• 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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  • Sr Analyst , Scope Management

    Evolent (Albany, NY)
    …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Scope Analyst , Scope Management** The Specialty Scope Management team is made up of analysts, ... you'll collaborate across disciplines, contribute to scalable solutions, and help shape data that drives care decisions. We value curiosity to explore better ways… more
    Evolent (07/18/25)
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  • Financial Analyst

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: Under the direction of the Supervising Financial Analyst , the Financial Analyst is responsible for the compilation of University Health System ... responsible for monthly statistical departmental reports, analysis of statistical and financial data on a daily, monthly, quarterly and annual basis including the… more
    SUNY Upstate Medical University (06/24/25)
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  • Patient Financial Services Analyst

    Garnet Health (Harris, NY)
    …a variety of tasks such as planning, implementation, documentation, report writing, data analysis, and system maintenance. The analyst utilizes system analysis ... to make your career home with us as a Patient Financial Services Analyst on our Patient Financial Services team at/in Garnet Health Medical Center-Middletown.… more
    Garnet Health (06/26/25)
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  • Risk Management Analyst - St Peters Health…

    Trinity Health (Albany, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Risk Management Analyst ** **FT Days- M-F onsite** **Mission Statement:** We, St Peter's Health ... healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical risk… more
    Trinity Health (07/22/25)
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  • Reimbursement Analyst - Senior

    Rochester Regional Health (Rochester, NY)
    Job Title: Reimbursement Analyst - SeniorDepartment: Reimbursement Specialist - Finance Location: Riedman Campus SUMMARY: Provide and maintain Hospital reimbursement ... expertise as it relates to Medicare , Blue Cross and Medicaid. Prepare annual institutional cost...computer system which enable calculation of revenue per DRG. Data is used for Management informational purposes. + Ensures… more
    Rochester Regional Health (06/26/25)
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  • Senior CBO Appeals Analyst

    Mount Sinai Health System (New York, NY)
    **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of...MSHP IPA negotiated contracts utilizing contract manager and other data sources. 4. Monitor State and Federal policies, regulations… more
    Mount Sinai Health System (05/17/25)
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  • Senior Contract Manager Analyst - Mount…

    Mount Sinai Health System (New York, NY)
    …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding,...terms, reimbursement structures, and facilitate the flow of contract data into the revenue cycle system. A strong background… more
    Mount Sinai Health System (08/01/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Albany, NY)
    …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... claims + Prior professional experience utilizing Microsoft Excel (eg performing basic data analysis in excel and utilizing pivot tables and various functions such… more
    Humana (07/29/25)
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  • Compliance Analyst (MI Health Plan)…

    Molina Healthcare (NY)
    …activities at individual state health plans. **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is primarily responsibility for supporting the day to ... + Performs Plan Required Reporting. + Interpret and analyzes Medicare , Medicaid and MMP Required Reporting Technical Specifications. +...rulemaking. + Manages user access to CMS. + Analyze data use critical thinking + Ability to work independently… more
    Molina Healthcare (07/19/25)
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