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Company: David creates tools to increase muscle and decrease fat. Our first product is a protein bar. More broadly, David is a platform to develop high-protein, low-calorie, blood-sugar-friendly foods that are craveable. This is a compelling opportunity to be a part of an exciting new food ...

Company Description At Consensus Health, we believe better healthcare begins with a community of strong, independent providers delivering high quality, compassionate patient care with improved outcomes. As New Jersey’s fasting growing independent medical group, Consensus Health offers full c...

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 cultu...

Senior Analyst – Corporate Restructuring Financial Advisory ***CPA LICENSE REQUIRED*** - Location: New York, NY - In-office / On-site position (100%) - CPA license REQUIRED - Compensation: $90,000 to $110,000 base salary (commensurate with experience) plus competitive bonus potential and ...

Reporting to the Assistant Manager- Operations, the Claims Operations Assistant shall be responsible for, but not limited to, processing all aspects of claims information in our risk and accounting systems for all books of business written. Provide Support to (Assistant) Manager with training and...

Job Description Goodwill NYNJ Financial Analyst – Grants and Contracts Position Summary Come join a growing team with opportunities to drive transformative change! Reporting to the Senior Fiscal Officer, the Financial Analyst is a key role within the Financial Planning and Reporting team whi...

The Senior Claims Analyst is responsible for the handling of California jurisdiction medical only Workers Compensation claims to ensure timely and accurate processing and superior customer service. The Senior Analyst is accountable for the accurate determination of the proper amount due the insur...

Reporting to the Assistant Manager- Operations, the Claims Operations Assistant shall be responsible for, but not limited to, processing all aspects of claims information in our risk and accounting systems for all books of business written. Provide Support to (Assistant) Manager with training and...

This approach helps us work together effectively and create a supportive, connected environment for Claims Analyst, Analyst, Claims.

Were thrilled that you are interested in joining us here at the Amynta Group!.We are looking for a Claims Adjuster to effectively handle Ambridge claims.This role involves dealing with clients on claims issues when appropriate, and liaising with brokers, third parties, vendors, and/or counsel to ...

Adhere to Ambridge Claims Guidelines, Lloyd's Minimum Standards for Claims Management, applicable binding authority (BA) and service level agreements (SLA), with deviations occurring only with prior authorization by the relevant Head of Claims. Dealing with clients on claims issues when appropria...

Amazons Global Risk Management and Claims team is seeking a Risk Analyst to assist with the development and management of Amazons corporate insurance programs, including supporting insurance program management, contract review, and implementing risk management tools and techniques for new and exi...

Kforce has a client in NYC that is seeking an Operations Analyst. The Operations Analyst will set up and process claims in accordance with company procedures. The Operations Analyst will communicate with offshore support teams to coordinate and follow up on tasks and processes.

We are looking for a Financial Lines Complex Claims Analyst - Employment Practices Liability ("EPL"). Complex Claims Analyst will proactively investigate, evaluate, and negotiate resolution of assigned primary and excess EPL claims, in accordance with established best practices. In addition, the ...

This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing and pursuing appeals opportunities with payors and networks, and reporting performance on underpaid claims. Prepares Adhoc payor performance metrics detailin...

Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. As a Claims Analyst III, you will be responsible for handling Employment Practi...

This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing and pursuing appeals opportunities with payors and networks, and reporting performance on underpaid claims. Prepares Adhoc payor performance metrics detailin...

The Claims Quality Analyst is responsible for reviewing claims to determine if payments have been made correctly. Participate in quality projects as required. Minimum of 4 years of experience performing claims quality audits in a NYS-based managed care setting.

We are seeking multiple skilled Healthcare Payer Business Analysts to support ongoing efforts to integrate core plan applications, such as claims processing systems, enrollment platforms, billing systems, and provider data management tools. Business Analyst in the healthcare payer domain.

Evaluating claims that involve complex liability issues on primary and excess EPL claims. Negotiating and resolving complex EPL claims ensuring cost effective, service-orientated solutions, within granted autonomy limits. Underwriting, Operations) and effectively reporting and presenting complex ...

Kforce has a client in NYC that is seeking an Operations Analyst. The Operations Analyst will set up and process claims in accordance with company procedures. The Operations Analyst will communicate with offshore support teams to coordinate and follow up on tasks and processes.

Job Description Hi, we're Oscar. We're hiring a Senior Analyst to join our Provider Data Operations team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance ...

