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Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Summary of role: As a Claims Business Analyst, you will be responsible for triaging operational issues and leading projects and tasks to completion. You will use your claims adjudication experience and TPA background to triage operational concerns, vendor issues, and related claims issues. Familiarity with Centivo’s claims systems (Javelina and HealthRules Payer) is preferred. You will coordinate with all business units and external vendors during client implementations and conversions to determine requirements. This role ensures seamless integration between internal and vendor systems to support client requirements and operational workflows. Additionally, you will lead key projects and tasks identified to improve efficiency of Centivo’s Claim team. This role will use data analytics and other tools to identify areas of improvement needed in the business, scope out the initiative, and then lead the project through to completion. Responsibilities Include: * Support the Centivo Claims Team with troubleshooting issues, identifying the root cause and magnitude, and then researching and recommending the best solution. * Effectively work with end-users and operational partners to identify business needs and to ensure implementations meet business requirements and appropriately address prioritized needs. * Assist with creating Process Flows on new initiatives and existing processes as needed. * Function as a liaison between business and technical resources to ensure people, processes, and solutions meet or exceed the needs of our Clients and Operational areas. * Work with business partners to identify and articulate business requirements in each area. Facilitate brainstorming sessions to review solution options that will solve business needs. * Assist and participate in the claims testing process for new technology, vendor, and processes. * Proactively keep abreast of vendor enhancements as well as how they integrate with existing solutions. * Collaborate with the Subject Matter Expert (SME) on all aspects of the functionality of the Claims systems and act as the primary liaison with the vendor for reported issues and enhancement requests. * Work with the team on oversight of the implementation of claims platform upgrades and supporting technologies. This includes coordinating user acceptance testing with the operational leads. * Proactively identify opportunities and recommend system solutions that increase automation, resolve system deficiencies, and enhance claims processing and reporting to meet and exceed business requirements. * Participate in the assessment of new technologies, new vendors, and any system enhancements being contemplated. * Participate in internal and external meetings for plan design, strategy, and setup. * Query data or create reporting to support analysis of issues, trends or specific reporting needs for clients or providers related to claim performance. Required Skills and Abilities: * Advanced problem-solving skills demonstrated by researching and resolving operational issues in a timely and accurate manner. * Demonstrated organizational skills and ability to work independently, problem-solve, and make decisions. * Demonstrated ability to work in a fast-paced environment managing multiple issues with the pressure of production schedules and deadlines. * Demonstrated ability to work collaboratively and influence others to drive results across multiple cross-functional teams. * Proficiency in Microsoft Office applications and other web-based software applications. * Demonstrated ability in running queries and performing data analysis to identify trends and issues. * Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others, including but not limited to reimbursement policy standards. * Strong interpersonal skills, establishing rapport and working well with others Education and Experience: * Candidates must have at least 5 years of experience within healthcare claims * Candidates must have 3 years of experience working as a Business Analyst * Candidates must have prior experience with a highly automated and integrated claim adjudication systems * Understanding of health insurance benefits administration in a self-funded environment Preferred Qualifications: * Experience working with El Dorado-Javelina or HealthRules Payer * Experience working at TPA * Experience with self-funded plans * Proficient in SQL, Tableau and JIRA * Intermediate to advanced proficiency in MS Excel Work Location: * Preference for Buffalo Office * Open to Remote Centivo Values: ● Resilient – This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don’t give up. ● Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon. ● Positive – We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Compensation Range: $80K - $100K

Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. The Recovery Analyst is primarily responsible for managing all file requirements from beginning to end for subrogation cases, No Surprises Act (NSA) disputes, and overpayment recoveries with the assigned third-party vendor. This includes researching paid claims, answering inquiries, coordinating with other departments, and adjusting claims based on overpayments of claims and settlements for both the subrogation and NSA processes. This individual will work as an effective interface between internal and external customers and maintain good member and partner relationships. Responsibilities Include: * Prepare documentation, review claim history, and other documentation related to overpayment, subrogation, and NSA requests. * Utilize available resources to investigate claim situations for overpayment, subrogation, and NSA cases. * Follow-up with responsible departments and delegated entities to ensure compliance. * Monitors daily and weekly inventory to ensure internal and regulatory timeframes are met. * Identify areas of potential improvement and provide feedback and recommendations to management on issue resolution, quality improvement, network contracting, policies and procedures, administrative costs, cost-saving opportunities, best practices, and performance issues. * Notifies the assigned vendors and clients of the subrogation and recovery interest; confers with other parties, internal departments, and clients concerning potential settlement or other actions. * Represents Centivo in meetings concerning recovery, subrogation, and NSA matters, including facilitating calls between Centivo’s third-party vendor and the client, to obtain final approval. * Maintain data entry requirements for all complaints and appeals. * Perform any other additional tasks or duties as assigned or required. Qualifications: Required Skills and Abilities: * Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others. * Must possess proven organizational, rational reasoning, ability to examine information, and problem-solving skills, with attention to detail necessary to act within complex environment. * Knowledge of applicable rules and statutes, of the process and principles of insurance and of basic subrogation and NSA concepts. * Ability to comprehend and produce grammatically accurate, error-free business correspondence required. * Ability to appropriately identify urgent situations and follow the appropriate protocol. * Requires the ability to plan, manage multiple priorities, and deliver complete, accurate, and timely results in a fast-paced office environment. Education and Experience: * High School diploma or equivalent required, Associate degree preferred. * At least one year of experience in health plan operations, claims processing, subrogation, or other experience directly related to position duties and knowledge. * Additional years of experience/training may be considered in lieu of educational requirements required. Preferred Qualifications: * Prior subrogation or NSA experience. Work Location: Candidates located within commuting distance of our Buffalo office will be considered for both in-person and hybrid roles. All other applicants will be considered for remote positions. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Compensation Range: $55K - $60K

Job Description Why This Role Matters As FP&A Analyst, you’ll be at the intersection of finance, operations, and strategy—helping leadership understand the story behind the numbers. Your work will enable our firm to make informed business decisions, allocate resources effectively, and support continued growth. This is a unique opportunity to apply your financial acumen to develop a forward-looking strategic financial planning approach to a 5+ year growth plan. Key Responsibilities • Financial Modeling & Forecasting: Develop, maintain, and improve financial models to support budgeting, forecasting, and long-range planning., • Business Partnering: Collaborate with project managers, principals, and business unit leaders to provide insights on project and office-level performance., • KPI Development: Track and report key performance indicators (utilization, profitability, backlog, etc.) to monitor financial health and operational efficiency., • Scenario & Ad-Hoc Analysis: Conduct scenario planning and sensitivity analysis to evaluate risks and opportunities., • 5+ years of experience in FP&A, corporate finance, or accounting. Experience in professional services or project-based industries (AEC, consulting, engineering) preferred., • Bachelor’s degree in Finance, Accounting, Economics, or related field. MBA, CPA, or CFA a plus., • Strong Excel and financial modeling skills (experience with BI tools such as Power BI, BI analytics)., • Proven background in developing and analyzing project performance and project cost along with resource and capacity plan modeling., • Experience working on M&A valuation at the organizational level., • Internal Mobility & Career Advancement, • Healthcare for you and your family including spouse coverage: Medical, Dental, Vision & Prescription insurances. Single Plans with 100% paid premium, • Flexible Time Off + 8 Holidays a year, • Retirement Savings Plan - Contribution from CPL to grow your retirement funds., • Tuition Assistance: You may be eligible for continuing education assistance., • Student Loan Assistance Program: CPL will contribute up to a maximum of $100 a month for 5 years ($6,000 total) towards student loan debt., • Licensure Assistance, • Long-Term Disability Insurance Company/team member premium sharing, • Flexible Spending Account $5,000 dependent childcare annually paid 100% by team member pre-taxes., • FREE Life Insurance and AD+D Insurance We believe that building a strong community is about establishing a prevailing sense of fellowship among our team members, friends, and neighbors. • Collaboration – working with others towards the best solution, placing great emphasis on the collective wisdom of our internal teams., • Family – celebrating others’ successes, genuinely caring about the happiness and well-being of our team members and recognizing their own families as extensions of the CPL family., • Fun – not taking oneself too seriously, fully understanding that fun at work is conducive to productivity., • Inspiration – contributing to an uplifting workplace that facilitates growth and success by maintaining a positive, upbeat attitude., • Integrity – doing what is ethically right and providing reliable follow-through on commitments. CPL does not accept unsolicited resumes from recruiting professionals or agencies, nor do we accept resumes from any source that does not reference a specific, open position. CPL will not be responsible for any fees arising from the use of resumes submitted by recruiting professionals or agencies that do not have a current placement fee agreement with CPL. All initial communication with recruiting professionals or agencies must go through our Talent Acquisition Team.

