• Business Analyst II Mbhp EDI Encounters

    Elevance Health (Latham, NY)
    **Business Analyst II MBHP EDI Encounters** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... as required by law. The **Business Analyst II MBHP EDI ** **Encounters** is responsible for translating basic business needs...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (07/17/25)
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  • Senior Product Manager ( Healthcare )

    TD Bank (New York, NY)
    …revenue cycle and payments processes and workflows, healthcare technology systems, and healthcare industry standard file formats ( EDI 835, EDI 837), and ... of Business:** Product Management **Job Description:** The Senior Product Manager, Healthcare is responsible for overseeing the management of TD Bank transaction… more
    TD Bank (07/15/25)
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  • Implementations Manager

    CVS Health (Albany, NY)
    …ability to manage client expectations. + Proficiency in project management tools and healthcare systems (eg, EDI , claims platforms). + Adept at problem solving ... account management. **Required Qualifications** + 3-5 years of experience in healthcare implementation, or client onboarding. + Excellent project management and… more
    CVS Health (07/16/25)
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  • Staff Integration Engineer, Navista Network

    Cardinal Health (Albany, NY)
    …preferred. + 4-8 years of professional experience preferred + Prior experience with healthcare data (HL7, 837/835 EDI files) required + Experience with data ... integration and JavaScript + Prior experience with Mirth Connect strongly preferred, certifications a plus + Knowledge of Agile and Scrum development practices + Experience with cloud platforms, specifically Google Cloud Platform and AWS + You are willing to… more
    Cardinal Health (06/19/25)
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  • Healthcare Facets Encounter Claims…

    Cognizant (Albany, NY)
    …is responsible for providing customers with application domain expertise related to EDI files like 837P,837I,837D and few other types. This role involves in ... varies markets. The position requires excellent general consulting and EDI skills and is remote participation. **Job Title** **:...address issues. **Required Experience** : + 10 years of healthcare experience, with 5 years of recent and relevant… more
    Cognizant (07/23/25)
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  • Sr Product Owner

    Evolent (Albany, NY)
    …analyst, and/or product management + Experience working with FHIR - based solutions in the Healthcare IT space + Experience working with EDI - based solutions in ... + Microsoft Office experience (Excel, Visio) + Understanding of healthcare data formats (eg, eligibility, claims, configuration, authorizations, clinical data)… more
    Evolent (07/09/25)
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  • Senior Provider Relations Representative

    Molina Healthcare (Buffalo, NY)
    …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for network management… more
    Molina Healthcare (06/15/25)
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  • Senior Solution Architect

    Molina Healthcare (NY)
    …cloud offering/solutions + ITIL (Information Technology Infrastructure Library) Foundation + EDI (Electronic Data Interchange) - Experience in Healthcare + ... tools and the organization process. + Experience with various processes within Healthcare Domain + Analyzing the business impact that individual technical choices… more
    Molina Healthcare (06/27/25)
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  • Lead Analyst, Configuration Oversight - Payment…

    Molina Healthcare (Syracuse, NY)
    …with claim recovery audits and regulatory reporting requirements (Medicaid). Exposure to EDI transactions (837, 835) and COB data exchange protocols. Experience with ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
    Molina Healthcare (07/24/25)
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  • Billing Coordinator II

    Modivcare (NY)
    …and accurate invoices submission, including generating monthly charges and transmission of EDI claims and invoices + Investigate and resolves claim rejections and ... and denial workgroups for timely review and resubmission of EDI claims. + Resolve problems by clarifying issues, researching...required. + One (1) plus years of experience in healthcare revenue cycle management or a related field. +… more
    Modivcare (06/30/25)
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