other characteristic in accordance with applicable law.

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 through hybrid schedule. 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 CFSB is a full-service payments, lending and banking provider that delivers global financial services through a personal approach. CFSB is seeking a Sr Associate, Payments Fraud Analyst to provide processing and operational support to our Operations Teams. The Payments Fraud Analyst is responsible and accountable for the effective resolution of all fraud cases and serves as a main point of contact for all ACH claims. This Analyst acts as the operational expert for ACH fraud analytics and addresses fraud issues to ensure they are resolved in an efficient and timely manner, respond, and resolve ACH fraud issues of the highest complexity and maintain a strong knowledge of behavioral analytics and risk mitigating rules. Responsibilities: • Assists in designing processes/workflows for ACH Fraud enhanced monitoring., • Identify proactively when issues require escalation, and work independently with the Fraud Department and other areas within the bank., • Establishes himself/herself over time to be the subject matter expert on ACH Fraud and Risk Mitigation., • Research and resolve the highest-level escalated ACH fraud issues., • Acts as a liaison between internal team and partners to ensure smooth communication and issue resolution., • Conduct independent research for Unauthorized transactions/Fraud requests from client., • Analyzes complex problems and delivers solutions where a precedent may not exist., • Performs operational dashboard for tracking performance., • Maintains complete and accurate documentation/log of ACH Fraud activities and transactions, as required., • Performs daily reviews of exception and risk reports and acts based on transaction characteristics as appropriate and necessary., • Reviews potential fraudulent accounts for prevention and detection of fraud., • Communicate with staff and management with risk recommendations and remedies for preventing ACH fraud., • Responsible for reviewing new accounts for fraud risk indicators., • Ensure proper procedures are followed to minimize losses to the Bank and its customers, while maintaining quality service., • Delivers superior support to stakeholders., • Support other ACH operational related duties as assigned. Knowledge, Skills, and Abilities: • Strong Microsoft Office skills. Proficient in Word and Excel (including ability to create analytical spreadsheets, charts, and graphs)., • Demonstrated ability and initiative with a strong attention to detail.Education, Training, and Experience:, • Bank operations experience related to ACH, minimum 5 years or bachelor’s degree in related field and 1 year experience (ACH processing, Accounting, Risk Management or similar)., • Experience analyzing, researching, and resolving high risk transactions., • Experience interacting with senior level management (internally and externally)., • Experience with NACHA Rules and regulations. Salary: $85,000 - $90,000 K / year "Base salary range does not include performance-based bonus and/or other benefits, where applicable. Actual base salary offer will vary based on skills and experience." About Community Federal Savings Bank (CFSB) Community Federal Savings Bank (CFSB) is a federally chartered bank founded in 2001 and headquartered in New York City. CFSB has focused on providing superior service and added value to clients though a solid understanding of relationship banking. We offer a full range of services, including loans, bill payments, card services, internet banking, and merchant processing. We are an equal opportunity employer and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, military and/or veteran status, or any other Federal or State legally-protected classes.