Position Title: Financial Analyst, Department of Medicine.Salary Range: $57,151 - $60,000.Financial or data analysis experience in a healthcare or research setting.Familiarity with utilizing Microsoft Excel to build reports, analyze, and visualize data from a variety of data sources.

Founded in 2018 and located in Omaha, Nebraska, Ventura MedStaff is a veteran-owned healthcare staffing agency that helps medical facilities meet their recruiting needs with the most qualified and talented medical professionals in their field.

Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare. Create new databas

We’re a growing, innovative team led by leaders from diverse clinical and healthcare backgrounds.

Create ETL and data pipeline solutions for efficient loading of data into the warehouse. Experience with data modeling and system design architecting scalable data platforms. Collect, validate, and provide high-quality data, ensuring data integrity.

Bring your energy to the role of Netflix Data Analyst to adapt to shifting priorities and business needs, work collaboratively across teams and departments, and provide excellent service to customers and team members.

Fixed Income Data Solutions Analyst.

Works with external analysts and manages research report gathering. Presents insights from market data to assist the planning teams Additional responsibilities as assigned or requested.

We are seeking an experienced healthcare IT leader to serve as Interim Director of Clinical Systems & Informatics, with oversight of Meditech Client/Server, Athena One, and Clinical Informatics initiatives. The Interim Director will provide hands-on leadership in system administration, clinical work

Principal CSR Analyst Job Duties: Provide leadership and input in building the long-term business model and offering set Run competitive analysis to help define a build / buy / rent strategy for obtaining

Requirements: Attend a 23-week paid training program to gain skills and certifications in intelligence reporting, technical writing, data analysis, record keeping, analytic analysis, and intelligence collection. Benefits: Comprehensive Healthcare, Vision, and Dental plans. Similar Career Fields Incl

Works with external analysts and manages research report gathering. Presents insights from market data to assist the planning teams Additional responsibilities as assigned or requested.

Intelligence Analyst Job Overview: We are currently seeking a highly motivated and detail-oriented individuals to join our team. You will play a crucial role in supporting our decision-making processes by providing insightful analysis of various data sources. Requirements: Attend a 23-week paid trai

Connecting Power BI to SQL Server databases and analyzing data to get insights. Updating SQL tables with new data, cleaning up data, and refreshing Power BI dashboards. Using SQL for data querying, data wrangling, and creating measurement frameworks.

QA Analyst Remote Job Duties: • Partner with the product and engineering team to understand project objectives, gather requirements, troubleshoot issues, and implement scalable test solutions • Design

The Data Governance Foundation Sr Lead Analyst is responsible for leading activities that contribute to the definition of the Enterprise Data Governance Strategy, and/or Data Risk and Control Framework and Data Risk Taxonomy, and plays a critical role in leading activities to support implementation

Establish and build Supplemental Health Care’s reputation and brand throughout the market while recruiting and retaining field talent and clients using while promoting the core values of caring, expertise and service.Achieve individual performance goals by operating the Supplemental Way in exceedi

Data visualization or data querying applications are a plus. Conduct technical research, prepare/analyze financial, tax and/or regulatory information to provide to senior management, regulators, internal/external audit and other interested parties; adherence to internal controls while ensuring the q

Endeavor Health Services is looking for an experienced and passionate Community Based Peer Specialist to join our team.The Community Based Peer Specialist is an integral part of our team, providing a unique and invaluable contribution to our mission.The Community Based Peer Specialist will have the

We are seeking an Analyst who will be an integral part of Grand Island finance team to support the delivery of our near and long-term financial objectives. Job Title: Financial Analyst III. Support Sr Manager with data analysis on Plant Performance including monthly report outs to leadership - focus

Women's Healthcare Representative Job Duties: Developing and executing a strategic business plan for managing the territory. Leverage data and customer knowledge to build product discussions around HCP's and patients' needs. Utilizing

May be involved in exploratory data analysis, confirmatory data analysis and/or qualitative analysis. Identifies data patterns & trends, and provides insights to enhance business decision making capability in business planning, process improvement, solution assessment etc. Translate data into consum

Reporting to the Department Manager, the Ecommerce Data Analyst is responsible for analyzing documents and preparing customs shipments. The candidate will also be responsible for uploading data into the system, ensuring the accuracy and efficiency of all customs processes. Attention to detail and ab

This is a Hybrid position in Getzville and will require, at Minimum, 3 days a week in office.Are you looking for a career move that will put you at the heart of a global financial institution? Then bring your self-starter skills in analysis, problem solving and communication to Citi's Operational Cl

Staples is business to business.Hunts within defined territory to prospect and win net new small to medium business customers.B2Bs are also responsible to ramp and onboard net new won accounts to further expanding our customer base.It is a high velocity sales position that leverages a prioritized ca

Perform data entry and utilize systems as a source of research analysis.

