Analyst jobs at MVP Health Care

At MVP Health Care, we're on a mission to create a healthier future for everyone which requires innovative thinking and continuous improvement. To achieve this, we're looking for an Overpayment Recovery and Monitoring Analyst to join #TeamMVP. If you have a passion for managing audits, medical coding, and analytical thinking and this is the opportunity for you. **What's in it for you:** + Growth opportunities to uplevel your career + A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team + Competitive compensation and comprehensive benefits focused on well-being + An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work** for and one of the **Best Companies to Work For in New York** **Qualifications you'll bring:** + Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered. + Coding certification, such as AAPC CPC, CIC, COC, CCS is required. + The availability to work full-time, virtual in New York State + A minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing and/or reviewing in relevant healthcare industry experience. + Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies. + Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving skills and attention to details. + Ability to initiate education with providers and make internal recommendations for process improvements. Goals and outcomes of the recommendations and education must be measurable. + Curiosity to foster innovation and pave the way for growth + Humility to play as a team + Commitment to being the difference for our customers in every interaction **Your key responsibilities:** + Manage recurring audit inventories, ensuring timely progression and completion of existing audits. + Identify and initiate new audits as patterns emerge through risk-based monitoring efforts, datamining, and other routine payment policy reviews. + Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types. + Report suspected fraud and abuse to the SIU for further investigation and identify providers in need of education. + Collect and validate Key Performance Indicators (KPI's) from payment integrity functions across the organization. + Assist in the reporting of monthly metrics and participate in cross-functional audit operations. + Handle department projects, participate in committees relevant to payment integrity, and support process improvement efforts. + Participate in training and development activities within the department and corporation. + Perform other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy. + Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature. + Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. **Where you'll be:** Virtual within New York State \#cs **Pay Transparency** MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. **MVP's Inclusion Statement** At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** . **Job Details** **Job Family** **Legal** **Pay Type** **Salary** **Hiring Min Rate** **56,200 USD** **Hiring Max Rate** **82,000 USD**

Technology Business Analyst / Data Analyst We are seeking a skilled Technology Business Analyst / Data Analyst to join our technology organization. The role focuses on gathering business requirements, delivering technical solutions, and supporting adoption of technology solutions that optimize business processes. The analyst will work closely with internal teams, stakeholders, and external vendors. Responsibilities Analyze business processes, systems, and workflows to identify opportunities for improvement. Gather and document business requirements, user stories, and use cases. Translate requirements into technical specifications and solution designs. Design scalable, reliable, and high-performance software solutions. Define system architecture, including data models, application layers, integration points, and interfaces. Lead and participate in cross-functional project teams to deliver solutions on time and within budget. Create project plans, schedules, and resource allocations; track progress and manage risks. Collaborate with developers, QA teams, and stakeholders to ensure alignment between business needs and technical solutions. Execute manual UAT and production testing to validate functionality and data accuracy. Maintain documentation and support team knowledge sharing. Experience Level Domain experience in asset management or similar industries, with familiarity in investment workflows and data flows. Proven experience as a Business Analyst or Software Architect in technology-driven environments. Strong understanding of Agile or Scrum methodologies. Proficiency in business process modeling, requirements elicitation, and documentation. Strong analytical, problem-solving, and decision-making skills. Excellent communication and interpersonal skills to collaborate across teams. Willingness to participate in on-call rotations and after-hours support. Bachelor's degree in Computer Science, Information Systems, Business Administration, or related field. The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.

