Top Tech Jobs & Startup Jobs in NYC, NY

Analyze utilization, costs, revenues, and financial trends using claims, eligibility, pharmacy, and clinical data. Produce and validate reports, support forecasting and budgeting, monitor variances, reconcile internal datasets with state records, identify cost-saving initiatives, ensure compliance with regulatory and organizational requirements, and suggest improvements to analysis processes.

Serve as servant leader and coach for Scrum teams and the organization to adopt Agile/Scrum; facilitate ceremonies, remove impediments, track metrics, support Product Owner, improve processes, and manage stakeholder relationships to deliver projects.

Lead actuarial team activities including pricing, forecasting, reserving, and model development. Produce strategic recommendations, manage actuarial processes and vendor work, support rate filings and regulatory interactions, oversee IBNR reserve estimates, and communicate results to leadership.

The Claims Management Analyst III leads eBusiness initiatives, manages EDI trading partners, ensures compliance, and analyzes performance for continuous improvement.

The Senior Manager, DSNP Product Operations leads operational aspects of DSNP products, ensuring compliance, scalability, and efficiency through collaboration and performance oversight.

Lead capacity planning, forecasting, and reporting for multi-site call centers. Develop staffing strategy and budgets, ensure accurate regulatory reporting, implement agent scorecards and speech analytics, drive Lean/Six Sigma continuous improvement, partner with WFM, engineering, finance, and talent acquisition to optimize staffing and operational performance.

Senior business analyst leading cross-functional teams to elicit and manage complex requirements, maintain Epics/Features lifecycle, align solutions to strategy, mentor analysts, drive process improvements, and present KPI-driven insights to stakeholders and executive leadership.

The Applied AI Scientist III develops advanced analytics solutions utilizing AI technologies, leading projects in predictive analytics and NLP to enhance healthcare operations and patient care.