Hybrid Claims Delegation & Analytics Lead (NY/NJ/CT)
VillageCare
VillageCare is seeking a claims analytics leader to develop strategies that optimize the claims audit/review process, monitor KPIs, and ensure compliance across delegated vendors to health plan and regulatory standards. This role leads a team of claims analysts and collaborates with Network Management, Utilization Management, BI, Member Services, Compliance and Finance. The position requires overseeing audits and reviews of delegated vendors, ensuring timely and accurate claims processing while #J-18808-Ljbffr VillageCare
$170k - $200k
...LocationManhattan, New York, NY,... ....com A&H Counsel - NYC, NJ, GA, or ILOur client, a... ...agreements involving vendors, delegated authority arrangements,... ...relationships.Product & Claims-Related Matters & Business... ...GAChicago, ILWork Mode:Hybrid 3 days in office2 days remoteWhy...ClaimsPermanent employment$118.14k - $132.9k
Location: Hybrid (Must Reside in NY/NJ/CT) Compensation: $118,135.58 -... ...strategies to optimize the claims audit/review process... ...audits/reviews of delegated vendors to ensure... ...This position will lead a team of claims analysts... ...in claims analytics performing increasingly...Claims$193.87k - $276.96k
...just a job, it’s a chance to lead progress, drive meaningful impact... ...a leadership position as our NY/NJ Transportation Business Group... ...project teams with management of claims and losses. Participate in 0%... ..., requisitions and offers as delegated by Business Group Manager....ClaimsFull timeTemporary workPart timeWork at officeLocal area$83.1k - $120.36k
...performance and provide analytic insights into all... ...Church Street, New York, NY 10007 on Tuesdays, Wednesdays... ...analysis to Finance, Claims, Pharmacy, Payment... ...payment integrity issues and lead cross‑functional... ...New York City Area (NY, NJ, CT residents): $83,100 - $...ClaimsContract workTemporary workWork experience placement- Bruin, a leading investment manager, seeks a technically strong ABS/securitisation professional to augment its Asset-Based Finance investment... ...three days per week. The role focuses on developing data and analytical solutions that inform underwriting, portfolio monitoring and...Suggested3 days per week
$100k - $140k
...is looking for an experienced Lead, Ceded Reinsurance Administration... ...Manage and monitor reinsurance claims processing, including... ...schedule: it may be fully remote/hybrid. If you are located near one of... ...e.g., Charlotte, NC; New York, NY; Syracuse, NY), a hybrid schedule...ClaimsFull timeTemporary workLocal areaRemote workFlexible hours2 days per week3 days per week$118k - $178k
...Underwriting Practice Lead - Accident &... ...Program Managers with Delegated Underwriting AuthorityCreation... ...group medical claims data, demographics,... ....Excellent analytical, mathematical, and... ...positions based in NYC, NY, the base salary... ...SummaryLocation: NY-New York; NJ-Parsippany; PA-...ClaimsFull timeWork at office- ...Position Summary:This position leads analytics, reporting, forecasting,... ...underwriting, actuarial, claims, finance, operations, and... ...or a related field. #LI-Hybrid#LI-JG1For individuals... ...SummaryLocation: New York, NY; Jersey City, NJ; Hartford, CT; Philadelphia, PAType: Full...ClaimsFull timeTemporary work
$135.29k - $152.2k
...Position: Manager of Risk Adjustment Analytics Location: Hybrid (Must Reside in NY/NJ/CT) Work Schedule: Monday - Friday,... .... Key responsibilities include leading risk adjustment analytics with an... ...of CMS/HCC methodology and claims-based data; building dashboards and...ClaimsContract workMonday to Friday$80 - $90 per hour
...seeking a Senior Workday HRIS Analyst (CR/511968) in New York, NY. Hybrid role with a focus on administering and optimizing a complex... ...continuous improvement across the system. Experience with Workday reporting and analytics is essential. #J-18808-Ljbffr Tandym-GroupHourly pay$260k - $270k
...President, Travel A&H Counsel Our client, a leading global P&C insurance carrier, is seeking... ...EXPOSURE (Eligible Departments: Legal, Claims, Regulatory, Risk)* - Ideal candidate is... ...Work Model NYC, Jersey City, or Hartford Hybrid (3 days/week in office) Why This Role? Join...ClaimsWork at office3 days per week$65k - $85k
...development Paul Davis Restoration of Metro NY/NJ Be the one who shows up when it matters... ...operations, documentation, budgets, and claim compliance while ensuring projects move... ...operational and financial performance. Leads with professionalism, urgency, and empathy...ClaimsWork at officeFlexible hours$130k - $165k
...GENERAL LIABILITY Location: New York, NY HYBRID Our client, a leading international law firm , is seeking... ...and other complex general liability claims. Associates in this group enjoy... ...depositions Superior legal writing, analytical, and research skills Exceptional organizational...ClaimsFlexible hours- ...500 healthcare company, is hiring an Analytics Solutions Lead within their Analytics & Behavior Change... ...Familiarity with medical and pharmacy claims data • Demonstrated proficiency in... ...award program. This role will be hybrid (1-2 days/week onsitie) in office in...ClaimsHourly payFull timeTemporary workWork at office2 days per week1 day per week
