• Analyst, Business Quality (Remote)

    Molina Healthcare (Buffalo, NY)
    …+ SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare more
    Molina Healthcare (08/24/25)
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  • Certified Coder (Risk Adjustment/Outpatient…

    Molina Healthcare (Syracuse, NY)
    …activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare more
    Molina Healthcare (08/21/25)
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  • Director, Enrollment (Duals) - REMOTE

    Molina Healthcare (Yonkers, NY)
    …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare more
    Molina Healthcare (08/08/25)
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  • Manager, Enrollment - REMOTE

    Molina Healthcare (Buffalo, NY)
    …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare more
    Molina Healthcare (08/01/25)
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  • Project Manager

    Cognizant (Albany, NY)
    …databases to run the reports. . Knowledge and experience on programming languages, healthcare applications design such as Claims , Pharmacy, Managed Care or ... of 5+ years of project management experience. . Strong experience on healthcare domain. . Experience working with appropriate frameworks operating systems, hardware,… more
    Cognizant (09/05/25)
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  • Software Engineering Senior Managers- Hybrid

    The Cigna Group (New York, NY)
    …development; data engineering; delivery execution; CICD automation using Jenkins; healthcare domain knowledge including Membership, Claims , and Clinical; ... improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of… more
    The Cigna Group (07/08/25)
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  • Testing Analyst

    CDPHP (Latham, NY)
    …and Toad (SQL tool). Qualifications: + Minimum of three (3) years healthcare insurance programs, processes, configuration and/or claims processing, IT, or ... individual must have a strong understanding of health insurance payment ( claims , capitation, or commissions) processing, member/group enrollment, id cards, billing,… more
    CDPHP (09/04/25)
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  • Denials Management Specialist

    Syracuse Community Health Center (Syracuse, NY)
    …Medical Terminology required. Demonstrated understanding of billing requirements for claims , demonstrated knowledge of healthcare insurer reimbursement systems, ... management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic health record system. This role requires… more
    Syracuse Community Health Center (08/07/25)
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  • Lead Pharmacy Technician

    KPH Healthcare Services, Inc. (Saranac Lake, NY)
    …in the initial submission, and resubmission (as required) of all third party claims + Locating prescription files and other manual records from storage as needed ... multiple factors such as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local,… more
    KPH Healthcare Services, Inc. (09/03/25)
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  • Nationally Certified Pharmacy Technician

    KPH Healthcare Services, Inc. (Moravia, NY)
    …in the initial submission, and resubmission (as required) of all third-party claims + Inventory management - proficient in inventory management including ordering & ... multiple factors such as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local,… more
    KPH Healthcare Services, Inc. (09/03/25)
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