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Analyst jobs at MVP Health Care - 190 jobs

  • Professional, Overpayment Recovery and Monitoring Analyst

    MVP Health Care 4.5company rating

    Analyst job at MVP Health Care

    **Join Us in Shaping the Future of Health Care** At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team. **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 in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** . You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities. **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 **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. $69,383.00-$92,279.00 **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 ******************** .
    $69.4k-92.3k yearly 26d ago
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  • Professional, Overpayment Recovery and Monitoring Analyst

    MVP Health Care 4.5company rating

    Analyst job at MVP Health Care

    **Join Us in Shaping the Future of Health Care** At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team. **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 in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** . You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities. **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 **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. $69,383.00-$92,279.00 **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 ******************** .
    $69.4k-92.3k yearly 26d ago
  • Global Actuarial Analyst II - Hybrid, NYC

    Tokio Marine North America Services 4.5company rating

    New York, NY jobs

    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.
    $82k-113k yearly est. 2d ago
  • API - Digital Distribution Analyst

    Berkshire Hathaway Guard Insurance Companies 4.4company rating

    New York, NY jobs

    Good Things are Happening at Berkshire Hathaway GUARD Insurance Companies! We provide Property & Casualty insurance products and services through a nationwide network of independent agents and wholesale brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be the leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! BENEFITS We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave This position is Remote dependent on your proximity to a GUARD office or Hybrid work schedule (three days in the office, two days from home) Work/life balance schedule - no nights or weekends/closed for all major holidays Longevity awards (every 5 years of employment receive a generous monetary award to be used toward a vacation) Tuition reimbursement after six months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities The Digital Distribution Analyst will work with the digital distribution team to support our API portfolio to ensure our APIs meet business needs and are effectively integrated into our partners systems. They will work with both internal and external stakeholders to understand requirements, onboard partners, document processes and specifications, and troubleshoot issues related to API functionality and performance. This role is most focused on understanding business processes, identifying areas for improvement, and recommending solutions that align with business goals. Then working with our API integrated trading partners to implement and optimize integrations. API Integration and Testing: Work with development teams to integrate APIs into partner systems, ensuring functionality and performance meet requirements. Perform integration testing and troubleshoot issues throughout the project lifecycle, ensuring data integrity and accuracy. Troubleshooting and Support: Investigate and resolve issues within our API integrations providing support to internal and external users and development teams. API Management and Improvement/ Continuous Improvement: Identify opportunities to improve APIs, including performance, onboarding, maintenance, usability, and testing. Maintain existing integrations, troubleshooting issues and implementing necessary updates. Collaboration and Communication: Work with various stakeholders, including business analysts, developers, and QA teams internally and externally. Strong written and verbal communication skills to clearly articulate problems, and work effectively with others to generate solutions, and achieve a shared goal. API Documentation: Create and maintain business documentation for APIs including process documentation and troubleshooting guides. Collaborate with stakeholders to define integration requirements, including data mapping, workflows, and SOPs. Performance Analysis: Analyze available data to identify areas of opportunity at integration points, gaps, and in the overarching performance as well as conversion of the partner APIs. Support and Maintenance: Provide business focused technical support to clients, manage support tickets, and track/record issues. Qualifications The ideal candidate must be able to work independently with an entrepreneurial spirit and have excellent technical skills, including knowledge and experience working with a variety of computer programs. Bachelor's degree preferred. The ideal candidate will have a strong background in API integrations and implementations with experience in the commercial insurance industry a plus. We offer an exciting challenge to a technical Distribution Management Professional who can make an immediate impact upon production and is looking for opportunities to advance their career. The qualified candidate must show a high degree of attention to detail, demonstrate a genuine interest in understanding complex problems by understanding the underlying causes and potential impacts, the ability to break down problems into manageable components, analyze data, and draw logical conclusions and generate creative solutions. In exchange for your expertise, we offer exceptional salary and bonus opportunities, comprehensive benefits, as well as the opportunity for professional development with a progressive organization poised for growth. The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required. Salary Range $60,000-$100,000.00 USD The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training.
    $60k-100k yearly Auto-Apply 47d ago
  • Program Analyst, Institutional Markets

