- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives improvement change by… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment . + Develops alliances with the ... we encourage you to apply! Job Description: This position assists the Chief Medical Director to direct and coordinate the medical management, quality improvement… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse scope and...Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide… more
- Travelers Insurance Company (Albany, NY)
- …**What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical ... for Travelers: Develop strategies and direction to advance Travelers medical capabilities to keep Travelers at the leading edge...Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services ... and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for our various lines of business. The… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice ... appeals. The Corporate Medical Director works on problems of diverse scope and...Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide… more
- Stony Brook University (Stony Brook, NY)
- …outpatient procedures. + Responsible for ensuring correct coding of patient types, medical services, and verification of authorizations to support clean billing and ... and regulatory signatures from patients or designee, essential for treatment and payment , as per procedure). + Maintains and requires appropriate documents as… more
- Norstella (Albany, NY)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Sep 3, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven...ask for anything of value or any type of payment during or as part of any recruitment, interview,… more