• Care Review Clinician, Inpatient Review (RN)

    Molina Healthcare (Rochester, NY)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or… more
    Molina Healthcare (08/20/25)
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  • Care Review Clinician, PA (RN)

    Molina Healthcare (Syracuse, NY)
    …/ Arizona time with some weekends and holidays. **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to ... + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and its members. + Processes requests within required timelines. +… more
    Molina Healthcare (08/16/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Albany, NY)
    …payment integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to ... (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and… more
    Molina Healthcare (08/14/25)
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  • LMSW - Inpatient Case Manager

    Bassett Healthcare (Cooperstown, NY)
    …psychosocial needs. The Complex C3 maintains current knowledge of basic healthcare economics, trends and reimbursements methodologies and applies knowledge to daily ... unit's patients through partnership and collaboration with all members of the healthcare team Receives referrals from Unit C3 for support with psychosocial issues… more
    Bassett Healthcare (08/13/25)
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  • Care Review Clinician, PA (RN)

    Molina Healthcare (Buffalo, NY)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and its members. + Processes requests within required timelines. +… more
    Molina Healthcare (08/08/25)
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  • Healthcare Security Officer

    Securitas Security Services USA, Inc. (Rochester, NY)
    Securitas Security is looking to hire three officers for healthcare facilities in Rochester NY. The first position is part-time; Monday through Friday 1600-2000 with ... and the area. Frequently our Security Officers will provide customer service and information to a client's employees and customers. We are driven by a clear… more
    Securitas Security Services USA, Inc. (08/02/25)
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  • Sr Data Scientist - Generative AI/ML/Databricks…

    Molina Healthcare (Syracuse, NY)
    …to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions ... gap and other business objectives. * Present complex analytical information to all level of audiences in a clear...years' work experience as a data scientist preferably in healthcare environment but candidates with suitable experience in other… more
    Molina Healthcare (08/01/25)
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  • Healthcare Data Analyst

    Staffing Solutions Organization (Albany, NY)
    …workforce, which is a reflection of our clients and the people they serve. ** Healthcare Data Analyst 1 - Albany, NY** **NYS Office of Health Insurance Programs** ... and maintain procedures and processing methods + Update and maintain public website information + Run weekly inventory reports + Liaise with health plans on… more
    Staffing Solutions Organization (07/09/25)
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  • Sr. Director, RWD Analytics and Innovation…

    Norstella (Albany, NY)
    Sr. Director, RWD Analytics and Innovation ( Healthcare & Life Sciences) Company: Norstella Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: ... status, gender, gender identity or expression, sexual orientation, genetic information , reproductive health decision making, or any other protected characteristic… more
    Norstella (07/09/25)
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  • Director, Applications (AI/Azure Databricks)…

    Molina Healthcare (Syracuse, NY)
    …and other IT teams to deliver successful and certifiable Medicaid Management Information Systems solutions. * Works closely with EPMO, business stakeholders to ... Experience** 7-9 years Application Design, Development Experience and, Management, Healthcare Industry **Preferred Experience** 10+ years, Healthcare Industry… more
    Molina Healthcare (06/29/25)
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