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

Job DescriptionJoin our expanding People team as Benefits Program Manager and champion a world-class benefits experience that fuels our global workforce. You’ll partner across the organization to craft a benefits ecosystem that draws talent, drives retention, and mirrors our dynamic, innovative culture. As part of the Total Rewards team this role will oversee all Program Management for our US Employee population. This role has a requirement of working in office 3 days per week, which may be subject to change based on team and business needs, as determined by the department leader. Please note that this requirement is subject to ongoing review and may be adjusted in the future. *Visa sponsorship is NOT available at this timeWhat You’ll Do: • Manage US benefits programs end-to-end: daily administration, vendor management and procurement, data cleanliness, QLEs, and employee support., • Manage relationships with external US benefits vendors and service providers to ensure high-quality service and cost-effective solutions., • Manage and support US Leave of Absence programs with the wider People team ensuring efficiency, consistent experience for employees, and compliance., • Audit US benefits data and billing to ensure accuracy for enrollments, invoices, QLEs, etc., • Work with Payroll and Accounting to audit and ensure accurate US employee benefit deductions, contributions, funding and payments., • Assist in developing and leading education and communication strategies to enable US employees to comprehend and successfully utilize our benefit programs. Promote employee utilization of the resources available to them for benefits assistance, education, and claims support., • Support the monitoring and reporting on US benefits plan performance, utilization, and employee satisfaction to identify trends, cost drivers, and areas for improvement., • Oversee compliance with all federal and state regulations governing health and welfare plans, including COBRA., • Provide support for global benefits programs as needed, collaborating with the Senior Total Rewards Analyst., • Assist with the creation and maintenance of US benefits program documentation such as descriptions, workflows, policies, guidelines, etc., • Any other tasks that may be assigned to help the company meet its goals.What You’ll Bring:, • 4+ years of successful proven experience as a US Benefits Manager or similar position., • Strong knowledge of benefits and healthcare in the US is required., • Strong understanding and practical application of US benefits rules and regulations., • Detail-oriented with strong analytical, problem-solving and decision-making skills., • Strong analytical skills with the ability to collect and analyze data using basic and intermediate analysis techniques in MS Excel / Google Sheets (sort/filter, vlookups, index/match, pivot tables, etc.), • Excellent organizational skills with the ability to work independently and effectively with minimal supervision., • Strong communication skills to successfully interact with various levels of the organization such as Individual Contributors, Managers, Finance leaders and more., • Strong project management skills to drive tasks and projects to completion., • Practical experience with UKG Pro or similar benefits / HRIS platforms., • Experience with GSuite, Slack, and Zoom applications or other similar collaboration tools is a must. About FloQast:FloQast is the leading Accounting Transformation Platform in accounting workflow automation created by actual former accountants for accountants. By streamlining and modernizing daily accounting tasks, FloQast helps teams collaborate more effectively and complete their work with greater efficiency and precision. This cloud-based, AI-powered software is trusted by over 3,000 accounting teams, including those at Snowflake, Twilio, Instacart, and The Golden State Warriors—and continues to grow. Our mission is to continuously elevate the accounting profession, enhancing both its practice and perception. Our values act as a guiding compass, shaping every decision we make, and are non-negotiable, particularly in our hiring process. Alongside our employees, partners, and customers, we embody these values every day:Unwaveringly Authentic Ambitious with IntegrityEmpowered to GrowCommitted to CollaborationCustomer Obsessed in All Ways FloQast is regularly rated as a Best Place to Work!- Inc. Magazine’s Best Workplaces in 2024, 2023, 2022, and 2021- Best Places to Work by LA Business Journal since 2017 (that’s 8 years!)- Built In’s Best Place to Work in Los Angeles 6 years in a row! Because we are Customer Obsessed in All Ways, check out what our customers have to say about FloQast on G2 Crowd. If this aligns closely with what you are looking for, hit “Apply” and come join our growing team! FloQast, Inc is committed to operating fair and unbiased recruitment procedures allowing all applicants an equal opportunity for employment, free from discrimination on the basis of religion, race, sex, age, sexual orientation, disability, color, ethnic or national origin, or any other classification as may be protected by applicable law. We aim to recruit the right people for the jobs we have to offer, and to assess applications on the basis of relevant skills, education, and experience. We welcome people of different backgrounds, experiences, abilities, and perspectives. We are an equal opportunity employer and strive to provide a professional and welcoming workplace for all employees. Link to FloQast Recruiting AI Usage Policy We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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 Job Title: Senior Business Analyst - Consultant Primary Location: Remote, Open to US Based Candidates Position Type: Contract- 3-4 Months with Possibility of Extension Overview TalentFish is hiring a Senior Business Analyst for a 34 month consulting engagement with potential for extension. This BA will work closely with a high-performing Sr. Project Manager and will be responsible for requirements, analysis, and solution alignment on key digital transformation initiatives involving Unqork and InsureMo . We are seeking an experienced, sharp, senior-level BA with a demonstrated track record of successful consulting engagements , strong insurance domain expertise, and the ability to thrive in a fast-paced, client-facing environment. What You Bring to the Role. (Ideal Experience): • 58+ years of Business Analysis experience , preferably in consulting or professional services environments., • Strong insurance background , ideally consumer insurance (e.g., auto, home, renters, personal lines)., • Hands-on experience with Unqork and InsureMo platforms., • Proven ability to partner closely with senior-level PMs and executive leadership to drive clarity, deliverables, and decision-making., • Strong experience leading requirements gathering , process mapping , user stories , and acceptance criteria ., • Demonstrated success delivering BA workstreams on digital transformation , workflow automation , or underwriting/claims platform initiatives., • Excellent communication skills, able to translate business needs into clear functional and technical requirements., • Experience supporting agile SDLC environments, ceremonies, and cross-functional collaboration., • Lead end-to-end business analysis for digital insurance initiatives built on Unqork and InsureMo ., • Conduct interviews, workshops, and working sessions with business stakeholders and technical teams., • Translate business needs into detailed requirements , user stories , workflows, and documentation., • Partner with the Senior Project Manager Leader to drive timelines, priorities, and solution decisions., • Analyze existing processes and recommend improvements to enhance customer experience, operational efficiency, and system performance., • Support sprint planning, backlog grooming, UAT preparation, and defect triage., • Serve as the liaison between business, product, and technical teams ensuring alignment and traceability throughout the project. This role requires authorization to work in the U.S. without current or future visa sponsorship. All offers are contingent upon the completion of a background check, which may include but is not limited to reference checks, education verification, employment verification, drug testing, criminal records checks, and any required certifications or compliance requirements based on the end client's background check policies and applicable laws. TalentFish is an employee-owned company pioneering a new realm in talent acquisition. We are redefining IT staffing by evolving AI, video screening, and our unique platform. TalentFish focuses on providing the best employee, consultant, and client experience possible. At TalentFish we are an Equal Opportunity Employer; we embrace and encourage diversity!

