• Senior Informaticist

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Senior Informaticist completes and coordinates with other analytics, IT and business areas ... create the foundation of monitoring financial, utilization, clinical and administrative health of our population. The position applies disciplined analytics for… more
    Humana (05/03/25)
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  • Product Manager, Datavant Connect

    Datavant (Albany, NY)
    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...computer science and software engineering is preferred** **SQL and/or coding experience is a plus** **Understanding of APIs** We… more
    Datavant (05/06/25)
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  • CHHA Field Registered Nurse (UFT union)- Manhattan…

    The New Jewish Home (Bronx, NY)
    …empower older adults to enhance purpose and well-being through a portfolio of innovative health care services. We do this through a vision whereby we would create a ... the UFT union. Job Summary : Responsible for providing and coordinating multidisciplinary health services for patients in the community. Works with the physician and… more
    The New Jewish Home (03/14/25)
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  • Patient Access Representative I

    Ellis Medicine (Clifton Park, NY)
    Ellis Medicine has GENEROUS and FLEXIBLE benefits day one! + Comprehensive and affordable Health , Dental and Vision insurance that starts on DAY ONE! + Generous paid ... set aside pretax dollars to better care for your health and the health of your loved...of benefits, etc., and route appropriately to ensure proper coding and billing charges. + Provide patients with forms… more
    Ellis Medicine (04/29/25)
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  • Member Advocate II (Bilingual)

    Centene Corporation (New York, NY)
    health care, managed care, Medicare or Medicaid. Claims billing/ coding knowledge preferred. **License/Certification:** Valid driver's license. Insurance producer ... an advocate for members and a liaison between the Health Plan and Provider(s) to ensure availability and access...processes to affect provider and member satisfaction. + Advise Health Plan on contract compliance in the delivery of… more
    Centene Corporation (04/11/25)
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  • Forensic Auditor: Investigate Complex Healthcare…

    New York State Civil Service (New York, NY)
    …and medical coding concepts (CPT, ICD-9/10, DRGs) and/or experience analyzing health care claims data.* A CPA is not required; but the position qualifies ... to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to millions of New Yorkers, including low-income persons,… more
    New York State Civil Service (04/01/25)
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  • CMP Revenue Cycle Analyst

    Crouse Hospital (Syracuse, NY)
    Since 1887, Crouse Health has been a leading healthcare provider in Central New York. We've combined a family-friendly culture with a passion to provide the best ... creates an environment where both patients and team members feel valued. Crouse Health offers a full range of general and specialty care, inpatient and outpatient… more
    Crouse Hospital (02/07/25)
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  • Utilization Review Nurse

    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 ... (2) years Utilization Management experience is preferred. + Knowledge of coding /claims processing is preferred. + Experience working with Microsoft Office, including… more
    CDPHP (05/01/25)
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  • Rep, Provider Relations HP (Downstate New York)

    Molina Healthcare (Manhattan, NY)
    …Manhattan and surrounding area _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... Duties** This role serves as the primary point of contact between Molina Health plan and the for non-complex Provider Community that services Molina members,… more
    Molina Healthcare (04/25/25)
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  • SharePoint Developer - IT Sr Associate - Level 2…

    CUNY (New York, NY)
    …and other relevant technologies, demonstrating expertise in architectural design, coding best practices, and performance optimization with minimal guidance. + ... $111,013 CUNY's benefits contribute significantly to total compensation, supporting health and wellness, financial well-being, and professional development. We offer… more
    CUNY (04/25/25)
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