• Human Resources Specialist 2, (Open to current NYS…

    New York State Civil Service (Albany, NY)
    …of the Chief Financial Officer and Executive. Under the supervision of the Associate Director Human Resources 2, the Human Resources Specialist 2 will perform, and ... List Unit to ensure the timely and accurate canvassing, distribution and coding of Department of Civil Service eligible lists;* Oversee the Department's examination… more
    New York State Civil Service (04/26/25)
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  • Rep, Provider Relations HP (Downstate New York)

    Molina Healthcare (Manhattan, NY)
    …related to utilization management, pharmacy, quality of care, and correct coding . * Independently delivers training and presentations to assigned providers and ... Plan and its service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate 's Degree or equivalent provider contract, network development and management,… more
    Molina Healthcare (04/25/25)
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  • Senior Outpatient Administrative Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    …acts in accordance with Upstate policies and procedures. Minimum Qualifications: Associate degree and three (3) years relevant patient financial/insurance services ... of medical terminology, medical billing/insurance requirements, familiarity with medical coding , and excellent written/oral communication skills required. Computer skills… more
    SUNY Upstate Medical University (04/25/25)
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  • Charge Description Master Analyst

    UHS (Binghamton, NY)
    …CDM/CGT management, encounter forms, charging and billing of services, coding and revenue reimbursement, and reconciliation processes. Working effectively as ... per hour, depending on experience Education/Experience Minimum Required: + An associate degree in business, Finance, or Health Care program required. Knowledge… more
    UHS (04/25/25)
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  • Negotiator Analyst (Level I)

    CVS Health (Albany, NY)
    …call handling history. + Strong mathematical skills. **Preferred Qualifications** + Coding experience, CMS, and/or CPC Certification. + Strong verbal and written ... Customary (calculations) and cost-benchmarking for drugs, supplies, and services. + Associate 's Degree. **Education** + High School Diploma or GED. **Anticipated… more
    CVS Health (04/24/25)
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  • Medical Director - Care Plus - Florida

    Humana (Albany, NY)
    …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (04/24/25)
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  • Medical Director - Medicaid N. Central

    Humana (Albany, NY)
    …duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (04/24/25)
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  • Provider Relations Representative

    Independent Health (Buffalo, NY)
    …of training). **Pay rate: $** **20** **/hr.** **Benefits:** As a full-time associate , you are eligible to receive benefits; Medical, Dental, Vision, 401K, and ... essential. + Strong working knowledge of CPT, ICD-9-CM, ICD-10-CM and HCPCS coding preferred. + Experience in compliance regulations, appeals and grievance knowledge… more
    Independent Health (04/24/25)
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  • Financial Improvement Assistant Manager

    SUNY Upstate Medical University (Syracuse, NY)
    …degree and two years of relevant healthcare business office experience OR Associate 's Degree and four years of relevant healthcare business office experience. Strong ... Qualifications: Bachelor's Degree with a minimum of four years chargemaster experience. Coding Certification (CPC or RHIT). Work Days: Monday-Friday days, with off… more
    SUNY Upstate Medical University (04/22/25)
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  • Configuration Analyst - QNXT (Benefits…

    Molina Healthcare (Albany, NY)
    …requirements and converting these terms to configuration parameters. + Handles coding , updating and maintaining benefit plans, provider contracts, fee schedules and ... + Experience in Networx is required **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience **Required… more
    Molina Healthcare (04/20/25)
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