• 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 (08/02/25)
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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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  • 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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  • Representative, Provider Relations HP

    Molina Healthcare (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 (08/02/25)
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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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  • Healthcare Claims Processor - remote

    Cognizant (Albany, NY)
    …: + Review claim system data and verify against UB or HCFA paper or EDI information. + Evaluate medical records to determine if the service rendered was medically ... be able to work with minimal supervision. + Excellent problem-solving skill in healthcare claims adjudication. + Ability to work at a computer for extended periods.… more
    Cognizant (08/01/25)
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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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  • Business Consultant

    Elevance Health (Latham, NY)
    …group files for various health plans with an expertise in Electronic Data Interchange ( EDI ) to drive key project deliverables. **How you will make it an impact:** + ... rules, core platforms, and applications for the data used in EDI exchanged preferred. + Develop comprehensive documentation outlining business rules, process… more
    Elevance Health (07/30/25)
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