    Global Atlantic Financial Group 4.8company rating

    New York jobs

    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.
    $125k-160k yearly Auto-Apply 60d+ ago
  • Program Analyst, Institutional Markets

    Global Atlantic Financial Group 4.8company rating

    New York, NY jobs

    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.
    $125k-160k yearly Easy Apply 50d ago
  • Data and Insights Analyst

    Advance Services 4.3company rating

    Coppell, TX jobs

    This role exists to bring advanced data handling and analytical capabilities into the organization - enabling the team to solve high-impact business problems, guide decision-making with deeper insights, and drive operational optimization. The Analyst will work closely with the Manager to execute on key priorities, supporting digital transformation and data-driven decision-making across the U.S. business. Responsibilities: • Build, optimize, and validate SQL queries to extract, transform, and analyze large datasets from multiple sources. • Develop and maintain dashboards and visualizations in Tableau or Power BI to communicate trends, performance metrics, and business insights. • Perform trend analysis, forecasting, and performance diagnostics to answer strategic questions and identify optimization opportunities. • Collaborate with cross-functional teams - including Sales Planning, Supply Chain, Finance, and Marketing - to gather requirements, clarify objectives, and deliver actionable analytical solutions. • Translate business problems into structured analytical approaches and present findings in clear, concise formats for senior stakeholders. Required: • Bachelor's degree in a technical field (e.g., Data Science, Computer Science, Statistics, Mathematics, Engineering) or equivalent combination of education and experience. • Relevant professional experience in data analysis, business intelligence, or related technical analytics roles. • Strong proficiency in SQL for working with large datasets. • Experience building dashboards and reports in Power BI. • Strong problem-solving skills and the ability to work with ambiguous, evolving requirements. • Excellent communication skills with the ability to translate technical findings into business recommendations. Preferred: • Proficiency in Python, including data analysis (Pandas), visualization (Plotly or Matplotlib), and web scraping (BeautifulSoup, Scrapy, or similar). ORGANIZATIONAL CULTURE Barcel USA takes pride in our people-centric culture. We Value the Person is our Core Belief. In addition to competitive pay and comprehensive benefits, we are committed to providing a safe and inclusive work environment that appreciates all dimensions of diversity, promotes personal and professional development opportunities, and allows our associates to be their authentic selves. What you need: Education / Experience / Knowledge Required: Bachelor's degree in a technical field (e.g., Data Science, Computer Science, Statistics, Mathematics, Engineering) or equivalent combination of education and experience. Relevant professional experience in data analysis, business intelligence, or related technical analytics roles. Why work for Advance Services, Inc. Advance Services is for and about people; we are your employment specialists. Enjoy our easy application process. You NEVER pay a fee! Weekly pay. Fun Safety and attendance incentives. Health Benefits to keep you and your family healthy. PTO so you have time for yourself. Great Referral Incentives. Advance Services partners with the top companies in the area! Apply for this job by clicking the apply button. You will be directed to our website. Please select a branch near you or call/text our office at *************. Stop in and see our experienced, friendly staff at 1908 Central Dr, Suite A, Bedford, TX 76021. Advance Services is an equal-opportunity employer.#456
    $57k-90k yearly est. 2d ago
  • Data Analyst I

    Lockton 4.5company rating

    Dallas, TX jobs

    Our ideal candidate will demonstrate professionalism, organizational strength, and the ability to thrive in a fast-paced environment while adapting to changing priorities. This role is critical in ensuring our data processes run smoothly and client deliverables are met in a timely fashion so that Operations and Consulting teams can deliver timely, high-quality insights to clients. * Produce and quality check monthly and quarterly report books for clients from our internal pharmacy data warehouse * Review data for reasonableness, and validate data against key performance indicators collected from the Pharmacy Benefit Manager vendor (PBM) * Learn to perform pharmacy pricing guarantee reconciliations for clients on both a quarterly and annual basis * Learn to navigate Lockton's internal pharmacy data warehouse and reporting. Pull routine and ad hoc reporting from the data warehouse as requested by consulting team * Develop financial models and reports for clients and account executive/consultants, provide interpretation and implication of analysis, as well as recommendations * Oversee the servicing of a designated book or partial book of business as relating to marketing, claims, reporting and administration * Track day-to-day issues related to clients' pharmacy plans and assist team members in closing out open items * Build and maintain internal and external timelines for projects such as RFPs, renewals, reporting, and other projects * Learn to interpret clients' current contract terms, pharmacy programs and identify/recommend gaps, alternatives, additional plan design changes, etc. and maintain contract terms in database. * Assist in developing an implementation plan with client and help consulting teams on client deliverables * Assist in the review of all agreements and/or documents related to best in class terms/provisions * Help with upkeep of client CRM with all relevant client information. * Work with internal data operations team to maintain client data quality. * Other responsibilities as assigned and/or needed
    $66k-90k yearly est. 8d ago
  • Continuous Improvement Analyst

