• Senior Analyst , Medical Economics…

    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 ... operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM,… more
    Molina Healthcare (08/31/25)
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  • Senior Contract Manager Analyst…

    Mount Sinai Health System (New York, NY)
    …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a critical role in testing, ... The team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations , and product development expertise. MSHP is a fast growing business… more
    Mount Sinai Health System (07/30/25)
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  • Senior Analyst , Utilization…

    Molina Healthcare (Syracuse, NY)
    **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The ** Senior Analyst , Utilization Management** plays a critical role in supporting clinical and ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient… more
    Molina Healthcare (09/25/25)
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  • Senior Internal Business Systems…

    Highmark Health (Albany, NY)
    …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, ... federal, and industry regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational areas processes and… more
    Highmark Health (07/11/25)
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  • Data Science Analyst III - Pharmacy…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Data Science Analyst III serves as a senior member of the Pharmacy Analytics team, advancing Mount Sinai's mission through high-impact ... with stakeholders from Pharmacy, Finance, 340B, Supply Chain, and Clinical Operations to deliver data products that inform strategic decisions across the… more
    Mount Sinai Health System (07/30/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Albany, NY)
    …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be… more
    Humana (09/09/25)
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  • Manager, Claims Modernization, Reporting…

    Healthfirst (NY)
    …problem solving, and analytical skills. + Experience within any area of operations (Member Services, Enrollment & Billing, Claims , Provider Services, etc.). ... peers to establish goals, priorities and deliverables of Business/ Project Analyst team. Ensurelong-term strategic and short-term tactical Operational needs for… more
    Healthfirst (08/14/25)
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  • Analyst , Participations

    Warner Music Group (New York, NY)
    …update cash forecasts and budgets, investigate audit issues and claims ** + **Follow department financial controls and policies, communicate deficiencies ... + **Build and maintain strong working relationships across the company (up to senior executives), follow up open work items, respond to requests from internal and… more
    Warner Music Group (08/20/25)
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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 ... Analytics & Verification is recruiting for (1) Administrative Staff Analyst NM III to function as an Executive Director,...- Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner,… more
    City of New York (08/13/25)
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  • Director Of Revenue Enhancement And Analysis

    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 ... Office of Revenue Management and Development is recruiting one (1) Administrative Staff Analyst NM2 to function as a Director of Revenue Enhancement and Analysis.… more
    City of New York (09/27/25)
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