• Business Analyst II

    Elevance Health (Latham, NY)
    …workplace. Alternate locations may be considered. A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ... and proprietary eligibility, COB, and group files for various health plans. **How you will make an impact:** +...eligibility exchanges, ensuring they meet both business needs and industry standards. + Facilitate discussions with plans and other… more
    Elevance Health (08/23/25)
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  • Executive Director, Software Engineering

    CVS Health (New York, 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 ...that is building applications that will transform the healthcare industry and improve the lives of hundreds of millions… more
    CVS Health (08/21/25)
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  • Strategic Account Manager

    Elevance Health (Middletown, NY)
    …expectations. Drives opportunities for additional growth and product sales. + Be an industry and product expert at the local, state, and federal level; continuously ... Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,...25 company with a longstanding history in the healthcare industry , looking for leaders at all levels of the… more
    Elevance Health (08/21/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Albany, NY)
    …optimization, and maintenance of self-service resources for providers, entities, and health systems within these programs. Works on multiple projects and has ... and maintenance of a self-service platform for providers, entities, and health systems within the Organization's value-based reimbursement programs for both the… more
    Highmark Health (08/20/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow ... or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information...25 company with a longstanding history in the healthcare industry , looking for leaders at all levels of the… more
    Elevance Health (08/09/25)
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  • Project Manager I (Cancer Clinical Trials…

    Mount Sinai Health System (New York, NY)
    …* Intermediate knowledge of operating procedures of best practices for health care organizations * Clinical research and/or grant research experience ... leaders. + Meets routinely with leadership teams to review financial health of the unit and opportunities. **Independently develops and negotiate favorable… more
    Mount Sinai Health System (08/01/25)
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  • Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    Overview Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care ... hospitals, three nursing homes, a home health service, hospice and a network of physician practices...(UAM) proactively conducts clinical reviews and appeals according to industry accepted clinical criteria guidelines. The UAM serves as… more
    Catholic Health Services (07/24/25)
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  • Marketplace Facilitated Enroller

    Elevance Health (NY)
    …an equivalent background. **Preferred Skills, Capabilities & Experiences:** + Industry experience with Marketplace strongly preferred + Bilingual candidates strongly ... Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,...25 company with a longstanding history in the healthcare industry , looking for leaders at all levels of the… more
    Elevance Health (07/23/25)
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  • Group Underwriter, Senior

    Elevance Health (Middletown, NY)
    …complex group cases based on thorough analysis of the group's experience, industry , location, size, and demographic nature. + Coordinates with other departments to ... Jersey, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,...25 company with a longstanding history in the healthcare industry , looking for leaders at all levels of the… more
    Elevance Health (07/23/25)
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  • Inpatient Clinical & Coding Specialist - Senior

    Independent Health (Buffalo, NY)
    …following certifications or licensures: Certified Inpatient Coder (CIC), Registered Health Information Management Administrator (RHIA), Registered Health ... Information Technician (RHIT), Certified Clinical Documentation Specialist (CCDS), American Health Information Management Association (CCS-H, CCS-P), Certification Denials and… more
    Independent Health (07/15/25)
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