    National Life Insurance Company 4.7company rating

    Addison, TX jobs

    Come join one of America's fastest-growing insurance companies. Since 1848, National Life Group has aimed to keep our promises, providing families with stability in good times and in bad. Throughout that history, we have provided peace of mind to those families as they plan their futures. Our mission extends beyond the insurance and annuities policies that we offer. We strive to make the world a better place through our grants from our charitable foundation, paid volunteer time for our employees, environmentally sustainable and healthy workplaces, and events that promote the work of nonprofits in our own backyard. We foster a collaborative environment with opportunities for growth and encourage our associates to live our values: Do good. Be good. Make good. Please note that we do not offer visa sponsorship for this position. Role Summary We are looking for a meticulous, analytical, and team-oriented Continuous Improvement Analyst to join our Business Architecture team, reporting to the Director - Product Development Operational Readiness. You will be responsible for evaluating new product development, automation and process improvement opportunities within operations. By collaborating with subject matter experts (SME's) and stakeholders across the business, you will partner to perform detailed discovery work needed to derive actionable plans for effective execution. In this role, you will evaluate current state business processes across the value chain from pre-sale to policy disposition. Your goal will be to determine and document the impact of the proposed change and to collaborate with business SMEs on process design that minimizes value erosion and maximizes value creation while maintaining the integrity of the operating model and without degradation of processing efficiency. The outcome of this effort will inform business requirements that ultimately drive the time and cost axis for implementation. The development, testing and implementation of technical and business solutions will be supported by other members of Business Architecture. This position currently offers an onsite work schedule, with the expectation that you are in the office four (4) days per week during onsite core days. Our current onsite core days are Monday, Tuesday, Wednesday, and Thursday. The work schedule type and core days are subject to change with advance notification and manager discretion. Essential Duties and Responsibilities Collaborate with business SMEs to assist the product development team with process analysis and design activities. This aims to facilitate faster time to market while maintaining the integrity of the operating model and ensuring processing efficiency. Assess the operational impacts of regulatory changes on affected processes across the value chain. Develop proposals to modify processes that minimize the negative effects of regulatory changes on customer experience and processing efficiency. Assist the business in identifying and analyzing opportunities for process improvement and/or automation by focusing on unnecessary complexity and finding better way of working to deliver greater value and efficiency. Lead workshops with key stakeholders to generate ideas, demonstrate an understanding of upstream and downstream impacts, and identify innovative solutions. Use process visualization and quantitative analysis to effectively communicate gaps and opportunities in current processes. Identify key success measures for any changes implemented. Create workflows, dashboards, or Excel reports to track these measures and provide greater visibility for the business as needed. Monitor the results of implemented changes to ensure that business outcomes are achieved and report on the effectiveness of these changes. Minimum Qualifications Bachelor's degree in business process management, business administration, industrial engineering management or related field. 3-5 years business process engineering or process improvement experience Life & Annuity insurance experience required Excellent understanding of business process mapping and modeling techniques with a focus on driving business outcomes Lead working sessions with a wide group of stakeholders leveraging to grasp the situation and facilitate complex problem solving Excellent verbal and written communication skills and the ability to interact professionally with a diverse group of supplier partners, senior managers and subject matter experts Exercise sound judgment and independent thinking in decision making while balancing need for collaboration within a team Strong analytical including a thorough understanding of how to interpret business needs and translate them into operational requirements Demonstrate a healthy curiosity and passion to continually learn and improve business acumen Proficient user of Microsoft Office (Excel, Word, Outlook and PowerPoint) Preferred Qualifications CBPP certification Lean Six Sigma certification LOMA ALMI or FLMI certification Benefits Your benefits start day one and are flexible and customizable to your and your family's specific needs. Check out the BENEFITS of a Career at National Life! Base Pay Range. The base pay range for this position is the range National Life reasonably and in good faith expects to pay for the position taking into account the wide variety of factors, including: prior experience and job-related knowledge; education, training and certificates; current business needs; and market factors. The final salary or hourly wages offered may be outside of this range based on other reasons and individual circumstances. Additional Compensation and Benefits. The total compensation package for this position may also include a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. The successful candidate may also be eligible to participate in National Life's discretionary annual incentive programs, subject to the rules governing such programs. If hired, the employee will be in an "at-will position" and National Life reserves the right to modify base salary (as well as any other discretionary payment or compensation or benefit program) at any time, including for reasons related to individual performance, company or individual department/team performance, and market factors. National Life is accepting applications for this role on an ongoing basis and the role remains open until filled. Salary Pay Range $82,500 - $121,000 USD National Life Group is a trade name of National Life Insurance Company, Montpelier, VT - founded in 1848, Life Insurance Company of the Southwest, Addison, TX - chartered in 1955, and their affiliates. Each company of National Life Group is solely responsible for its own financial condition and contractual obligations. Life Insurance Company of the Southwest is not an authorized insurer in New York and does not conduct insurance business in New York. Equity Services, Inc., Member FINRA/SIPC, is a Broker/Dealer and Registered Investment Adviser affiliate of National Life Insurance Company. All other entities are independent of the companies of National Life Group. Fortune 1000 status is based on the consolidated financial results of all National Life Group companies. Social Media Policy Site Disclosure and Privacy Policy National Life Group 1 National Life Dr Montpelier, VT 05604
    $82.5k-121k yearly Auto-Apply 60d+ ago
  • Part Time Flood Map Research Analyst

