• Clinical Program Manager- Payment Integrity…

    Molina Healthcare (Rochester, NY)
    …of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates strategic ... achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for… more
    Molina Healthcare (08/14/25)
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  • Assistant Director of Reimbursement

    Catholic Health Services (Rockville Centre, NY)
    …are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job ... Details To perform assigned reimbursement and accounting functions, complete assigned reports and provide...home office cost reports, budget capital reports, and various Medicare / Medicare cost report schedules, working alongside Director… more
    Catholic Health Services (07/16/25)
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  • Senior Director, Healthcare Analytics

    Centene Corporation (Queens, NY)
    …perspective on workplace flexibility. **Position Purpose:** The Senior Director, Healthcare Analytics leads analytic service delivery by aligning strategic ... building: Develop strong relationships with leaders across business products (Medicaid, Medicare , and Marketplace) and shared services to be a value-added partner… more
    Centene Corporation (08/08/25)
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  • Medicaid Provider Hospital Reimbursement

    Humana (Albany, NY)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
    Humana (08/14/25)
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  • Senior Analyst, Medical Economics - REMOTE

    Molina Healthcare (Yonkers, NY)
    …clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** ... Experience, Knowledge, Skills, and Abilities:** + 5+ years of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or… more
    Molina Healthcare (07/10/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (Albany, NY)
    …of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates strategic ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
    Molina Healthcare (08/14/25)
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  • Payment Integrity Program Manager - Health Plan

    Molina Healthcare (Albany, NY)
    …of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates strategic ... achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for… more
    Molina Healthcare (08/14/25)
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  • Business Information Consultant Senior - Health…

    Elevance Health (Middletown, NY)
    …practices highly preferred. + Experience benchmarking hospital or physician rates against Medicare reimbursement highly preferred. + Excel, SQL, and SAS ... **Business Information Consultant Senior - Health System Reimbursement ** **Location:** This role requires associates to be...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (08/16/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Albany, NY)
    …of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translate strategic ... and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially… more
    Molina Healthcare (08/14/25)
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  • Reimbursement Analyst

    Kaleida Health (Buffalo, NY)
    …or Finance preferred.** **Experience** **1 year of experience in Healthcare Finance and Reimbursement preferred.** **Working Conditions** **Essential:** ... ** Reimbursement Analyst** **Location:** **Larkin Bldg @ Exchange Street**...cost reports, audit tools, and other required submissions. Supports Medicare , NYS DOH and other audits as requested. Prepares… more
    Kaleida Health (08/08/25)
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