• Director, Clinical Data Acquisition

    Molina Healthcare (Albany, NY)
    …Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you ... projects, and other state specific audit projects and deliverables related to accurate billing and coding. This role also works with the Health Plan Risk/Quality… more
    Molina Healthcare (10/22/25)
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  • Payment Integrity Clinician

    Highmark Health (Albany, NY)
    …Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability ... member satisfaction. Will be expected to identify potential discrepancies in provider billing practices and intervene for resolution and education or if necessary… more
    Highmark Health (11/14/25)
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