• Senior Analyst , Healthcare Analytics (Risk…

    Molina Healthcare (NY)
    **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
    Molina Healthcare (07/17/25)
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  • Risk Adjustment Audit Operations Analyst

    Molina Healthcare (NY)
    **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... chase lists by helping identify and validate source data required for medical record collection. This is an ideal...collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory… more
    Molina Healthcare (08/08/25)
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  • Compliance Analyst , 340B Program ( On-Site…

    WMCHealth (Valhalla, NY)
    Compliance Analyst , 340B Program ( On-Site ) Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Executive/Management Department: Pharmacy ... Internal Applicant link Job Details: Job Summary: The 340B Program Compliance Analyst is responsible for maintaining regulatory compliance within the 340B Program… more
    WMCHealth (07/26/25)
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  • Analyst , Business Quality (Remote)

    Molina Healthcare (Buffalo, NY)
    …accelerated timeline to meet the desired deployment deadline. **Job Qualifications** ** REQUIRED EDUCATION:** Bachelor's Degree in Business Administration or ... **Job Description** **Job Summary** Assist business teams with developing requirements for major projects...Technology or equivalent combination of education and experience . ** REQUIRED EXPERIENCE:** + 3-5 years' experience in a combination… more
    Molina Healthcare (08/24/25)
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  • Senior Analyst , Medical Economics (Vbc)…

    Molina Healthcare (NY)
    **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
    Molina Healthcare (08/31/25)
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  • Senior Business Analyst

    St. Mary's Healthcare (Amsterdam, NY)
    …cash flow and net revenue * Provide project level analysis - producing required project analysis documentation - business requirements, scope matrix, use cases, ... to area responsibilities. Education: * Bachelor's degree in Health Care Management, Business Administration, Data Analytics or related field required . *… more
    St. Mary's Healthcare (07/29/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Albany, NY)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
    Humana (08/14/25)
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  • Senior Healthcare Data Analyst

    Staffing Solutions Organization (Albany, NY)
    …database structures and business context of various elements related to Medicaid claims . Related efforts will include the production of reports in support of the ... clients and the people they serve. **Senior Healthcare Data Analyst ** **(Location - Albany, NY)** **Summary:** The Data ...in the areas of Data Analysis, Project Management and Business Analysis. The individual will be responsible for the… more
    Staffing Solutions Organization (07/10/25)
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  • Provider Contracting & Reimbursement…

    Independent Health (Buffalo, NY)
    …innovation and collaboration. **Overview** The Provider Contracting & Reimbursement Analyst -Intermediate will analyze utilization, claims , membership, and cost ... required . + Experience in data analysis, statistical analysis, business modeling or health care analytics/health informatics preferred. + Highly proficient… more
    Independent Health (08/26/25)
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  • Operations Analyst

    City of New York (New York, NY)
    …County District Attorney's Office (DANY) has an immediate opening for an Operations Analyst in its Operations Division. In this position the Operations Analyst ... on vehicle(s), repair estimates, creating and or responding to insurance claims . - Responsible for maintaining all DANY vehicle registration: monthly submissions… more
    City of New York (07/23/25)
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