Supports GPA department functions and staff by performing actuarial analyses and calculations, preparing reports, participating in meetings, and participating in various actuarial projects. Essential Job Functions: Support TMHD actuarial governance procedures for insurance liabilities. This could include assisting in the preparation of TM Group actuarial policies, reviewing governance-related submissions from individual group companies, and performing research on governance best practices and procedures. Gather, prepare, and reconcile data for actuarial loss reserve reviews of individual group companies. Perform the first draft of the actuarial loss reserve reviews, including method selections, assumption selections, and final reserve estimate selections. These steps would be performed under the direction of one of the managers of the GPA department. Assist in research to support the actuarial loss reserve process reviews performed on individual group companies by the GPA department, including recommending best practice improvements. Support projects being performed by the International Actuarial Reserve Committee (IRAC) or those assigned to the GPA department. This could include TM Group reserve-related dashboard compilations, Reserving Modernization projects, and industry research and reporting. Contribute to reviews of group-wide financial reporting for premium reserves and insurance liabilities for IFRS17 and ICS accounting standards. Support projects undertaken by the GPA department actuarial modernization lead. Qualifications: 2+ years' prior property/casualty actuarial experience. 3+ actuarial exams completed. Understanding of statistical methods and actuarial tools and techniques. Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving actuarial, operational or process problems. Ability to understand solutions that resolve problems in the best interest of the business. Analytical and reasoning skills with the capability to determine the root cause of actuarial problems. Ability to process actuarial-related information with high levels of accuracy. Bachelor's degree with a concentration in math, finance or economics preferred. Ability to work effectively as part of a global team. Proficient in one or more coding language(s), e.g., R and/or Python. Demonstrates curiosity and a problem-solving mindset. Future-focused with an interest in application of AI. This is a hybrid role with an expectation to be in the NYC office location 2-3 days a week, rest from home.

We're looking for a detail-oriented professional to join our Legal Technology team. In this role, you'll help design, test, and implement tools that make litigation workflows more efficient, from document review and case management platforms to AI-driven analytics and data automation. What You'll Do Support case teams with technology solutions for document review, data processing, and case management. Build and maintain automated workflows using low-/no-code tools and scripting. Partner with internal teams to customize solutions and ensure seamless integration into legal processes. Troubleshoot and resolve technical issues, manage file transfers, and handle structured/unstructured data. Provide training, documentation, and guidance to users on best practices. Contribute to eDiscovery processes, including data collection, processing, review, and production. Experiment with emerging AI and analytics tools to improve legal technology services. What We're Looking For Experience with litigation support or eDiscovery platforms (e.g., Relativity, Nuix, LAW, etc.). Solid background in data handling, automation, or database administration. Familiarity with scripting (Python, Java) and text/data manipulation techniques. Understanding of analytics tools such as TAR, email threading, or concept analysis. Strong problem-solving skills and the ability to explain technical ideas in plain language. Excellent communication, organizational, and project management abilities. Bachelor's degree in Computer Science, Data Analytics, Information Systems, or related field. At least 5 years' experience working with litigation data or database platforms. The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.

The Customer Experience Business Data Analyst is responsible for analyzing key complex data elements, developing, and building data models, and developing forecasts and trends. They assist in shaping activities and plans that influence the organizational strategy based on insights and conclusions found. The CX Business Data Analyst will monitor the state of analytics across industries, ensuring best practices and accuracy remain at or above standards, collaborate with others across the organization to provide consult and validation for data in service to our customer intimacy focus and directly report recommendations on trends, research, and project conclusions to their supervisor, as well as the Customer Experience Management team. Responsibilities: Provide insight and research with supporting data on customer/industry changes as to the impact and opportunity for NYCM. Conduct forecasting and provide analytical insight on current and future state of the NYCM customer as well as the market. Review, research and perform analysis on identified market trends and emerging customer behaviors, presenting findings and recommendations to management teams. Build and maintain data models and dashboards that support key business decisions. Transform raw data (experience, transaction, and financial) into business insights with collaboration as necessary from business partners. Work to maintain subject matter expertise as it pertains to current and emerging techniques, and the ability to recognize and apply the optimal technique to each initiative. Consult with analysts from other divisions regarding strategic insights and to establish consistency in data quality and understanding. Bring structure to business requests, translate requirements into an analytical research or project approach, and lead multiple complex projects through completion. Conduct and participate in meetings and collaboration as required to facilitate communication, showcase findings, provide recommendations, and ensure alignment with objectives. Develop and maintain a data dictionary, policies, and procedures as it relates to Customer Experience analytics and can be used by the organization. Adherence and compliance to regulation while interacting with customers and their data. Adhere to divisional and corporate quality controls and best practices and procedures to ensure consistency. Work with key stakeholders to develop project roadmap justification for the CX Team as well as divisional partners with support from management. Ensure accurate data collection, processing, and analysis of data reported on. Other duties as assigned. Requirements: Preferred: Bachelor's degree with an emphasis in Finance, Economics, Accounting or Statistics/Mathematics or related field of expertise and three years' experience directly working in data analytics, model development, and forecasting. Required: High School diploma and business experience equivalent to a bachelor's degree in a related data analytics field, economic, or mathematics Qualifications/Skills: Strong computer skills including Microsoft Access, Excel, Word, Visio and Power Point. Strong to expert query and database analytical and development skills. Ex. SQL, SAAS, etc. Understanding of and experience using analytical concepts and statistical techniques, analyzing data, drawing conclusions, and developing actions plans. Ability to work with large amounts of data and with a variety of systems, recognize relationships in various data sets to drawn sound conclusions and insights. Strong business acumen. Strong problem solving, quantitative, analytical, and critical thinking skills with a keen attention to detail. Strong ability to work with large amounts of data and with a variety of systems, recognize relationships in various data sets to draw sound conclusions and insights. Strong ability to plan and manage numerous processes and projects simultaneously. Excellent oral, active listening, and written communication skills. Strong and effective in time management with ability to follow up on open items, remain organized, and professional. Market Range: 8 / Hours: 37.5 / $51,844 - $80,625 Accepting applications through: 10/27/25