$106.11k - $174.72k
DescriptionThis position is hybrid/onsite. Requires 2 days... ...42nd Street, New York, NY The Data Science... ...develop sophisticated analytics and tools to provide information... ...team and takes the lead role in project... ...technology, enrollment, claims, pharmacy, clinical, contract...ClaimsContract workTraineeshipLocal area$71.2k - $239.2k
...& Insights Hub (CSIH) Analytics page is loaded## Consultant... ...located. This role is hybrid and will require going... ...times weekly in PA, NY, NJ or CT.***Consultant -... ...IQVIA CSIH is a market-leading, service delivery-oriented... ...physician and patient claims; IQVIA data preferred....ClaimsFull timePart timeWork experience placementWork at officeImmediate startWorldwide- Chelsea Search Group seeks a Medical Malpractice Associate Attorney for its New York, NY hybrid office. The role involves managing a caseload of medical malpractice claims, collaborating with partners, and appearing in court and depositions. Ideal candidates have a JD,...ClaimsWork at office
- ...a Day & Zimmermann company is seeking a Senior Claims Counsel - Professional Liability in New York on a hybrid basis for a 12‑month contract. The role oversees... ...liability claims experience, strong negotiation and analytical skills, and the ability to coordinate with...ClaimsContract work
- Berkshire Hathaway GUARD Insurance Companies in New York, NY is seeking a New Jersey Workers' Compensation Claims Adjuster to manage claims from assignment through... ...legal partners, and drive timely resolutions. This hybrid role offers a stable schedule (2 days remote, 3 in‑...ClaimsWork at officeRemote work
- ...Enterprise Services, LLC in New York seeks a Lead Analyst, Social Media to own and advance... ..., YouTube, and emerging platforms. This hybrid role combines strategy with hands‑on... ...years in social media, excels at writing, analytics, and cross‑functional collaboration with...
$143.85k - $236.33k
HDR is looking for a NY/NJ Bridge Inspection Program Lead to head their program in New York, NY. This role involves managing bridge and tunnel inspection programs, leading inspection teams, and developing quality assurance protocols. Candidates should possess a minimum...- Revlon in New York, NY seeks a Senior Manager, Revenue Growth Management to partner on trade investments, pricing, and promotional... ...requires deep CPG experience, strong commercial judgment, and hands-on analytical capability. You will build Excel-based models, use AI-enabled...
- L’Oréal USA in New York, NY is seeking an Assistant Manager, Account Management & Analytics to leverage data and analytics to support account decision making and identify opportunities for growth. You will collaborate with internal and external teams to drive category...
- NBCUniversal is seeking a Lead in Product Analytics and Experimentation to drive data-informed product decisions across acquisition and subscription... ...in Databricks, BigQuery, Tableau, Looker, and Airflow. Hybrid schedule with competitive benefits is offered. #J-18808-Ljbffr...
- T&M Associates is seeking a highly motivated Group Manager to lead our Mechanical, Electrical, and Plumbing (MEP) team in New Jersey. This position supports from any of our NJ offices and offers a hybrid work arrangement, combining remote work with in-office collaboration...Work at officeRemote work
$390k
...their Executive Compensation & Benefits team in New York, NY. This full-time hybrid position offers a competitive salary between $390,000 and $... ...candidate has 4-8 years of experience and a background in leading executive compensation workstreams. Responsibilities include...Full time- ...leader is seeking a seasoned Global Head of Claims Data & Analytics to define and drive their enterprise-... ...strategy. In this role, you will lead a high-performing team to enhance decision... ...and Tableau. The position is based in New York, NY. #J-18808-Ljbffr Starr CompaniesClaims
- AXIS Capital invites you to join our Reserving analytics team in New York, helping turn complex data into trusted insights for critical... ...decisions. You will partner with Reserving, Finance, Actuarial, Claims, Underwriting, and Data & Analytics to build dashboards, datasets...Claims
$77.51k - $87.2k
...Compliance Auditor Location: Hybrid (Must Reside in NY/NJ/CT) Work Schedule: Monday -... ...plan's operations and delegated entities meet Medicare and Medicaid... ...; familiarity with claims and care management processes Strong analytical, communication, and project...ClaimsWork from homeMonday to Friday- AXIS Capital in New York is seeking a Reserving Analytics professional to turn complex data into clear, trusted insights for reserving decisions... .... You will collaborate across Reserving, Finance, Actuarial, Claims, Underwriting, and Data & Analytics to understand needs and...Claims
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