Business Analyst jobs in the Medical & Health category in New York

Major NYC Healthcare corporation is seeking a Business Analyst to join their team. Job title: Business Analyst Reports to: AVP, Primary Care Services Term: To begin immediately; minimum term of 90 days Requirements: Successful candidate will have deep experience in data analysis and reporting along with solid understanding of healthcare delivery systems and medical education/training. This job wil...
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Job Title:Reimbursement Analyst Position Summary: Location: US-NY-New York City Overview: The Reimbursement Analyst provides business expertise on reimbursement projects, fee schedule analysis, and accurate payment. Provide technical expertise on data mining, analysis, and creating fee schedule load files. Responsibilities: Accurately prepare the rates to be added to the claim system, and accurate...
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DescriptionMajor NYC Healthcare corporation is seeking a talented Senior Systems Analyst to join their team. The Senior Systems Analyst will report directly to the Director of Finance Managed Care Planning & Analysis. The analyst will be engaged in Breakthrough Six Sigma Process Improvement activities to increase the Corporation’s charge capture efforts and revenue capture. The analyst will primar...
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Appeals Res Analyst II – RN: Job Summary: This position is responsible for handling all Utilization Management medical appeal cases. Ensures that timeliness guidelines are met and appeal handled in compliance with regulatory requirements of various agencies including but not limited to NJ/Federal regulations. Responsibilities: Evaluates the necessity, appropriateness and efficiency of medical serv...
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Job Summary: This position is accountable for the detection, investigation, resolution and prevention of utilization abuse and mismanagement of BCBS benefits by providers and subscribers. Assists in the development and implementation of all projects and programs, which support the Plan's Cost Containment efforts. Responsibilities: Identify possible cases of abusive billing or inappropriate treatme...
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