• Processor, COB Review

    Molina Healthcare (Buffalo, NY)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) is required by CMS and state agencies to coordinate benefits when other carriers are responsible ... expenses and premium reimbursement. **KNOWLEDGE/SKILLS/ABILITIES** + Provides telephone, clerical, and data entry support for the COB team. + Phones or utilizes… more
    Molina Healthcare (07/19/25)
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  • Specialist, Corporate Credentialing

    Molina Healthcare (NY)
    …Description** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and ... ensure timely processing or termination of recredentialing applicants. * Completes data corrections in the credentialing database necessary for processing of… more
    Molina Healthcare (07/19/25)
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  • Director, Appeals & Grievances (Medicare…

    Molina Healthcare (Rochester, NY)
    …Health Plan requirements * Works with Claims, Configuration, Contracting, Provider Data Management, and other business partners to resolve provider concerns related ... Claim Experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing/resolution, including… more
    Molina Healthcare (07/18/25)
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  • Senior Medical Director (Medicare)

    Molina Healthcare (Yonkers, NY)
    …Assists in recruitment, hiring and training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts ... Medicare) **PREFERRED EDUCATION:** Master's in Business Administration, Public Health, Healthcare Administration, etc. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Board Certification… more
    Molina Healthcare (06/13/25)
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  • Provider Data Management & Credentialing…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Provider Data Management and Credentialing Specialist is responsible for ensuring the data integrity for contracted providers. This ... contractual requirements. This individual is responsible for timely and accurate data reporting to management, payers and other business partners. **Qualifications**… more
    Mount Sinai Health System (07/30/25)
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  • Senior Benefit Operations Specialist

    KPH Healthcare Services, Inc. (Gouverneur, NY)
    **Overview** **Scope of Responsibilities:** Responsible for the entry of new client data or changes to existing clients into the PBM adjudication platform. Works ... the PBM platform and all associated testing to ensure accurate and efficient data entry and administration. Provides insights and feedback to assist in updates to… more
    KPH Healthcare Services, Inc. (07/18/25)
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  • Medical Screener - Begin Your Career…

    Kedplasma (Amherst, NY)
    …process and notifies appropriate medical staff. + Ensures accurate recording of donor data in the electronic donor information management system as outlined in the ... accurately and in compliance with company SOPs. + Maintains data integrity and confidentiality of all personnel, donor, and...timely proper computer entry. + Documents comments on donor data including exceptions. + Answers the telephone in a… more
    Kedplasma (06/04/25)
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  • Associate Data Engineer

    Momentive Performance Materials Inc. (Niskayuna, NY)
    Job Title: Associate Data Engineer Summary:The Associate Data Engineer will work with the business and IT teams by helping gather requirements, assist in ... to the ER&A reporting and analysis efforts. This role will work with various data and reporting tools used in Momentive to help deliver insights and support… more
    Momentive Performance Materials Inc. (08/14/25)
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  • Data Scientist

    LiveRamp (New York, NY)
    **LiveRamp is the data collaboration platform of choice for the world's most innovative companies. A groundbreaking leader in consumer privacy, data ethics, and ... consumer trust. LiveRamp offers complete flexibility to collaborate wherever data lives to support the widest range of ...consumer brands and tech giants to banks, retailers, and healthcare leaders turn to LiveRamp to build enduring brand… more
    LiveRamp (08/14/25)
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  • Senior Research Data Scientist, Bureau…

    City of New York (New York, NY)
    Job Description The Center for Population Health Data Science (CPHDS)- launched in October of 2023- aims to catalyze critical data modernization work and enable ... the agency to make progress toward linking public health, healthcare , and social service for timely and effective public action. We are working towards making these … more
    City of New York (08/13/25)
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