• Value-Based Reimbursement Specialist

    Highmark Health (Albany, NY)
    …and maintenance of self-service resources for providers, entities, and health systems within these programs. Works on multiple projects and has exposure ... maintenance of a self-service platform for providers, entities, and health systems within the Organization's value-based reimbursement programs for both the… more
    Highmark Health (08/20/25)
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  • Credentialing and Billing Specialist

    Robert Half Accountemps (Albany, NY)
    Description We are seeking a Credentialing Specialist for a temporary contract assignment with one of our clients in Albany, NY. This is a short-term, contract role. ... and representatives from commercial insurers and entitlement programs (eg, Medicaid/ Medicare ) to complete credentialing requirements. + Prepare credentialing packets,… more
    Robert Half Accountemps (08/01/25)
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  • Member Ops Billing Specialist

    MVP Health Care (Rochester, NY)
    …improvement. To achieve this, we're looking for a Professional, Member Ops Billing Specialist to join #TeamMVP. If you have a passion for driving efficiency in ... + Analyze and interpret data from Commercial, On/Off-Exchange, and Medicare reports + Participate in and play a lead...and initiatives + Develop and manage testing plans for system enhancements and invoice validation + Train and support… more
    MVP Health Care (08/24/25)
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  • Pharmacy Billing Specialist

    Elderwood (Buffalo, NY)
    …Woodmark Pharmacy of NY is looking for an experienced, detail- oriented Pharmacy Billing Specialist to join our team and make a difference in the lives of our ... Days - 8:00am - 4:00pm #Talroo Responsibilities + Electronic billing of Medicare , Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy… more
    Elderwood (07/31/25)
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  • Healthcare Data Specialist - Duplicate CIN…

    Staffing Solutions Organization (Albany, NY)
    …is a reflection of our clients and the people they serve. **Healthcare Data Specialist (Levels 1 & 2) - Albany, NY** **Division of Eligibility & Marketplace ... Professional experience in public health insurance programs, including New York's Medicaid, Medicare and/or Child Health Plus and supervisory experience is a plus.… more
    Staffing Solutions Organization (07/24/25)
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  • Program Support Specialist

    Staffing Solutions Organization (Albany, NY)
    …is a reflection of our clients and the people they serve. **Program Support Specialist ** **Location - Albany, NY** **(50% in Office & 50% Remote)** **Duties:** This ... and timely delivery of communications to internal and external stakeholders + Use various systems to research, track and make updates to program data + Assist with… more
    Staffing Solutions Organization (07/30/25)
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  • Provider Transformation Specialist (RN-…

    Highmark Health (Buffalo, NY)
    …hospital resources for providers employed in multi-specialty groups or health systems . + For value based contracts addressing government markets, directly ... outcomes as a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each individual gain/risk share… more
    Highmark Health (08/11/25)
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  • Revenue Integrity Charge Specialist Fully…

    Trinity Health (Syracuse, NY)
    …and identify missing charges. Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy. ... data and ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State… more
    Trinity Health (08/02/25)
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  • Revenue Integrity Charge Specialist Fully…

    Trinity Health (Syracuse, NY)
    …and identify missing charges. Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy. ... data and ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State… more
    Trinity Health (06/21/25)
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  • Manager Environmental Safety & Emergency…

    Mohawk Valley Health System (Utica, NY)
    …education (eg, Hospital Incident Command System ). + Serve as the facility specialist on alert and notification systems and procedures. + Coordinate the use ... Protection Agency (EPA), National Fire Protection Association (NFPA), Centers for Medicare & Medicaid Services (CMS), and Department of Homeland Security (DHS)… more
    Mohawk Valley Health System (07/09/25)
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