• Compliance Analyst, 340B Program ( On-Site )

    WMCHealth (Valhalla, NY)
    …up and maintained. + Software & Data Management + Maintain, test, and audit split-billing software and associated data feeds, ensuring accuracy and compliance. + ... Develop and refine claims qualification logic and data feeds for contract pharmacy...& Compliance Oversight + Develop and maintain a 340B audit compliance program, executing self-audits and implementing corrective action… more
    WMCHealth (04/26/25)
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  • Senior Social Worker/LMHC

    Trinity Health (Troy, NY)
    …could be your opportunity. Here at Samaritan Hospital, an affiliate of St. Peter's Health Partners, we care for more people in more places than one. This position, ... with completing New York State Office of Victim Services compensation claims , crisis counseling and trauma therapy, advocacy, and accompaniment through the… more
    Trinity Health (06/06/25)
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  • Manager of Revenue Cycle Management & Medical…

    Helio Health Inc. (Syracuse, NY)
    Overview Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare ... issues. To support the mission of Helio Health , the Manager of Revenue Cycle Management (RCM) and...that records are maintained and accessible in accordance with audit requirements and federal/state regulations; provides detail for response… more
    Helio Health Inc. (06/04/25)
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  • Pharmacy Program Manager

    CVS Health (Albany, NY)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...a plan sponsor requests pharmacist attendance for an onsite visit/assessment/ audit . Pharmacy Program Manager role includes: -Collaborate with an… more
    CVS Health (05/31/25)
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  • Accounting Analyst- Hybrid Amherst, NY.

    CVS Health (Amherst, NY)
    At CVS Health , we're building a world of health ...for open items + Work closely with AR and Claims Teams to successfully integrate and analyze all file feeds ... ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health ...off boarding of groups + Quality Control & Internal Audit + Review invoices for reasonability and accuracy and… more
    CVS Health (05/29/25)
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  • Reimbursement Sr Analyst

    Intermountain Health (Albany, NY)
    …of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as ... reimbursement methodologies. + Prepares or reviews cost reports and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to… more
    Intermountain Health (05/28/25)
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  • Configuration Analyst III - Provider Data

    CDPHP (Albany, NY)
    …in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to ... of the analysis, maintenance, and configuration of CDPHP's core claims systems and applications application systems, as well as...be responsible for the technical oversight of all departmental audit analysis as it relates to configuration of the… more
    CDPHP (06/02/25)
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  • Mgr Customer Operations (Individual Market…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Improvement. Responsible for creating and managing business plans consistent with the Health Plan strategic goals. Develops staff through coaching and mentoring and ... ensures training needs are met so that the related claims and customer care expectations, corporate goals, BCBSA performance standards, and federal and state mandate… more
    Excellus BlueCross BlueShield (05/28/25)
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  • Finance Accountant Assistant Level 1 (Provisional)…

    CUNY (New York, NY)
    …accounts and in performing reconciliations. - As instructed, examines invoices, claims , vouchers, etc.; verifies documents for accuracy by reviewing supporting data ... and records and assists in audit functions. - As authorized, receives remittances and payments;...issues pertinent receipts. - Assists in processing invoices, vouchers, claims , statements, bills, etc. - Perform various calculations and… more
    CUNY (05/23/25)
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  • Senior Trade Analyst

    Regeneron Pharmaceuticals (Sleepy Hollow, NY)
    …new hires. The Senior Analyst will also be a key contributor to all audit -related activities pertaining to the brand. **A typical day might include the following:** ... to customers and vendors. + SME for all internal audit requests that pertain to active GPO contracts. +...fees outlined in GPO contracts. + Effectively resolve all claims in an accurate and timely manner. Proactively review,… more
    Regeneron Pharmaceuticals (05/18/25)
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