Job DescriptionWhy Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you. About the Role The Commercial Strategy Analyst will play a critical role in streamlining the operational functions of the team's go-to-market strategy. This person will not only be responsible for identifying improvements but will also refine our processes for tracking end-to-end contracting and partnership management. The responsibilities of this role will impact broader payor strategy and help drive our Commercial KPIs, many of which are top organizational priorities for leadership. This position will necessitate profound attention to detail and proactive cross-functional collaboration to deliver valuable insights to the organization. This person will be intellectually curious and eager to develop a deep understanding of payor workflows and stakeholder relationships at a fast-paced, mission-driven organization. Our team is comprised of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to increase access to mental healthcare and profoundly impact millions of lives. Responsibilities • Partner with health plan stakeholders to build and develop end-to-end payor relationships, • Build and leverage in-depth knowledge of nuances in insurance market contracting, • Conduct and consolidate research related to payor workstreams and novel markets, • Collaborate closely with cross-functional teams (Finance, GTM, Legal, Compliance, RCM, etc.) to maintain health plan contracts, • Streamline development of go-to-market team processes, workflows, and tools, • Assist with scaling Commercial team initiatives over time to meet the needs of Charlie Health, • Analyze complex healthcare claims data to support competitive analysis and go-to-market strategy, • Support payor remediation efforts to streamline billing practices and improve revenue collectionsRequirements, • At least 2-4+ years of relevant professional experience, including 1–2 years in investment banking, consulting, or at a high-growth start-up, • Bachelor's degree in Business, Finance, Economics, or a related field, • Strong organizational skills with demonstrated ability to manage multiple projects and workstreams concurrently, • Proficiency in Microsoft Office Suite, including Word, PowerPoint, and advanced Excel; proficiency in SQL and Python is a plus, • Exceptional written and verbal communication skills, • Proactive self-starter with a strong sense of ownership and the ability to operate independently in fast-paced environments, • Resourceful problem solver with the ability to adapt quickly to changing priorities, • Meticulous attention to detail and a commitment to delivering high-quality work, • Strong analytical mindset with the ability to synthesize data into actionable insights; experience with healthcare analytics is a plus The total target base compensation for this role will be between $91,000 and $115,000 per year at the commencement of employment. In addition to base compensation, this role also offers a performance bonus. The expected total cash compensation range, including potential bonus, will be between $100,000 and $127,000 per year. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits. Our Values • Connection: Care deeply & inspire hope., • Congruence: Stay curious & heed the evidence. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: . Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