The Brand Analyst will analyze and evaluate brand performance and perception relative to the market. The Analyst will gather, compile, and understand data including conducting market research, and providing actionable insights to enhance customer engagement, brand equity, and visibility. The Analyst will collaborate with team leads and supervisors on execution/implementation of marketing best practices. Duties & Responsibilities: Conduct market research to identify trends, competitive landscape, and consumer preferences relevant to our brand. Gather raw data from multiple sources. Compile and understand major themes within the data. Draw sound conclusions from large sums of data and recommend resolutions. Make blog, website, and social media recommendations to optimize user engagement. Utilize research methodologies to gather qualitative (why and how) and quantitative (what and when) data on brand perception and consumer behavior. Collaborate cross-divisionally with teams to align brand strategies and campaigns with business objectives. Identify areas of opportunity, challenges, and change impact for brand and cross-divisional initiatives. Monitor and analyze brand performance metrics such as brand awareness, brand sentiment, and assess our brand health. Prepare comprehensive reports and presentations summarizing findings, insights, and recommendations. Assist in the development of campaign effectiveness reporting. Develop and maintain audience segmentation. Present opportunities and recommendations to the Brand Leadership Team to guide and inspire changes to enhance brand experience. Document findings and recommendations. Attend meetings and seminars. Be available to work additional hours, as the business needs dictate. Other duties as assigned. Requirements: High School Diploma and 2 years of experience in marketing, marketing research, data analysis, or a related field. Qualifications/Skills: Ability to gather, interpret, and analyze data from various sources to provide actionable insights and make data-driven recommendations. Ability to identify emerging trends, innovative approaches, and opportunities for brand differentiation to drive growth and brand awareness. Intermediate experience with data analysis tools, such as Google Analytics and Microsoft Excel Excellent oral, active listening, and written communication skills. Fully developed and effective presentation skills. Time management, organizational, keen attention to detail, and prioritization skills. Critical thinking. Ability to work both independently and within a team with minimal direct supervision. Ability to handle stress professionally, calmly, and effectively. Positive and professional attitude. Market range 6 Non-Exempt / Hours: 37.5 hours per week Salary Range: $44,438 - $69,094 Accepting applications until: 10/27/2025

