• Specialist, Configuration Oversight…

    Molina Healthcare (Albany, NY)
    …equivalent combination of education and experience **PREFERRED EXPERIENCE:** 3+ years Healthcare Claims Adjudication **PHYSICAL DEMANDS:** Working environment is ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
    Molina Healthcare (08/16/25)
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  • Process Improvement Lead, Healthcare…

    Humana (Albany, NY)
    …This is your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a ... healthcare industry + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing, system navigation,… more
    Humana (08/29/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Albany, NY)
    …for payments, utilization review/quality assurance procedures. + Excellent problem-solving skill in healthcare claims adjudication. + Ability to work at a ... and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and… more
    Cognizant (08/01/25)
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  • Senior Analyst, Healthcare Analytics - Risk…

    Molina Healthcare (Rochester, NY)
    …advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities… more
    Molina Healthcare (08/14/25)
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  • Senior Analyst, Healthcare Analytics (Risk…

    Molina Healthcare (NY)
    …Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will be responsible for work...Adjustment submissions data to evaluate healthcare intervention program performance. Develops and presents Risk Adjustment… more
    Molina Healthcare (07/17/25)
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  • Senior Analyst, Healthcare Analytics…

    Evolent (Albany, NY)
    …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
    Evolent (07/31/25)
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  • Healthcare Solution Product Manager

    Bank of America (New York, NY)
    …If you are a mid-career product management professional with expertise in healthcare claims payments, clearinghouse / payer technology solutions, revenue cycle ... Healthcare Solution Product Manager Atlanta, Georgia;New York, New York; Charlotte, North Carolina **To proceed with your application, you must be at least 18 years… more
    Bank of America (08/19/25)
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  • Senior Analyst, Healthcare Analytics

    Molina Healthcare (Buffalo, NY)
    …solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * ... **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Healthcare plays a critical role in supporting clinical and operational initiatives by… more
    Molina Healthcare (08/22/25)
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  • Senior Analyst, Healthcare Analytics - ETL

    Molina Healthcare (Buffalo, NY)
    …technical solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst, Healthcare plays a critical role in supporting clinical and operational initiatives by translating … more
    Molina Healthcare (07/30/25)
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  • Big Data Engineer - Medicare/Medicaid

    Molina Healthcare (Albany, NY)
    …optimize data models to support analytical and operational use cases, including healthcare claims and utilization data. * Collaborate with cross-functional ... and outcomes Research) * Prior experience working in the healthcare industry with familiarity in clinical, claims ,...the healthcare industry with familiarity in clinical, claims , or care management data. * Experience with cloud… more
    Molina Healthcare (08/26/25)
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