Job Description Our Vision: To make New York City the global model for inclusive innovation and economic growth, fueled by the City's diverse people and businesses. Our Mission: Creating a vibrant, inclusive, and globally competitive economy for all New Yorkers. POSITION OVERVIEW: The Vice ...

Job Description Hi, we're Oscar. We're hiring a Senior Analyst to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company...

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 Netw...

Job Description Salary is 130k to 150k + bonus We are seeking a detail-oriented Sr Data Analyst with strong SQL skills and a background in Property & Casualty (P&C) insurance or reinsurance. The ideal candidate will play a critical role in transforming data into actionable insights to support ...

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...

Job Description About the Role We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external stakeholders to analyze, define and manage requirements to launch new product & services. The ideal candidate will have worke...

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 candidat...

Job Description Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We're an innovative organization that's small enough to be agile and big enough to make a difference in our industry. Our collaborative workplace is continu...

Job DescriptionAbout Us: Building Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to ...

Job Description Job Title: Claims Dispute Resolution Analyst Labor Grade: FLSA: Exempt Department: Health Fund Reports To: Interim – Manager, Health Fund Operations Summary: Reporting to the Manager of Health Fund Operations on an interim basis, the Claims Dispute Resolution Analyst w...

Job DescriptionSalary: About the role: This role will work as part of the treasury team at Cartiga, and report to the Corporate Treasury Manager. The Treasury and Funding Analyst will play a critical supporting role by ensuring that consumer and commercial claim advances are processed accurate...

Job Description The Health and Dental Claims Analyst is responsible for reviewing, analyzing, and processing health and dental insurance claims. The role ensures that claims are adjudicated accurately and in accordance with policy provisions, guidelines, and regulatory requirements. The ideal can...

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 di...

Chubb North America Claims seeks a Data Call Analyst to assist with, and manage the day-to-day recurring weekly, annually, and monthly data calls related to Personal Lines, Property, Casualty, Automobile, Marine, Professional, Accident & Health. Upon receipt of a new data call from a state regula...

Ensuring all claims handled within authority limits, and in line with AzC Claims complex procedures and guidelines. Timely inputting and maintaining accurate claims records for designated accounts, within appropriate AzC Claims administration systems, managing timely production of management info...

For more than 30 years, this health plan has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.They provide the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Islan...

Knowledge of healthcare claims and claim processing from receipt through encounter submission. Understanding of Healthcare EDI Claims transactions preferred. Molina Healthcare offers a competitive benefits and compensation package.

Epic Billing and Claims Senior Analyst. Epic Hospital Billing/Professional Billing modules. Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims.

Reporting to the Assistant Manager- Operations, the Claims Operations Assistant shall be responsible for, but not limited to, processing all aspects of claims information in our risk and accounting systems for all books of business written. Previous claims and claims processing experience essenti...

Previous claims and claims processing experience essential. Reporting to the Assistant Manager- Operations, the Claims Operations Assistant shall be responsible for, but not limited to, processing all aspects of claims information in our risk and accounting systems for all books of business writt...

Reporting to the Assistant Manager- Operations, the Claims Operations Assistant shall be responsible for, but not limited to, processing all aspects of claims information in our risk and accounting systems for all books of business written. Previous claims and claims processing experience essenti...

Reporting to the Assistant Manager- Operations, the Claims Operations Assistant shall be responsible for, but not limited to, processing all aspects of claims information in our risk and accounting systems for all books of business written. Previous claims and claims processing experience essenti...

The Claim Analyst will play a pivotal role in enhancing the efficiency and effectiveness of the claims department by evaluating and refining processes, conducting comprehensive data analysis, and ensuring compliance with all applicable State, CMS, and contractual guidelines. Support stakeholders ...

Adhere to Ambridge Claims Guidelines, Lloyd's Minimum Standards for Claims Management, applicable binding authority (BA) and service level agreements (SLA), with deviations occurring only with prior authorization by the relevant Head of Claims. Dealing with clients on claims issues when appropria...

Role: Business Analyst with Guidewire Claims. Required Skills: Business Analysis, Guidewire, Claims. Proven track record for claims system implementation and support.

Support stakeholders in claims appeals: review and track claims appeals and grievances, prepare reports, and provide status updates to ensure timely and accurate resolution. Claims adjudication and understanding of claims PPS is strongly preferred. The Claim Analyst will play a pivotal role in en...