About Global Atlantic Global Atlantic is a leading provider of retirement security and investment solutions with operations in the U.S., Bermuda, and Japan. As a wholly-owned subsidiary of KKR (NYSE: KKR), a leading global investment firm, Global Atlantic combines deep insurance expertise with KKR's powerful investment capabilities to deliver long-term financial security for millions of individuals worldwide. With a broad suite of annuity, preneed life insurance, reinsurance, and investment solutions, Global Atlantic, through its issuing companies, helps people achieve their financial goals with confidence. For more information, please visit *********************** The Program Analyst will join NY-based Risk & Modeling arm of Global Atlantic's Commercial team. We are a 7-person team generating the analytics enabling assessing, acquiring and monitoring the performance of insurance liabilities. The new joiner will work closely with other members of the Commercial team and interface with business leaders and senior management to: * Perform liability modeling for pricing and financial analysis * Reconcile model output, including single cell analysis, against other sources * Help with identifying insurance and capital markets risks embedded in different liabilities by stressing liability and markets-related assumptions * Conduct static and dynamic validations * Assist with development of deal models under US Stat, Bermuda EBS, and GAAP frameworks * Assist in experience studies for reinsurance pricing and performance monitoring * Collaborate with Actuarial, Risk, and Finance on onboarding of new deals and monitoring their performance * Assist Deal team and Investments team with assessing a range to portfolios / ALM strategies Experience and Qualifications * Bachelor's Degree in a quantitative discipline such as Actuarial Science, Statistics, Mathematics, Computer Science, Physics or similar field * Minimum 2 years modeling experience in any quantitative setting, ideally in finance or insurance setting * Actuarial modeling experience is preferred but not required * Exceptional analytical abilities, with the ability to draw and communicate clear conclusions from research * Ability to combine insatiable curiosity, tenacity and drive to solve problems, big and small * Ability to thrive in a dynamic and fast-paced environment #LI-KW1 This is the expected annual base salary range for this Boston-based position. Actual salaries may vary based on factors, such as skill, experience, and qualification for the role. Employees may be eligible for a discretionary bonus, based on factors such as individual and team performance. Global Atlantic EEOC Statement Global Atlantic is an equal opportunity employer. Individuals seeking employment are considered without regard to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, sexual orientation, or any other category protected by applicable law. The base salary range for this role $125,000-$160,000 USD Privacy Statement Our employees are in the office 5 days per week in New York and 4 days per week in all other offices. If you have questions on this policy or the application process, please reach out to ***************** Global Atlantic reserves the right to modify the qualifications and requirements for this position to accommodate business needs and regulatory changes. Future adjustments may include obtaining specific licenses or certifications to comply with operational needs and conform to applicable industry-specific regulatory requirements, state and federal laws.

Our 2026 Internship Program is a paid 10-week learning experience where you will be immersed in the daily environment of a thriving global financial services company. You will gain invaluable industry and organizational knowledge through daily business interactions and job assignments, in addition to engaging in projects that directly affect our business, interact with senior leaders in conversational settings, and network with employees and interns across our offices. This 10-week internship provides you with realistic experiences and information of what it is like to work at Guardian. Internship Dates: The internship program will run from Thursday, May 28, 2026 - Friday, August 7, 2026. We review applications on a rolling basis, and we encourage you to apply as soon as you are ready. The application window will close on Friday, November 14, 2025, at 11:59PM ET or when role(s) have been filled, whichever comes first. You are: A rising senior (graduation date of May 2027) who is fueled by collaboration, able to listen and make quick decisions and thrive in a goal-oriented environment. Location (housing is not provided): New York, NY You have: An interest in the complex regulatory and legal framework of the financial services industry An inquisitive and curious mindset to dig into processes to suggest improvement opportunities Analytical skills, including the use of tools such as PowerBI, Tableau, Python, etc. You will: Learn about how the disciplines within a corporate compliance function operates to support the business achieve their objectives and balance regulatory needs. Assist in performing assurance testing of operational controls and processes and prepare summary reports of the results. Provide insights of how the Compliance function can improve data and analytics. Have the opportunity to work and learn from supportive leaders, mentors and team members across the organization who will help coach you as you develop your professional career Learn about Guardian's purpose, values, how we work, and our suite of product and service offerings Build a network of colleagues and have a sense of community with other interns and other parts of the business Think broadly and ask questions about data, facts and other information Be a self-starter - someone who enjoys “rolling up their sleeves and getting things done”, has high energy, strong work ethic, displays the ability to work independently, and is creative We offer: Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent Employee Resource Groups that advocate for inclusion and diversity in all that we do Social responsibility in all aspects of our work- we volunteer within our local communities, create educational alliances with colleges, and drive a variety of initiatives in sustainability Eligibility: Applicants must be eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization. F-1 visa holders with Optional Practical Training (OPT) who will require H-1B status, TNs, or current H-1B visa holders will not be considered. H1-B and green card sponsorship are not available for this position. You must be available for the full program dates of the internship program. If you have any questions regarding the application process, please feel free to email Guardian_***************. Salary Range: $20.00 - $35.00 The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation. Our Promise At Guardian, you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. Inspire Well-Being As part of Guardian's Purpose - to inspire well-being - we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at ************************************************ Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits. Equal Employment Opportunity Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law. Accommodations Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact applicant_accommodation@glic.com. Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.