Job Description CLAIMS AND ENCOUNTER ANALYST II Setting: Hybrid - 2 days onsite / 3 days remote Salary Range: 105K - 110K Weekly Hours: 40 Schedule: Monday – Friday 8:30 AM – 5:30 PM Requirements: • Bachelor's degree is required; quantitative discipline is strongly preferred, • Three to five (3-5) years of managed care (Medicaid and Medicare) data analytics, • Proficiency in data analytics, i.e. SAS, SQL, one or the other, • Proficiency in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software, • Effective oral, written, and interpersonal communication skills

Sr. BA with expertise in Commercial Lines P&C insurance needed for a FT perm role out of their NYC downtown office in a hybrid basis Position Description: We are looking for a seasoned Senior Business Analyst (policy/UW in commercial insurance preferred with a claims minor) with extensive experience in the insurance sector. The ideal candidate will have a strong analytical mindset, excellent problem-solving skills, and the ability to communicate effectively with both technical and non-technical stakeholders. They should have a proven track record of successfully managing and delivering complex projects within the insurance domain. Skills, Knowledge and Abilities: • Solution, lead and drive projects to conclusion from a business point of view – time, budget, and scope definition., • Conduct thorough analysis of business processes and identify areas for improvement., • Collaborate with stakeholders to gather and document business requirements., • Design and implement innovative solutions to enhance business operations and drive efficiency., • Facilitate workshops and meetings to ensure alignment and understanding of project objectives., • Develop and maintain comprehensive documentation, including business requirements, process flows, and user stories., • Provide ongoing support and guidance to project teams throughout the project lifecycle. Education/Experience: • 10 to 15 years of experience as a Business Analyst within the insurance industry., • In depth knowledge and hands-on-experience on integrated platforms combining Policy - Administration, Rating, Forms, Billing, Financial Applications and 3rd party software such as CLUE, D&B, RiskMeter etc., • Claims experience a positive., • Strong understanding of insurance products, processes, and regulations., • Understands claims from operation system standpoint., • Excellent analytical, problem-solving, and decision-making skills., • Exceptional communication and interpersonal abilities., • Proficiency in business analysis tools and methodologies., • Experience with project management and agile methodologies is a plus., • Bachelor's degree in Business Administration, Finance, or a related field. A relevant certification (e.g., CBAP) is highly desirable. Vertex Solutions Inc. is an Equal Opportunity Employer and does not discriminate on the basis of race, color, creed, national origin, ancestry, religion, age, citizenship, sex, marital or veteran status, disability or handicap, sexual orientation or any other basis prohibited by applicable law.

Premier, global reinsurance firm seeking a Claims Operations Assistant. I have been supporting this client for 20+ years and I can sincerely say they have the best, most employee centric, corporate culture of any client I've worked with. Working closely with Claims, Underwriting and Finance as part