    Servicelink 4.7company rating

    Arlington, TX jobs

    Are you ready to start your career with an established company? ServiceLink, one of the top providers in the mortgage services industry, seeks an individual who is ready to learn, to join our team as a Flood Map Research Analyst. The ideal candidate will enjoy working with others, be detail oriented, and is driven to meet tight deadlines in a fast paced environment. Now is the time to join our team and become a part of something big. Applicants must be currently authorized to work in the United States on a full-time basis and must not require sponsorship for employment visa status now or in the future. A DAY IN THE LIFE In this role, you will… · Locate commercial and residential properties on FEMA flood maps and determine the correct zone affecting the improvements · Accurately and efficiently complete orders while maintaining production requirements WHO YOU ARE You possess … · Good customer relations skills · The ability to multitask in a fast paced environment meeting tight deadlines for our clients. · Skills to be detail oriented to maintain our quality standards Responsibilities · Assist the business unit/region with processing orders performed through use of a web based production system · Obtain and evaluate all relevant information used in completing Flood Zone Determinations · Contribute to the region effort by accomplishing related results as needed · Maintain open communication with other departments or supervisors, as may be necessary. · Adhere to the expected level of production which includes number based achievements. · Perform all other duties as assigned. Qualifications · A high school diploma or equivalent is preferred. · Some college preferred. · Strong computer skills. · Proficiency in the Microsoft software products, Excel, Word and Outlook. Ability to multi-task, organize and prioritize We can recommend jobs specifically for you! Click here to get started.
    $48k-74k yearly est. Auto-Apply 15d ago
  • Part Time Flood Map Research Analyst