American Global is a privately held insurance and surety brokerage firm specializing in construction risk management. We support contractors, owners, and developers across every project milestone and geography, delivering client experience that is relationship-driven and deeply value-focused. We are committed to cultivating analytical expertise and developing future leaders of the surety practice. Role Overview As a Surety Analyst, you will serve as the foundation of our Surety Practice. You'll begin by learning the fundamentals of underwriting, financial and operational analysis, and the construction industry. Over your first 1-2 years, you will develop the modeling, analytical, and industry expertise necessary to support Account Executives and clients. This role is the starting point in a structured progression leading toward client-facing responsibilities and leadership within American Global's Surety Practice. Key Responsibilities Conduct detailed financial statement, work-in-progress (WIP), and cash-flow analyses of construction and contracting firms. Build and maintain financial and operational models to assess contractor performance, bond capacity, and program structure. Review contracts, bid/bond requests, and surety submissions for accuracy and completeness. Be assigned to specific client accounts to support ongoing service needs, analysis, and account related activities. Produce recurring reporting, summaries, and financial/operational updates for assigned clients Prepare reports, dashboards, and executive presentations that synthesize complex data into actionable insight. Research construction industry sectors, market trends, and surety capacity dynamics to support client strategies and go-to-market with thought leadership. Assist in practice innovation, process improvement, documentation standardization, and workflow enhancement initiatives. Provide direct support to Account Executives on client deliverables, quantitative analysis, and underwriting submissions. Required Qualifications & Skills Bachelor's degree in Finance, Accounting, Economics, Construction Management, Business, or related field. Strong proficiency in Excel (modeling, pivot tables, analyses) and PowerPoint, experience with Power BI and Alteryx are a plus. Excellent analytical skills with strong attention to detail and comfort working with complex large datasets. Clear written and verbal communication; ability to translate analysis into concise insights. Interest in the construction industry, surety underwriting, and financial risk analysis. Proactive, curious, and organized, with the ability to manage multiple priorities. Preferred Qualifications Internship or coursework in construction finance, underwriting, or risk management. Familiarity with construction accounting concepts (e.g., percent-complete, WIP schedules, contract retention). Prior experience in insurance, surety, or financial services environments. What We Offer A structured career path with milestones from Analyst → Senior Analyst → Account Consultant → Account Executive. Hands-on mentoring, training, and exposure to both technical and client-facing work. Opportunities to contribute to a growing construction-only surety brokerage with national and international reach. Collaborative, forward-thinking culture - 'One Team. One Goal.' Competitive salary and benefits package. Compensation Range: $55,000.00-$88,750.00

Department: CLAIMS Job Type: Regular Employment Type: Full-Time Work Arrangement: Hybrid Salary Range: $65,000.00 - $70,000.00 The Salesforce Analyst is accountable for performing analysis and administrative support specifically to Salesforce (SF) for the Claims Department. Incumbent will triage new cases and route/reroute cases as needed, assign salesforce cases to staff, will monitor, analyze, track and trend salesforce cases, will assist with compilation of key salesforce case metrics and will perform routine administrative case functions within the salesforce system. Salesforce will also make recommendations for improvement to the SF application to improve department efficiency and quality. Scope of Role & Responsibilities * Under direction from manager, coordinates the administration aspects of the Salesforce tool and inventory management of cases. * Under direction from manager, manually assigns cases to staff and/or routes to queues. * Triages new cases, tracking and trending and routing appropriately. * Assists with monitoring of case age and routing. * Performs administration case updates in salesforce application as appropriate. * Supports preparation of case activity and production reports. * Works with Salesforce IT team to develop reports. * Assists with any Salesforce training needs. * Performs other duties, as assigned by management. Required Education, Training & Professional Experience * Bachelor's degree required. * Minimum 3 years' health plan experience with a CRM tool; Salesforce a plus. * Proficient in MS Office applications. Professional Competencies * Integrity and Trust. * Customer Focus. * Functional/Technical skills. * Excellent verbal and written communication skills, with the ability to effectively communicate. * Strong organizational and analytical skills. * Ability to solve practical problems and recommend solutions. * Ability to plan work, work with staff, at all levels of the organization. * Show initiative and flexibility. * Ability to manage time and make decisions within the scope of assigned authority. * Ability to multi-task. * Must be able to work in a fast-paced environment. #LI-Hybrid #MHP50

