• Senior Analyst , Operational Regulatory…

    Molina Healthcare (Syracuse, NY)
    …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
    Molina Healthcare (08/22/25)
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  • Senior Contract Analyst

    City of New York (New York, NY)
    …and responsible professional work reviewing, amending, and correcting submitted management data and forms from Contract Analysts while supervising them regarding the ... unit's daily activities. The Senior Contract Analyst supervises the conduct of the field visits to vendors and Supportive Housing Facilities, to monitor their… more
    City of New York (08/13/25)
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  • Senior Analyst , Healthcare Analytics…

    Molina Healthcare (NY)
    …in data analysis. Performs research and deep-dive analysis of complex healthcare claims data , CMS return files, and financial cost, revenue, and vendor ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk...and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision… more
    Molina Healthcare (08/14/25)
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  • Senior Analyst , Utilization Management

    Molina Healthcare (Syracuse, NY)
    …in SQL for large dataset analysis and transformation, specifically in processing healthcare claims data and supporting managed care reporting needs + Experience ... solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , authorization, pharmacy, and lab datasets. * Build… more
    Molina Healthcare (09/25/25)
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  • CASE Analyst

    MVP Health Care (Schenectady, NY)
    …thinking and continuous improvement. To achieve this, we're looking for a CASE Analyst to join #TeamMVP. If you have a passion for innovation, efficiency, teamwork ... to work full-time, virtual in Schenectady or Rochester + 2+ years claims processing or system configuration experience required + FACETS experience required +… more
    MVP Health Care (10/02/25)
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  • Senior Internal Business Systems Analyst

    Highmark Health (Albany, NY)
    …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
    Highmark Health (07/11/25)
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  • Manager, Claims Modernization, Reporting…

    Healthfirst (NY)
    Job Description + Deliver data -driven analytics solutions and visualizations provide meaningful, accurate, and consumable information to department leaders. + Define ... inform strategic and tactical business decision-making. + Analyze and interpret complex data sets to determine root cause(s) to business performance issues +… more
    Healthfirst (08/14/25)
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  • Informatics Analyst II

    CDPHP (Latham, NY)
    …SQL, Python, R, or other coding language preferred. + Knowledge of healthcare claims data elements, state, federal and regulatory requirements and/or provider ... to be a part of that experience. The Informatics Analyst II is responsible for supporting the execution and...is responsible for supporting the execution and analysis of data and outcomes in support of cutting-edge physician and… more
    CDPHP (09/30/25)
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  • Lead Analyst , Reimbursement

    Molina Healthcare (Buffalo, NY)
    **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support… more
    Molina Healthcare (09/27/25)
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  • Executive Director, Financial Review…

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... & Support (OAS), Investigation, Revenue and Enforcement Administration (IREA), Office of Data Security Management (ODSM) and the Vendor Monitoring Office (VMO). The… more
    City of New York (09/25/25)
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