    Servicelink 4.7company rating

    Arlington, TX jobs

    Are you ready to start your career with an established company? ServiceLink, one of the top providers in the mortgage services industry, seeks an individual who is ready to learn, to join our team as a Flood Map Research Analyst. The ideal candidate will enjoy working with others, be detail oriented, and is driven to meet tight deadlines in a fast paced environment. Now is the time to join our team and become a part of something big. Applicants must be currently authorized to work in the United States on a full-time basis and must not require sponsorship for employment visa status now or in the future. A DAY IN THE LIFE In this role, you will… · Locate commercial and residential properties on FEMA flood maps and determine the correct zone affecting the improvements · Accurately and efficiently complete orders while maintaining production requirements WHO YOU ARE You possess … · Good customer relations skills · The ability to multitask in a fast paced environment meeting tight deadlines for our clients. · Skills to be detail oriented to maintain our quality standards Responsibilities · Assist the business unit/region with processing orders performed through use of a web based production system · Obtain and evaluate all relevant information used in completing Flood Zone Determinations · Contribute to the region effort by accomplishing related results as needed · Maintain open communication with other departments or supervisors, as may be necessary. · Adhere to the expected level of production which includes number based achievements. · Perform all other duties as assigned. Qualifications · A high school diploma or equivalent is preferred. · Some college preferred. · Strong computer skills. · Proficiency in the Microsoft software products, Excel, Word and Outlook. Ability to multi-task, organize and prioritize
    $48k-74k yearly est. Auto-Apply 12d ago
  • Part Time Flood Map Research Analyst

    Servicelink, a Black Knight Company 4.7company rating

    Arlington, TX jobs

    Are you ready to start your career with an established company? ServiceLink, one of the top providers in the mortgage services industry, seeks an individual who is ready to learn, to join our team as a Flood Map Research Analyst. The ideal candidate will enjoy working with others, be detail oriented, and is driven to meet tight deadlines in a fast paced environment. Now is the time to join our team and become a part of something big. Applicants must be currently authorized to work in the United States on a full-time basis and must not require sponsorship for employment visa status now or in the future. A DAY IN THE LIFE In this role, you will… * Locate commercial and residential properties on FEMA flood maps and determine the correct zone affecting the improvements * Accurately and efficiently complete orders while maintaining production requirements WHO YOU ARE You possess … * Good customer relations skills * The ability to multitask in a fast paced environment meeting tight deadlines for our clients. * Skills to be detail oriented to maintain our quality standards Responsibilities * Assist the business unit/region with processing orders performed through use of a web based production system * Obtain and evaluate all relevant information used in completing Flood Zone Determinations * Contribute to the region effort by accomplishing related results as needed * Maintain open communication with other departments or supervisors, as may be necessary. * Adhere to the expected level of production which includes number based achievements. * Perform all other duties as assigned. Qualifications * A high school diploma or equivalent is preferred. * Some college preferred. * Strong computer skills. * Proficiency in the Microsoft software products, Excel, Word and Outlook. Ability to multi-task, organize and prioritize Responsibilities · Assist the business unit/region with processing orders performed through use of a web based production system · Obtain and evaluate all relevant information used in completing Flood Zone Determinations · Contribute to the region effort by accomplishing related results as needed · Maintain open communication with other departments or supervisors, as may be necessary. · Adhere to the expected level of production which includes number based achievements. · Perform all other duties as assigned.
    $48k-74k yearly est. Auto-Apply 14d ago
  • Analyst Internship- Controllers (CFO Org)