Company:Guy CarpenterDescription: We are seeking a talented individual to join our Client Support Services (CSS) team at Guy Carpenter. This role will be based in New York, Philadelphia, Edina, or Hartford. This is a hybrid role that has a requirement of working at least three days a week in the office. The CSS team consists of global service professionals dedicated to managing claims and accounting matters for specific client accounts, ensuring seamless handling of business placed on behalf of each client. 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. We will count on you to: Actively participate in training sessions and contribute insights to enhance team and department processes related to reinsurance service processing, driving continuous improvement, troubleshooting, and resource development Support client teams in managing their assigned portfolios by ensuring timely and accurate follow-up, securing reinsurance premiums, and meticulously entering all client activity into systems to maintain data integrity Collaborate across departments to support collection efforts and cash application initiatives, ensuring efficient and accurate financial transactions Assist client and fiduciary teams in the prompt settlement of funds, ensuring all payment warranties and conditions are met to uphold compliance and client satisfaction Foster strong relationships with team members, brokers, clients, and markets by understanding their needs and working practices, enabling effective resolution of issues and queries Support managers in team meetings and activities by sharing insights, ideas, and solutions, contributing to a collaborative environment focused on achieving shared goals Demonstrate a proactive approach to professional development by seeking opportunities to deepen industry knowledge and enhance service delivery What you need to have: Pursuing a bachelors degree with an expected graduation date of December 2025 or May 2026 Legal work authorization to work in the US on a permanent and ongoing basis without the need for sponsorship now or in the future Proficiency in Microsoft Office Applications (Word, Excel, and PowerPoint) Demonstrated ability to work as part of a high-performance team Attention to detail in completing assigned tasks Positive attitude, willingness to offer and execute ideas and solutions to enhance processes within a changing environment Successful management of workload; able to manage expectations of all clients and stakeholders Strong communication skills, both written and verbal, delivering clear and concise messages and at all times promoting and enhancing the Guy Carpenter brand Ability to make sound judgements independently while knowing when to bring situations to the attention of management Able to engage and influence clients, markets and colleagues in a professional manner What makes you stand out: Bachelor's Degree in Risk Management, Organizational Management, Accounting, Business or Finance Strong verbal and writing skills for complex communications (presentations, etc.) with clients, markets and colleagues at all levels Previous knowledge of reinsurance and/or insurance concepts is a plus Why join our team: We help you be your best through professional development opportunities, interesting work and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. The applicable salary for this role is $65,000. What's next: Application Instructions: When creating your application, please use your permanent home address and use your personal email address rather than your school email address. First Round Interviews: Applications are reviewed on a rolling basis. If selected, first-round interviews consist of an on-demand digital video. Further timing and instructions will be provided at that time. At Guy Carpenter, you can be your best. We work on challenges that matter with colleagues who help bring out our best. Our uniquely collaborative environment will empower you to focus on your personal and professional success, learning from top specialists in the (re)insurance industry and leading you towards a rewarding and impactful career.Guy Carpenter, a business of Marsh McLennan (NYSE: MMC), is a leading global risk advisory and reinsurance specialist and broker. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit guycarp.com, or follow on LinkedIn and X.Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com.Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

