Claims Processing Jobs in New York

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Search Results - Claims Processing Jobs in New York

Claims Business Analyst (W2 Contract)

Pride Health-New York-today

Job Summary We are seeking a highly experienced Lead Claims Business Analyst to support a large-scale Core Processing System transformation. This role focuses on medical and behavioral health claims processing across government and commercial lines...

Claims Team Lead

Pride Health-New York-yesterday

/hour Job Summary Pride Health is seeking an experienced Lead Claims Business Analyst for a contract opportunity in New York, NY. This role will serve as the primary point of contact for the Claims Processing workstream, supporting system...

Data Quality Analyst

Horizontal Talent-New York-today

and Excel for data analytics. • Experience in claims processing and handling high-volume inquiries. • Strong analytical skills and attention to detail. Preferred Skills • Ability to work independently and anticipate data issues proactively. • Excellent...

Claims Specialist

Pride Health-New York-yesterday

processing in compliance with healthcare guidelines and policies. Responsibilities • Research and analyze medical claims adjustment requests and supporting documentation • Adjust and adjudicate claims for overpayments or underpayments • Apply appropriate...

Business Process Specialist

Pride Health-New York-today

Migration) • Duration : 3-6+ (Extendable) • Location : New York NY (Hybrid) • Pay Rate : $65-$70/Hr. Job Summary We are seeking a detail-oriented Provider Network Operations Analyst to support the migration to HealthRules Payer (HRP), a core claims...

Claims Business Analyst (W2 Contract)

Pride Health-New York-yesterday

Job Description Job Summary We are seeking a highly experienced Lead Claims Business Analyst to support a large-scale Core Processing System transformation. This role focuses on medical and behavioral health claims processing across government...

Analyst, Data Exchange

DiversityJobs-New York-mindmatch.ai-yesterday

our Enterprise Health Platform, to service their own pharmacy administrative needs. The Enterprise Solutions team seeks individuals who are passionate to change the landscape of claims processing while providing superior service. This individual...

Data Quality Analyst

Pride Health-New York-yesterday

and quality assurance, supporting healthcare operations and ensuring accurate claims processing and data integrity. Responsibilities • Respond to provider claim inquiries and ensure timely resolution • Review, validate, and maintain accuracy of healthcare data...

Manager, Pharmacy Pricing Appeals

DiversityJobs-New York-mindmatch.ai-yesterday

with and understanding of pharmacy claims processing, pharmacy adjudication systems, and reimbursement workflows. Knowledge of state or federal pricing appeal laws. Intermediate level of proficiency with Microsoft Excel, Word, PowerPoint. Proven track record...

Director, Claims(Preferred Experience In Medicare & Must Live In New York)

CareSource-New York-yesterday

Job Description Job Summary: This position is responsible for directing the overall functions of claims processing, including claims adjudication, provider relations, data analysis, reporting and process improvement. Provides oversight...

Underwriting Data Analyst

DiversityJobs-New York-mindmatch.ai-yesterday

Analysts support claims processing and templated code requests for both new and current business . Why youll love working here: You will make a tangible impact on society.Your workwill directly improve healthcare experiences for millionsas we code new...

Accounts Payable Assistant

Pride Health-New York-today

of experience, ideally in healthcare insurance or claims processing Knowledge of medical terminology, CPT, ICD, and revenue codes Strong data entry, problem-solving, and time management skills Proficiency in PC applications Pride Global offers eligible...

Insurance Subject Matter Expert (remote, US) - Chinese, Arabic, or German Speaker

DataForce by TransPerfect-New York-join.com-1 week ago

models used in underwriting, claims processing, risk assessment, and pricing. • Identify gaps, biases, and limitations in existing models and contribute domain insights for improvement. • Validate AI outputs against real-world insurance practices...

Claims Processor - Work from Home

Sagility-New York-2 days ago

and resolution of medical claims ranging from simple to moderately complex. This includes reviewing front-end claims and validating information submitted by patients or providers seeking reimbursement from the insurance company. All claim processing must align...

Director, Claims System Configuration and Processing

New York-vnshealth.org-3 weeks ago

Overview: Leads the development and execution of strategic goals and objectives for claims system configuration, claims processing operations, and payment integrity programs across all VNS Health managed care lines of business. Accountable...