Sr. BA with Commercial Lines P&C insurance experience Full time, permanent Hybrid, 3 days in week in the NYC (downtown) Position Description: We are looking for a seasoned Senior Business Analyst (policy/UW in commercial insurance preferred with a claims minor) with extensive experience in the insurance sector. The ideal candidate will have a strong analytical mindset, excellent problem-solving skills, and the ability to communicate effectively with both technical and non-technical stakeholders. They should have a proven track record of successfully managing and delivering complex projects within the insurance domain. Skills, Knowledge and Abilities: • Solution, lead and drive projects to conclusion from a business point of view – time, budget, and scope definition., • Conduct thorough analysis of business processes and identify areas for improvement., • Collaborate with stakeholders to gather and document business requirements., • Design and implement innovative solutions to enhance business operations and drive efficiency., • Facilitate workshops and meetings to ensure alignment and understanding of project objectives., • Develop and maintain comprehensive documentation, including business requirements, process flows, and user stories., • Provide ongoing support and guidance to project teams throughout the project lifecycle. Education/Experience: • 10 to 15 years of experience as a Business Analyst within the insurance industry., • In depth knowledge and hands-on-experience on integrated platforms combining Policy - Administration, Rating, Forms, Billing, Financial Applications and 3rd party software such as CLUE, D&B, RiskMeter etc., • Claims experience a positive., • Strong understanding of insurance products, processes, and regulations., • Understands claims from operation system standpoint., • Excellent analytical, problem-solving, and decision-making skills., • Exceptional communication and interpersonal abilities., • Proficiency in business analysis tools and methodologies., • Experience with project management and agile methodologies is a plus., • Bachelor's degree in Business Administration, Finance, or a related field. A relevant certification (e.g., CBAP) is highly desirable. Vertex Solutions Inc. is an Equal Opportunity Employer and does not discriminate on the basis of race, color, creed, national origin, ancestry, religion, age, citizenship, sex, marital or veteran status, disability or handicap, sexual orientation or any other basis prohibited by applicable law.

Sr BAs with expertise in P&C Insurance needed for 1 year contract roles to be located HYBRID 3 DAYS in NYC downtown Position Description: We are looking for a seasoned Senior Business Analyst (P&C is a MUST, Specialty and/or Commercial is a plus) with extensive experience in the insurance sector. The ideal candidate will have a strong analytical mindset, excellent problem-solving skills, and the ability to communicate effectively with both technical and non-technical stakeholders. They should have a proven track record of successfully managing and delivering complex projects within the insurance domain. Skills, Knowledge, and Abilities: • Solution, lead and drive projects to conclusion from a business point of view – time, budget, and scope definition., • Conduct thorough analysis of business processes and identify areas for improvement., • Collaborate with stakeholders to gather and document business requirements., • Design and implement innovative solutions to enhance business operations and drive efficiency., • Facilitate workshops and meetings to ensure alignment and understanding of project objectives., • Develop and maintain comprehensive documentation, including business requirements, process flows, and user stories with supporting acceptance criteria., • Provide ongoing support and guidance to project teams throughout the project lifecycle. Education/Experience: • 10 to 15 years of experience as a Business Analyst within the insurance industry., • Claims experience a positive., • Strong understanding of insurance products, processes, and regulations., • Understands claims from operation system standpoint., • Excellent analytical, problem-solving, and decision-making skills., • Exceptional communication and interpersonal abilities., • Proficiency in business analysis tools and methodologies., • Experience with project management and agile methodologies is a plus., • Bachelor's degree in Business Administration, Finance, or a related field. A relevant certification (e.g., CBAP) is highly desirable Vertex Solutions Inc. is an Equal Opportunity Employer and does not discriminate on the basis of race, color, creed, national origin, ancestry, religion, age, citizenship, sex, marital or veteran status, disability or handicap, sexual orientation or any other basis prohibited by applicable law.

Proven ability to apply quantitative and/or qualitative research and data analysis techniques to improve operational processes; and to identify and interpret trends, patterns, and anomalies within complex datasets of trend information required. Strong understanding of data structures, relational dat

Amazon One Medical is hiring a Actuarial Manager Analyst. Associate of the Society of Actuaries (ASA) is required -Experience with Medicare or Medicare Advantage products -Strong knowledge of actuarial reserving, forecasting and medical economics -Expertise in working with medical claims data and us

Review for trends adversely impacting claims processing quality and highlight in written analysis. Accountable to perform quality assurance oversight of delegated vendors and administer EH Delegated Vendor Oversight Committee (DVOC) annual audits of the delegated arrangements.