Qualifications you'll bring: Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered. Coding certification, such as AAPC CPC, CIC, COC, CCS is required. The availability to work full-time, virtual in New York State A minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing and/or reviewing in relevant healthcare industry experience. Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies. Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving skills and attention to details. Ability to initiate education with providers and make internal recommendations for process improvements. Goals and outcomes of the recommendations and education must be measurable. Curiosity to foster innovation and pave the way for growth Humility to play as a team Commitment to being the difference for our customers in every interaction Your key responsibilities: Manage recurring audit inventories, ensuring timely progression and completion of existing audits. Identify and initiate new audits as patterns emerge through risk-based monitoring efforts, datamining, and other routine payment policy reviews. Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types. Report suspected fraud and abuse to the SIU for further investigation and identify providers in need of education. Collect and validate Key Performance Indicators (KPI's) from payment integrity functions across the organization. Assist in the reporting of monthly metrics and participate in cross-functional audit operations. Handle department projects, participate in committees relevant to payment integrity, and support process improvement efforts. Participate in training and development activities within the department and corporation. Perform other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy. Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature. Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual within New York State #cs

Qualifications you'll bring: Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered. Coding certification, such as AAPC CPC, CIC, COC, CCS is required. The availability to work full-time, virtual in New York State A minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing and/or reviewing in relevant healthcare industry experience. Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies. Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving skills and attention to details. Ability to initiate education with providers and make internal recommendations for process improvements. Goals and outcomes of the recommendations and education must be measurable. Curiosity to foster innovation and pave the way for growth Humility to play as a team Commitment to being the difference for our customers in every interaction Your key responsibilities: Manage recurring audit inventories, ensuring timely progression and completion of existing audits. Identify and initiate new audits as patterns emerge through risk-based monitoring efforts, datamining, and other routine payment policy reviews. Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types. Report suspected fraud and abuse to the SIU for further investigation and identify providers in need of education. Collect and validate Key Performance Indicators (KPI's) from payment integrity functions across the organization. Assist in the reporting of monthly metrics and participate in cross-functional audit operations. Handle department projects, participate in committees relevant to payment integrity, and support process improvement efforts. Participate in training and development activities within the department and corporation. Perform other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy. Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature. Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual within New York State #cs

At MVP Health Care, we're on a mission to create a healthier future for everyone which requires innovative thinking and continuous improvement. To achieve this, we're looking for an Overpayment Recovery and Monitoring Analyst to join #TeamMVP. If you have a passion for managing audits, medical coding, and analytical thinking and this is the opportunity for you. **What's in it for you:** + Growth opportunities to uplevel your career + A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team + Competitive compensation and comprehensive benefits focused on well-being + An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work** for and one of the **Best Companies to Work For in New York** **Qualifications you'll bring:** + Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered. + Coding certification, such as AAPC CPC, CIC, COC, CCS is required. + The availability to work full-time, virtual in New York State + A minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing and/or reviewing in relevant healthcare industry experience. + Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies. + Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving skills and attention to details. + Ability to initiate education with providers and make internal recommendations for process improvements. Goals and outcomes of the recommendations and education must be measurable. + Curiosity to foster innovation and pave the way for growth + Humility to play as a team + Commitment to being the difference for our customers in every interaction **Your key responsibilities:** + Manage recurring audit inventories, ensuring timely progression and completion of existing audits. + Identify and initiate new audits as patterns emerge through risk-based monitoring efforts, datamining, and other routine payment policy reviews. + Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types. + Report suspected fraud and abuse to the SIU for further investigation and identify providers in need of education. + Collect and validate Key Performance Indicators (KPI's) from payment integrity functions across the organization. + Assist in the reporting of monthly metrics and participate in cross-functional audit operations. + Handle department projects, participate in committees relevant to payment integrity, and support process improvement efforts. + Participate in training and development activities within the department and corporation. + Perform other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy. + Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature. + Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. **Where you'll be:** Virtual within New York State \#cs **Pay Transparency** MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. **MVP's Inclusion Statement** At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** . **Job Details** **Job Family** **Legal** **Pay Type** **Salary** **Hiring Min Rate** **56,200 USD** **Hiring Max Rate** **82,000 USD**

