• Denial Management Specialist, Department…

    BronxCare Health System (Bronx, NY)
    …in a timely manner. - Authorization/Correspondence to be scanned into the DMS system . Qualifications - Five (5) years of Hospital/ Healthcare patient accounts ... with maintaining and furthering a positive public perception of Bronxcare Health System and its employees. - Contributes to and participates in the… more
    BronxCare Health System (06/21/25)
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  • Associate Specialist, Appeals & Grievances

    Molina Healthcare (Buffalo, NY)
    …**KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation for further review. + Research issues ... utilizing systems and other available resources. + Assures timeliness and...of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes,… more
    Molina Healthcare (08/30/25)
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  • Director, Applications (AI/Azure Databricks)…

    Molina Healthcare (Syracuse, NY)
    …to find solutions to ensure the success of the Health Performance Assessment System . * Takes a leadership role in evolving Molina application development practices. ... other IT teams to deliver successful and certifiable Medicaid Management Information Systems solutions. * Works closely with EPMO, business stakeholders to manage… more
    Molina Healthcare (06/29/25)
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  • Director, Consult Partner - Enterprise…

    Kyndryl (New York, NY)
    …We Are** At Kyndryl, we design, build, manage and modernize the mission-critical technology systems that the world depends on every day. So why work at Kyndryl? We ... Business and IT customer solutions, transformations that impact across the entire customer Eco- system . As a Consult Partner, you will have a pivotal role in driving… more
    Kyndryl (06/21/25)
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  • Social Worker - LMSW - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …patient needs. + Advocate for patients' needs and rights within the healthcare system and community. Multidisciplinary Team Collaboration: + Collaborate with ... meet the unique needs of each environment, collaborating with other healthcare professionals to deliver holistic care. Core Job Responsibilities Patient Assessment… more
    Mohawk Valley Health System (08/27/25)
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  • Family Medicine Physician

    St. Mary's Healthcare (Amsterdam, NY)
    …Position Highlights: + Full-time, hospital-employed role within a well-established healthcare system . + Outpatient-focused practice with minimal call ... St. Mary's Healthcare has been named a 2025 Times Union...launched the recognition program 14 years ago. St. Mary's Healthcare is seeking a compassionate and dedicated Family Medicine… more
    St. Mary's Healthcare (07/19/25)
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  • Healthcare .NET Senior Application…

    Highmark Health (Albany, NY)
    …support to maintain more complex applications that meet the service levels, system availability, performance and quality levels required by their customers. May ... minimal or no defects. + Utilizes and participates in the more complex full system development life cycle, per current Highmark SDLC standards. + Takes a lead role… more
    Highmark Health (08/14/25)
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  • Sr Director Nursing - Operative Services - Full…

    Mohawk Valley Health System (Utica, NY)
    …well as supporting day to day organizational performance throughout the Health System . Core Job Responsibilities + Actively engage in the development and ... on scientific advances, changes in technology, society, or health care delivery systems . + Cultivate a culture that promotes and rewards professional growth,… more
    Mohawk Valley Health System (07/18/25)
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  • Senior Corporate Compliance Consultant-…

    Baylor Scott & White Health (Albany, NY)
    JOB SUMMARY The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. BENEFITS Our benefits are designed...for events or as needed As a health care system committed to improving the health of those we… more
    Baylor Scott & White Health (09/04/25)
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  • PBM Regional Sales Lead - Cigna Healthcare

    The Cigna Group (New York, NY)
    …by new integrated and carve in customers by working with the Cigna Healthcare Sales channel partners + Demonstrates strong understanding and the ability communicate ... programs, visit Life at Cigna Group . **About Cigna Healthcare ** Cigna Healthcare , a division of The...life. We guide our customers through the health care system , empowering them with the information and insight they… more
    The Cigna Group (08/15/25)
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