Senior Manager, Canadian Resource Centre (CRC) – Data and Analytics. Senior Manager, Canadian Resource Centre (CRC) – Data and Analytics. Conduct annual budgeting, forecasting, and FTE modeling using data analytics tools.

The Coding Specialist will work with a team to conduct a variety of daily tasks, including preparing clean and timely document for claim submissions, maintaining precise data, and collaborating with our billing to team obtain payment. Review the previous day's data of participant notes for evaluatio

Demonstrate a working knowledge of finance and accounting concepts through the aggregation of financial data. Compile facts, analyze data and provide input into recommendations to management on findings/trends. Research and compile raw data from varied sources into moderately complex reports and sch

Clinical Data Coordinator Job Duties: Support laboratory data management procedures including authoring and reviewing data transfer plans, overseeing data transfers, processing and storage of data. Assist lead Biomarke

MNCV is seeking genuine voices to shape the future of Canadian products and services.Join our established market research consulting group where you can directly influence brands and products used by millions.This unique opportunity combines meaningful work with competitive compensation and schedule

High school diploma with at least 5 years of relevant experience, preferably in customer service or data entry. Title: Data Entry Specialist/Platform Specialist. Provide general support to the team, assisting with workflow and data management.

Works with external analysts and manages research report gathering. Presents insights from market data to assist the planning teams Additional responsibilities as assigned or requested.

As the Program Controls Analyst, you will be responsible for both the financial and schedule performance of the program. A good Program Controls Analyst blends both aspects of cost management and schedule performance to provide both insight into current performance but to assist the organization in

Conduct thorough analysis of financial statements and assessment of credit requests, including new requests, changed requests, refinancing and annual due diligence Provide recommendations tied to analysis and assessment of credit risk Present analysis, findings, and recommendations to managers, espe

Job Title: Family Peer Support Specialist – Per Diem.Department: Family Peer Support.The Family Peer Support Specialist is responsible for providing direct services to families caring for or raising a child experiencing social, emotional, developmental, medical, substance use, and/or behavioral ch

Plan and direct studies of public health problems to find ways to prevent and treat them if they arise Collect and analyze data—through observations, interviews, and surveys, and by using samples of blood or other bodily fluids—to find the causes of diseases or other health problems Communicate

Family Peer Support Specialist - Per Diem.The Family Peer Support Specialist is responsible for providing direct services to families caring for or raising a child experiencing social, emotional, developmental, medical, substance use, and/or behavioral challenges.Services support the child's ability

Monitor their organization’s networks for security breaches and investigate a violation when one occurs Install and use software, such as firewalls and data encryption programs, to protect sensitive information Prepare reports that document security breaches and the extent of the damage caused by

THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career.Challenging Work Feel inspired with great case diversity and over 40,000 visits coming into the U.Army medical facilities and clinics around the wor

Essential Duties and Responsibilities Collaborate with Finance, Sales and Operations departments to forecast product revenues Develop and implement marketing plans for new and existing products Manage, proactively, marketing programs and influence cross-departmental programs to ensure achievement o

Are you an experienced Accounting Analyst looking for a new opportunity? Look no further! StaffBuffalo is actively working with one of our growing clients in the Northtowns. This Accounting Analyst will maintain files in QuickBooks for multiple clients, including credit card activity, reconciling mo

Operations Analyst Job Duties: Identifies project requirements by interviewing customers; analyzing operations; determining project scope; documenting results; preparing customer contracts.

Must have strong data analysis, markets operation experience, and understand product lines.

Job Summary Under the general supervision of the Clinic Manager, the Medical Assistant performs basic and other patient care services for which the Medical Assistant has received instructions and demonstrated competency.Responsibilities and Duties 1.Prepares exam rooms for patient visit using infe