Qualifications you'll bring: Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered. Coding certification, such as AAPC CPC, CIC, COC, CCS is required. The availability to work full-time, virtual in New York State A minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing and/or reviewing in relevant healthcare industry experience. Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies. Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving skills and attention to details. Ability to initiate education with providers and make internal recommendations for process improvements. Goals and outcomes of the recommendations and education must be measurable. Curiosity to foster innovation and pave the way for growth Humility to play as a team Commitment to being the difference for our customers in every interaction Your key responsibilities: Manage recurring audit inventories, ensuring timely progression and completion of existing audits. Identify and initiate new audits as patterns emerge through risk-based monitoring efforts, datamining, and other routine payment policy reviews. Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types. Report suspected fraud and abuse to the SIU for further investigation and identify providers in need of education. Collect and validate Key Performance Indicators (KPI's) from payment integrity functions across the organization. Assist in the reporting of monthly metrics and participate in cross-functional audit operations. Handle department projects, participate in committees relevant to payment integrity, and support process improvement efforts. Participate in training and development activities within the department and corporation. Perform other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy. Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature. Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual within New York State #cs

At MVP Health Care, we're on a mission to create a healthier future for everyone which requires innovative thinking and continuous improvement. To achieve this, we're looking for an Overpayment Recovery and Monitoring Analyst to join #TeamMVP. If you have a passion for managing audits, medical coding, and analytical thinking and this is the opportunity for you. **What's in it for you:** + Growth opportunities to uplevel your career + A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team + Competitive compensation and comprehensive benefits focused on well-being + An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work** for and one of the **Best Companies to Work For in New York** **Qualifications you'll bring:** + Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered. + Coding certification, such as AAPC CPC, CIC, COC, CCS is required. + The availability to work full-time, virtual in New York State + A minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing and/or reviewing in relevant healthcare industry experience. + Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies. + Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving skills and attention to details. + Ability to initiate education with providers and make internal recommendations for process improvements. Goals and outcomes of the recommendations and education must be measurable. + Curiosity to foster innovation and pave the way for growth + Humility to play as a team + Commitment to being the difference for our customers in every interaction **Your key responsibilities:** + Manage recurring audit inventories, ensuring timely progression and completion of existing audits. + Identify and initiate new audits as patterns emerge through risk-based monitoring efforts, datamining, and other routine payment policy reviews. + Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types. + Report suspected fraud and abuse to the SIU for further investigation and identify providers in need of education. + Collect and validate Key Performance Indicators (KPI's) from payment integrity functions across the organization. + Assist in the reporting of monthly metrics and participate in cross-functional audit operations. + Handle department projects, participate in committees relevant to payment integrity, and support process improvement efforts. + Participate in training and development activities within the department and corporation. + Perform other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy. + Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature. + Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. **Where you'll be:** Virtual within New York State \#cs **Pay Transparency** MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. **MVP's Inclusion Statement** At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** . **Job Details** **Job Family** **Legal** **Pay Type** **Salary** **Hiring Min Rate** **56,200 USD** **Hiring Max Rate** **82,000 USD**

Qualifications you'll bring: Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered. Coding certification, such as AAPC CPC, CIC, COC, CCS is required. The availability to work full-time, virtual in New York State A minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing and/or reviewing in relevant healthcare industry experience. Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies. Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving skills and attention to details. Ability to initiate education with providers and make internal recommendations for process improvements. Goals and outcomes of the recommendations and education must be measurable. Curiosity to foster innovation and pave the way for growth Humility to play as a team Commitment to being the difference for our customers in every interaction Your key responsibilities: Manage recurring audit inventories, ensuring timely progression and completion of existing audits. Identify and initiate new audits as patterns emerge through risk-based monitoring efforts, datamining, and other routine payment policy reviews. Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types. Report suspected fraud and abuse to the SIU for further investigation and identify providers in need of education. Collect and validate Key Performance Indicators (KPI's) from payment integrity functions across the organization. Assist in the reporting of monthly metrics and participate in cross-functional audit operations. Handle department projects, participate in committees relevant to payment integrity, and support process improvement efforts. Participate in training and development activities within the department and corporation. Perform other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy. Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature. Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual within New York State #cs

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.

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