    Geico Insurance 4.1company rating

    New York, NY jobs

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. We are looking for bright and driven analytical students to join our summer Analyst Internship Program (AIP) within the Chief Financial Officer (CFO) Organization. You will help drive our insurance business transformation as we redefine experience for our customers. Find real opportunities to apply the skills that you are learning in college and potentially secure a full-time analyst role upon graduation! GEICO's AIP has three distinct tracks within the CFO Organization (Controllers, Finance & Operations, and Pricing). In the Controllers Track, you will: * Gain exposure across GEICO's Controllers group through analyst project work, including Financial Reporting, Reconciliations, and Tax During your paid 10-week summer internship, all interns will: * Work on significant analyst projects, attend meetings, and give presentations to senior management * Be introduced to GEICO Finance and operations, learning the systems we use and support, as well as data and integration points * Develop your analytical, project management, and communication skills, while beginning to build your analyst business acumen * Directly impact GEICO's financial and strategic performance, with opportunities to drive financial processing innovation and transformation * Develop influencing skills as you partner with business stakeholders to analyze results and recommend future investment decisions * Receive mentoring and coaching from members of GEICO's CFO Organization management * Participate in dedicated professional development and social events, fostering a community within your internship cohort and the broader Finance organization and accelerating your career through exposure to senior leaders * Interact with associates at all levels of our Finance organization - even our CFO! Candidate Qualifications & Skills: * Bachelor's degree in Accounting (required for Controllers track), Finance, Business Analytics, Business Information Systems, or other relevant analytical or FinTech major, with expected graduation between December 2026 and May 2027 * Cumulative GPA of 3.0 or higher (please upload ALL transcripts as part of the application process) * Demonstrated interest in Finance field through relevant internship experience, engaging in relevant student or business organizations, pursuing relevant certifications or advanced coursework, or other form of engagement within the field * Proficiency in Microsoft Excel, Word, Power Point, PowerBI or similar tooling * Technical aptitude and experience with or a desire to learn financial systems, such as Workday Financials * Knowledge in GAAP reporting (preferred for Controllers track) * Ability to work independently given general direction and to thrive in a team environment that is constantly changing * Strong analytical, problem-solving, and decision-making skills * Ability to handle multiple concurrent priorities, providing accurate and timely results * Effective time management, attention to detail, communication, and organizational skills * Must live within commutable distance from our New York City or Chevy Chase, MD office and work a hybrid schedule, including working at least two to three days per week from the office Annual Salary $26.46 - $41.21 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
    $26.5-41.2 hourly Auto-Apply 17d ago
  • Surety Analyst

    American Global 3.9company rating

    Jericho, NY jobs

    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
    $55k-88.8k yearly Auto-Apply 55d ago
  • Leave Administration Analyst

    Lockton 4.5company rating

    Dallas, TX jobs

    Due to our success and increased business opportunities, we are looking for a Leave Administration Analyst to provide excellent customer service to employees with regards to all aspects of regarding all types of employee leaves of absence for multiple clients, including FMLA, ADA, State leaves, Unpaid company leaves, USERRA, as well as being a liaison between the client and their STD/LTD vendor. The ideal candidate will demonstrate a high level of professionalism; possess the ability to work well in a fast-paced environment, have the flexibility to easily adapt to changing priorities and want to engage in new opportunities to learn. The ideal candidate will demonstrate a high level of professionalism, possess the ability to work well in a fast-paced environment, the flexibility to easily adapt to changing priorities and desire to engage in new opportunities to learn. * Process incoming calls, emails and system notifications regarding leaves of absence, while providing prompt accurate service * Responsible for utilizing the tools provided to maintain compliance with federal, state, local and union specific leave policies * Coach employees, managers and HR professionals on the appropriate web based processes, legal requirements and policy regarding leaves * Provide employees/managers with information and assistance regarding potential leaves * Produce and track all required documentation * Assess, adjudicate, and track all FMLA claims and available time * Coordinate leaves with Short Term Disability Vendor and Workers' Compensation Claims Teams to properly administer concurrent leaves * Update employee records in the HR/Payroll system as appropriate * Escalate issues to the proper management resource as appropriate * Maintain established performance goals and help ensure the organization is meeting performance targets and complying with service level agreements * Provide critical thinking regarding absence management processes. Identify trends and make recommendations for continuous process improvements to management #LI-SM3
    $49k-68k yearly est. 12d ago
  • Salesforce Analyst

    Metroplus Health Plan Inc. 4.7company rating

    New York, NY jobs

    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
    $65k-70k yearly 60d+ ago
  • Life Policy Holder Services Operations Analyst

