• Senior Contracting Compliance Analyst…

    Mount Sinai Health System (New York, NY)
    …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Hospital Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
    Mount Sinai Health System (08/12/25)
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  • Professional, Sr. Risk Adjustment Analyst

    MVP Health Care (Schenectady, NY)
    …improvement. To achieve this, we're looking for a **Professional, Sr. Risk Adjustment Analyst ** to join #TeamMVP. This is the opportunity for you if you have ... of CMS risk adjustment and reinsurance payment processes and audits for Medicare and Commercial programs required + Experience in risk adjustment payment models… more
    MVP Health Care (09/02/25)
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  • Finance Operations Analyst

    CVS Health (Albany, NY)
    …the day to day responsibilities related to ensuring complete and timely reimbursement from pharmaceutical manufacturers for certain pharmacy claims billed to ... Medicare . The candidate will contribute to establishing reporting and achieving desired financial targets by ensuring accurate posting of AR and driving efficient and… more
    CVS Health (09/04/25)
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  • Lead Business Analyst (Cahps)

    Centene Corporation (New York, NY)
    …disenrollment compliant audits, providing examples of any gaps that could change our Medicare STAR rating by H-contract. Able to interpret and understand changes to ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
    Centene Corporation (08/27/25)
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  • Research Analyst

    City of New York (New York, NY)
    …Benefits Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement and Pre-Tax Benefits & Citywide Programs ... including the Deferred Compensation Plan and NYCE IRA. In addition to negotiating collective bargaining agreements, OLR serves as a resource to agencies with regard to workforce labor issues and works with the Municipal Labor Committee (MLC) to pursue… more
    City of New York (08/02/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Albany, NY)
    …coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + ... of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. +...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
    Molina Healthcare (08/14/25)
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  • Executive Director, Data Analytics & Verification

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The Department of ... Analytics & Verification is recruiting for (1) Administrative Staff Analyst NM III to function as an Executive Director,...and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner, with 100% accuracy… more
    City of New York (08/13/25)
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  • Director of Administration

    City of New York (New York, NY)
    …Benefits Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement and Pre-Tax Benefits & Citywide Programs ... Relations Administration Division is seeking to hire Associate Labor Relations Analyst , reporting directly to the Assistant Commissioner of Administration and… more
    City of New York (08/22/25)
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