• Sr Compliance RCM & Coding Auditor

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently ... (CPC, CRC, and/or CMC) + Experience with metrics and reporting **Additional Information** **Work-At- Home Requirements:** To ensure Home or Hybrid Home /Office… more
    Humana (08/23/25)
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  • Marketing Automation Manager (Adobe AEP/NBA)

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** Humana's Marketing organization is seeking a Marketing Automation Manager who specializes in ... operate on Eastern Standard Time business hours.** To ensure Home or Hybrid Home /Office employees' ability to...offers a variety of benefits to promote the best health and well-being of our employees and their families.… more
    Humana (08/23/25)
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  • Research Scientist 2

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Research Scientist 2 participates in research study design, analysis and interpretation of ... **Desired Qualifications** + Master's degree or higher education + Experience in health care, insurance, or risk adjustment **This position is remote and work… more
    Humana (09/06/25)
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  • Senior Research Scientist

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Senior Research Scientist participates in research study design, analysis and ... **Desired Qualifications** + Master's degree or higher education + Experience in health care, insurance, or risk adjustment **This position is remote and work… more
    Humana (09/06/25)
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  • Senior Data Scientist

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Senior Data Scientist uses mathematics, statistics, modeling, business analysis, and ... **Preferred Qualifications** + Master's degree or higher education + Experience in health care, insurance, or risk adjustment **This position is remote and work… more
    Humana (09/06/25)
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  • Medicaid State Technology Lead

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and ... **Required Qualifications** + Bachelor's degree in healthcare administration, public health , information systems, business, policy administration or related field;work… more
    Humana (09/03/25)
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  • Staff Utilization Management Pharmacist

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... Lexicomp) + Pharmacy benefit management (PBM) platforms + Electronic health records (EHRs) + Passion for contributing to an...is best for your schedule. **WAH Requirements:** To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (08/27/25)
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  • Community Connections Representative I/II (Buffalo…

    Excellus BlueCross BlueShield (Rochester, NY)
    …to community social services and agencies. Enroll or refer qualified members in a health home . * Communicates health insurance program options, fundamentals ... to apply! Job Description: Summary: This position assists the Health Plan in establishing a presence in the community...Plan in establishing a presence in the community through home visits and community outreach bridging the gap between… more
    Excellus BlueCross BlueShield (09/02/25)
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  • Care Manager, Sayville Project

    Stony Brook University (Bohemia, NY)
    …physical health conditions in accordance with agency/SBU, NYS OMH, NYS DOH, Health Home , Suffolk County DMH and Medicaid guidelines and regulations, policies ... appointments and for transporting and accompaniment of clients as necessary. + Perform Health Home services and support agency clients in the development and… more
    Stony Brook University (08/08/25)
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  • Commercial Insurance Liaison

    UHS (Johnson City, NY)
    Position OverviewUnited Health Services (UHS) is seeking a detail-oriented and proactive Commercial Insurance Liaison to join our team. In this critical role, you ... care and coverage. Primary Department, Division, or Unit: Patient Accounting, UHS Home Care Primary Work Shift: Day Regular Scheduled Weekly Hours: 40 Compensation… more
    UHS (06/29/25)
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