    Manhattanlife Insurance & Annuity Company 3.9company rating

    Houston, TX jobs

    Who we are: ManhattanLife Insurance and Annuity Company was founded in 1850, the Company's longevity makes it one of the oldest and most reliable health and life insurance companies in the country. Operating successfully for 175 years is a testimony to ManhattanLife's enduring history, and an indicator of the reliability of our future. ManhattanLife's headquarters are in Houston, TX and the company is continually growing with multiple office locations nation-wide. ManhattanLife offers attractive employee benefits starting day one, including immediate coverage under our health, dental and vision plans. We offer flexible schedules, including shortened hours on Fridays, free parking, company-wide events, professional development (LOMA testing) and a company-wide wellness program. Scope and Purpose: We are seeking an Operations Analyst to work in our Life Acquisitions Policy Holder Services team within our busy and growing headquarters and operations office. The Operations Analyst will be responsible for performing a variety of management reports and data automations. The successful analyst will become a resource for data related questions and analysis. Duties and Responsibilities: Determine appropriate methods to analyze operations, relevant information, and data. Identify operational requirements and develop new processes and procedures to enhance operations. Establish and maintain quality standards. Ensure compliance with regulatory standards. Review company policies and business processes. Analyze data and information to identify business opportunities. Review and tests systems for conformance to functional and performance requirements. Review plan codes are setup appropriately in LSP per policy form provisions. Complete policy changes/updates (ie. issue age updates, modal factor overrides, plan code changes). Complete special projects and tasks as assigned. Minimum Qualifications: Bachelor's Degree in Finance, Business Administration, or in a related field preferred. Knowledge, Skills and Abilities: Strong organizational skills with a high attention to detail. Highly proficient in Microsoft Excel and Word. Excellent interpersonal and communication skills, and the ability to work effectively with a wide range of constituencies in a diverse community. Ability to work on own initiative and within tight deadlines, prioritizing in a demanding environment. Ability to work in an open office environment with senior management from various departments. Travel Requirements: This position may require light travel within a ten-mile radius from one office location to another as needed. Professional Development: Establish annual objectives for professional growth. Keep pace with developments in the discipline. Learn and apply technologies that support professional and personal growth. Participate in the evaluation process. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle or feel objects, type, and use mouse; reach with hands and arms and talk and/or hear. The employee is required to sit for extended periods of time. The position may require lifting, pulling or moving items weighing upwards of 10 pounds as it relates to office or desk supplies. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee regularly works in an office environment. This role routinely uses standard office equipment such as computers, phones via WebEx, physical phone while in office, and photocopiers when necessary. Other Duties: Please note this is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to the job at any time without notice. AAP/EEO Statement: ManhattanLife prohibits discrimination based on race, religion, gender, national origin, age, disability, veteran status, marital status, pregnancy, gender expression or identity, sexual orientation, or any other legally protected status. EOE Employer/Vet/Disabled. ManhattanLife values differences. We are committed to fostering an environment that attracts and retains a diverse workforce. With individuals from a variety of backgrounds, ManhattanLife will be better equipped to service our customers, increase innovation, and reduce risks. We encourage the unique perspectives of individuals and are dedicated to creating a respectful and inclusive work environment.
    $52k-72k yearly est. 5d ago
  • Research Analyst

