• Senior Field Sales Manager ( Remote…

    Wolters Kluwer (Albany, NY)
    Senior Field Sales Manager - Remote Work with Healthcare Providers, Payers, Consultants, Insurance Companies, Corporations and State/Local Government Agencies to ... sell and maintain Wolters Kluwer Healthcare Regulatory & Coding Solutions. **_ This position will work from a... Solutions. **_ This position will work from a remote office and can be based anywhere in the… more
    Wolters Kluwer (08/28/25)
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  • Manager , Medical Economics (Medicaid)…

    Molina Healthcare (NY)
    **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts… more
    Molina Healthcare (11/09/25)
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  • Regional Manager , Value-Based Programs…

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and ... risk adjustment models, quality metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to… more
    Molina Healthcare (11/09/25)
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  • Outpatient Coder ( Remote )

    WMCHealth (Valhalla, NY)
    Outpatient Coder ( Remote ) Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info ... Applicant link Job Details: Job Summary: The Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic procedures in… more
    WMCHealth (09/12/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/medical reviews of previously ... practice. * Experience demonstrating knowledge of ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience… more
    Molina Healthcare (11/14/25)
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  • Lead Analyst, Payment Integrity - REMOTE

    Molina Healthcare (Syracuse, NY)
    …+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in ... payment integrity. + Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD),… more
    Molina Healthcare (09/28/25)
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  • Microsoft Dynamics Developer ( Remote )

    GovCIO (Albany, NY)
    …with DevOps tools and Azure is a plus. This position is fully remote and available to candidates within the Continental United States (CONUS). **Responsibilities** ... excellence within the team. + Promote best practices and coding standards to maintain high standards of excellence within...Azure DevOps, Confluence, etc.). + Demonstrated experience in a remote work environment. + Must be a US citizen… more
    GovCIO (10/31/25)
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  • Field Reimbursement Manager , Immunology…

    J&J Family of Companies (New York, NY)
    …Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Brooklyn, ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
    J&J Family of Companies (11/17/25)
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  • Manager , Fraud & Waste Investigation…

    Humana (Albany, NY)
    …of our caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review performs clinical audit/validation processes to ... ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The … more
    Humana (11/04/25)
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  • Product Support and Configuration -Warehouse…

    SitusAMC (Albany, NY)
    …client requirements + Other activities as may be assigned by your manager Qualifications/ Requirements: + Bachelor's degree or equivalent from four-year College or ... team accomplishments. + Ability to work independently in a remote work environment. + Understanding of ADO, WLS, and...work environment. + Understanding of ADO, WLS, and SQL coding a plus + Ability to work in a… more
    SitusAMC (11/14/25)
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