• Medicare Risk Adjustment Actuarial…

    Elevance Health (New Hyde Park, NY)
    ​ ** Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Actuarial Analyst III** is...develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data… more
    Elevance Health (07/18/25)
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  • Operational Regulatory Oversight Analyst…

    Molina Healthcare (Rochester, NY)
    …to the Health Care environment. **Knowledge/Skills/Abilities** The Operational/Regulatory Oversight Analyst works with health plans and operations departments to ... to and compliance with State and Federal regulatory guidelines. The Analyst develops and performs audits and oversight functions involving business-critical… more
    Molina Healthcare (07/19/25)
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  • Senior Actuarial Analyst ( Medicare…

    Molina Healthcare (Syracuse, NY)
    **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact.… more
    Molina Healthcare (07/25/25)
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  • Data Science Analyst III - Mount…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more… more
    Mount Sinai Health System (07/03/25)
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  • Data Science Analyst II-Geriatric…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Data Science Analyst II collaborates with stakeholders from across the organization to develop sophisticated analytics to provide ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst II demonstrates sound and a more… more
    Mount Sinai Health System (06/29/25)
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  • Litigation Support Advanced Analyst

    City of New York (New York, NY)
    …reporting between CMS and the Law Department including: to generally assist with Medicare Technical support issues related to data entry, query and claim ... reporting; to generate runs or other statistical data regarding Medicare -related cases and/or issues; to...and related contractors to resolve any issues. ASSOCIATE STAFF ANALYST - 12627 Qualifications 1. A master's degree from… more
    City of New York (07/12/25)
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  • Senior Analyst , Healthcare Analytics (Risk…

    Molina Healthcare (Syracuse, NY)
    …finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data ,… more
    Molina Healthcare (07/17/25)
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  • Network Services Analyst I/II/III

    Excellus BlueCross BlueShield (Dewitt, NY)
    …with sound and ethical procedures, objectives and controls, a Network Services Analyst analyzes and evaluates the composition and characteristics of Health Plan ... non-par claims. In the course of this work, the Analyst will be required to work closely with others...and efficiency in the varying payment methodologies. + Gathers data from a variety of sources; updates and maintains… more
    Excellus BlueCross BlueShield (05/24/25)
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  • Senior Analyst , Medical Economics - REMOTE

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... identifying opportunities to improve financial performance. Extracts, analyzes, and synthesizes data from various sources to identify risks and opportunities. **Job… more
    Molina Healthcare (07/10/25)
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  • Senior Analyst , Risk & Quality Reporting…

    Molina Healthcare (NY)
    **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. Assists with research, development, and completion of special performance… more
    Molina Healthcare (05/31/25)
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