    Digistream Investigations 3.5company rating

    Pearl River, NY jobs

    DigiStream Investigations is a fast-growing, premiere provider of investigative services across the U.S. and Ontario, Canada. We seek an inquisitive individual who is social media savvy and ready to use their scrolling skills for good. As a Research Analyst, you will find and collect digital evidence in support of fraud investigations. You will conduct background and social media searches, create tactical logs for surveillance efforts, identify red flags, and deliver results critical to the overall success of each case. Each case will be different. One day you could be archiving the latest TikTok dances, the next you could be researching the scene of a tragic accident. Your Mission: Use the intel gathered in your investigations to collaborate with Evidence, Field Operations, and the Investigative Advisor, ensuring high quality results in fraud investigations. Compile digital evidence and social media data while achieving it for court use Write comprehensive investigative reports in an efficient manner Compose tactical logs for surveillance efforts Formulate Red Flag Analysis for clients as cases progress Input data to track case findings and billing for services Provide testimony in fraud cases as needed Other duties as assigned Requirements: Bachelor's degree in Criminal Justice, Psychology, History, Political Science or other writing-intensive major Ability to read, analyze, and interpret large amounts of information from social networking profiles, online forms and articles, court documents, and other resources Ability to navigate and use social networking websites, search engines, social networking aggregators, and various investigative platforms to find and render what is often very specific information Understanding of HIPAA and dedication to maintaining confidentiality of information Focus and time management skills for multi-tasking and adhering to strict deadlines Accountability for working under minimal supervision Typing speed of at least 40 WPM (with accuracy) Strong communication and research skills Willingness to learn and adapt to changes in the digital world Details: NO PI LICENSE REQUIRED Must be able to commute to Pearl River, NY Schedule: Monday-Friday, 8:30am-5pm Entry level position with room to grow in a dedicated desktop promotional track Starting pay: $21/hour, raises at 90-day and annual performance reviews Paid time off accrual starting on your first day, benefits offered at 60, and 401k offered at six months In-office position during probationary period (90 days), hybrid scheduling opportunity pending performance Conditions: sitting for extended periods, keyboarding, viewing computer monitor, Typing and viewing computer monitors for long periods of time, lifting up to 25 lbs. The vibes at DigiStream: Encouragement to challenge yourself in your abilities, learn from others, and grow (professionally and personally). Opportunities to further education and develop professional skills through optional participation in our Leadership Development Program, Ladies Leadership Network, and Diversity Equity & Inclusion Group Commitment to building a supportive environment for employees to do meaningful work and build stable careers Active participation in the communities we serve at local, regional, national, and international levels through volunteerism, nonprofit partnerships, donations, and our focus on environmental sustainability Core Values of Excellence, Passion, Integrity, and Empathy Expressed employee appreciation and acknowledgement of individual successes Weekdays, 8:30am-5pm 40
    $21 hourly Auto-Apply 5d ago
  • Financial System Analyst

    Personal 4.3company rating

    Plano, TX jobs

    It is a leading support company specialized in Staffing & Recruiting. Pull Skill Technologies Inc . has the experience and resources to provide your organization with the best personnel to supplement your information technology needs. Our highly experienced recruiters find qualified candidates quickly through state-of-the-art business practices. Networking and relationship building, proactive internet mining and constant refining of our database inventory give us the ability to respond to your needs rapidly and effectively. Job Description Role: Financial System Analyst Location: Plano, TX Duration: Full-time - (Hybrid, 3 days onsite) URGENT BACKFILL!! Looking for a FP&A resource. FP&A (Financial Planning and Analysis) Financial planning and analysis (FP&A) refers to the processes designed to help organizations accurately plan, forecast, and budget to support the company's major business decisions and future financial health. These processes include planning, budgeting, forecasting, scenario modeling, and performance reporting. Needs to have some Oracle ERP (Oracle EBS r12 or Fusion). Doesn't need to be highly technical. More like SQL. Any experience with revenue recognition ASC 606 is a big plus Microsoft Excel (lookups, pivot tables, etc.) is required Self-relocation candidates are OK, but prefer someone already in Plano Texas. This is a hybrid onsite position. No relocation expenses are paid. Must provide 3 professional references ready to be called. Bachelor's degree (not an Associates Degree or no degree) Experience with Accounting or ERP software required Minimum 5 years' experience in financial systems analysis Experience with accounting modules, workflows, and reports to meet user requirements and optimize financial processes Experience evaluating manual and automated accounting processes, systems, and procedures for efficiency of workflow Proficiency in Microsoft Excel (lookups, pivot tables, etc.) Experience comparing accounting datasets to discover variances Has experience with data conversion, performing data extraction, analyzing it, and working with other IT team members to load the data. Basic understanding of database structure & queries Needs to have some Oracle ERP (Oracle EBS r12 or Fusion). Doesn't need to be highly technical. More like SQL. Experience using various report writing tools to extract data. Strong communicator. Someone who can work independently and keep all stakeholders updated. Additional Skills (Good to have but not required, will be a huge plus): Degree or Certification in Accounting is a plus. Additional Information All your information will be kept confidential according to EEO guidelines.
    $66k-94k yearly est. 7h ago
  • Professional, Overpayment Recovery and Monitoring Analyst

    MVP Health Care 4.5company rating

    Analyst job at MVP Health Care

    **Join Us in Shaping the Future of Health Care** At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team. **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 in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** . You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities. **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 **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. $69,383.00-$92,279.00 **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 ******************** .
    $69.4k-92.3k yearly 26d ago

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