• Lead Director, Medicare Business

    CVS Health (Albany, NY)
    …market performance but help to shape and drive the markets bid strategy. + An analyst of Medicare business performance, meaning that the role is expected ... degree of complexity. + Working knowledge of Medicare and Medicare Advantage + Experience leading business process, project management and organizational… more
    CVS Health (08/21/25)
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  • Senior Analyst , Healthcare Analytics (Risk…

    Molina Healthcare (NY)
    …proficiency in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, the ... needs. Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and… more
    Molina Healthcare (07/17/25)
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  • Risk Adjustment Audit Operations Analyst

    Molina Healthcare (NY)
    …+ Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...senior analysts. + Document data sourcing steps, methodologies, and business rules to promote traceability and team learning. +… more
    Molina Healthcare (08/08/25)
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  • Senior Contract Manager Analyst - Mount…

    Mount Sinai Health System (New York, NY)
    …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... of patients. We are accelerating a transition to a business model focused on population health management - our...Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding,… more
    Mount Sinai Health System (08/01/25)
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  • Risk Revenue Analyst - Senior

    Independent Health (Buffalo, NY)
    …and statistical analyses, specifically designed to support pricing and bidding for Medicare Advantage plans. Such projects will support both internal and ... and a culture that fosters growth, innovation and collaboration. **Overview** As a Risk Revenue Analyst -Senior the incumbent will provide a full scope of actuarial… more
    Independent Health (08/08/25)
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  • Senior Contracting Compliance Analyst

    Mount Sinai Health System (New York, NY)
    …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... of patients. We are accelerating a transition to a business model focused on population health management - our...System. MSHP seeks a Senior Contract Compliance (Hospital Billing) Analyst who will primarily be responsible for tracking, trending,… more
    Mount Sinai Health System (08/12/25)
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  • Executive Director, Data Analytics & Verification

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The Department of ... Office of Data Analytics & Verification is recruiting for (1) Administrative Staff Analyst NM III to function as an Executive Director, Data Analytics & Verification… more
    City of New York (08/13/25)
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