Experience: You have 1-2 years of experience in employee relations, as a claims analyst, or in an investigatory role with the potential, motivation, and ambition to grow and thrive in a fast-paced environment.

Claims Complex Director - Healthcare Professional Liability (HPL). This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims Department of General Insurance (AIG Claims, Inc. The analyst will investigate losses, orchestrate defense strategies

Premier, global reinsurance firm seeking a Claims Operations Assistant.Please read the full description, claims processing experience is REQUIRED for this role.I have been supporting this client for 20+ years and I can sincerely say they have the best, most employee centric, corporate culture of any

The ability to influence claims and non-claims stakeholders by effectively directing claims strategy. Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. As a Claim Analyst III, you will be responsible for handling all aspects of multi-line, financia

The Reinsurance Analyst plays a key role in the technical processing of premiums and claims for assigned client accounts, maintaining strict adherence to Guy Carpenter's operational standards and guidelines. Actively participate in training sessions and contribute insights to enhance team and depart

The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. Senior Claims Research Analyst. Analyst, Claims Research serves as a senior-level subject matter expert in claims operations and research, leading the most complex and high-priority claims pro

Effective communication and management of key advanced complex claims and Inland Marine portfolio messages to internal stakeholders and customers/clients. Join us as a Marine Cargo Claims Analyst to play your part in that transformation.

Review and approve Major Loss Reports for domestic and international losses.Review reinsurance treaty contracts to ensure an understanding of their impact on various lines of business and apply treaties to loss analysis accordingly.Identify large losses and high-profile matters.Create and maintain E

Ensure future solutions are efficient and effective across all business processes, while being consistent across products. Knowledge and experience when reviewing, re-engineering, or developing IT solutions for business process/improvements automation.

Key Responsibilities Analyze processes and workflows to understand operations and end-user needs Develop, test, and maintain interface solutions to improve processes and enhance patient safety Troubleshoot integration issues and provide on-call support, ensuring effective system operation Requi

A company is looking for a Business Systems Analyst. Key Responsibilities: Collaborate with business partners to implement and migrate to the DomaniRx platform Utilize knowledge of pharmacy claims to identify and resolve defects and issues Develop and validate test cases to ensure successful mig

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

Litigation Specialist - Complex General Liability Claims - Bayonne, NJ Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard _. CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmen

We are looking for a seasoned Senior Business Analyst (policy/UW in commercial insurance preferred with a claims minor) with extensive experience in the insurance sector. Design and implement innovative solutions to enhance business operations and drive efficiency. Business Analyst within the insura

A claims analyst is responsible for reviewing and evaluating claims submitted by customers, ensuring their accuracy, eligibility, and compliance with company policies, by investigating claims, determining validity, and customer settlement (credit) amounts while maintaining detailed records and commu

Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. The ability to influence claims and non-claims stakeholders by effectively directing claims strategy. As a Claim Analyst III, you will be responsible for handling all aspects of multi-line, financia

The ability to influence claims and non-claims stakeholders by effectively directing claims strategy. Functional Area: CL - Claims AIG Claims, Inc. Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function.

The Quality Assurance & Data Analysis Unit is recruiting one (1) Administrative Staff Analyst NM2 to function as the Director of Quality Assurance for the Revenue and Reimbursement Office who will:. Perform an audit/quality control review of completed claims for accuracy and for compliance with Stat

Support contract performance management of a large health system.

Casualty Coverage And Mass Tort Claims Adjuster. Join us as a Casualty Coverage and Mass Tort Claims Adjuster to play your part in that transformation. In Casualty Coverage and Mass Tort Claims, we strive to live AIG's corporate values: Take Ownership, Set the Standard, Win Together, Be an Ally, Do

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