- Norstella (Albany, NY)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Jan 5, 2026 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Cycle Analyst - Medical Group - Albany, NY - FT** If you are looking for a Revenue ... remote 1 day a week. . This Revenue Cycle Analyst is needed for the medical group....outstanding claims to contact to ensure all claims are billed timely + Review each claim… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and ... of provider reimbursement changes * Provides data driven analytics to finance, claims , medical management, network, and other departments to enable critical… more
- Amazon (New York, NY)
- …of actuarial reserving, forecasting and medical economics -Expertise in working with medical claims data and using programming languages such as SQL, R, SAS, ... Description Amazon One Medical is hiring a Actuarial Manager Analyst . Actuarial rigor is one of the keys to our success. This candidate will responsible… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... maintains confidentiality. - Coordinates filing of all necessary data into the medical record to insure compliance with AIDS Institute requirements. - Collects and… more
- Highmark Health (Albany, NY)
- …:** **JOB SUMMARY** This pivotal role drives the full lifecycle of medical policies, from initial development and evidence-based criteria writing to publication, ... analysis. The incumbent will act as a primary owner of assigned medical policies, ensuring their accuracy, clinical soundness, and operational feasibility. A core… more
- Highmark Health (Albany, NY)
- … terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim...years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical… more
- Molina Healthcare (Albany, NY)
- … function efficiency. **Required Qualifications** * At least 3 years of medical claims processing experience, or equivalent combination of relevant education ... JOB DESCRIPTION Job Summary Provides analyst support for claims research activities...and experience. * Medical claims processing experience across multiple states,… more
- Highmark Health (Albany, NY)
- …including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must ... resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a...of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim… more
- Jacobs (Buffalo, NY)
- …firm, then Jacobs is where you belong. This candidate will work in the claims department, analyzing delay claims brought against the State within a geographic ... perform complex schedule analysis using P6 * Review Contractor's notice of claim in accordance with the Contract, determine validity * Day-to-day tracking, review,… more