• Lead Analyst, Payment Integrity

    Molina Healthcare (Yonkers, NY)
    …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + Familiarity with Medicaid -specific Scorable ... Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits,… more
    Molina Healthcare (08/20/25)
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  • Lead Analyst, Configuration Oversight - Payment…

    Molina Healthcare (Syracuse, NY)
    …and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and ... adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either… more
    Molina Healthcare (07/24/25)
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  • Senior Manager , Compliance

    Project Renewal, Inc. (New York, NY)
    …practices, and works closely with leadership to maintain regulatory compliance in healthcare and related human services. The Senior Manager , Compliance reports ... Title: Senior Manager , Compliance Program: Legal, Varick Headquarters Salary Range:...risks. + Ensure compliance with federal, state, and local healthcare regulations (eg, HIPAA, Stark Law, Medicaid /Medicare,… more
    Project Renewal, Inc. (07/24/25)
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  • Manager , Patient Accounts

    WMCHealth (Valhalla, NY)
    Manager , Patient Accounts Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/Management Department: Patient Accounts-WMC Health ... Internal Applicant link Job Details: Job Summary: The Patients Account Manager is responsible to help develop, plan, organize and implement current… more
    WMCHealth (06/26/25)
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  • Manager , Data Services & Analytics

    New York eHealth Collaborative (New York, NY)
    Manager , Data Services & Analytics Job Details Job Location Albany or NYC Office - Albany or New York, NY Education Level 4 Year Degree Salary Range $90000.00 - ... Job Shift M - F 9am - 5pm Description New York eHealth Collaborative: Manager , Data Services and Analytics New York eHealth Collaborative (NYeC) is a not-for-profit… more
    New York eHealth Collaborative (08/14/25)
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  • Manager , Market Access

    Blue Matter (New York, NY)
    …across the lifecycle of their products, portfolios and organizations. Our project types include new product planning, launch strategy, portfolio planning, disease ... care settings with distinct market access dynamics. As a Manager with Blue Matter, you will join a startup...actionable solutions to our clients. Primary Responsibilities + Manage project teams in the delivery of cross-functional projects across… more
    Blue Matter (07/12/25)
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  • Product Manager , Risk Adjustment Coding…

    Datavant (Albany, NY)
    …of professional, educational and life experiences to realize our bold vision for healthcare . **Role Overview** As a Product Manager , Risk Adjustment Coding Data ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...data. You will also support scalable, reliable, and performant project data ingestion pipelines and maintain databases that support… more
    Datavant (08/20/25)
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  • Manager Environmental Safety & Emergency…

    Mohawk Valley Health System (Utica, NY)
    Manager Environmental Safety & Emergency Preparedness - Full Time - Days Department: ENGINEERING Job Summary The Manager Environmental Safety & Emergency ... disaster plans, including internal and external event response. Provide necessary project management and support for all related emergency preparedness sub-committee… more
    Mohawk Valley Health System (07/09/25)
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  • Application Development Manager

    General Dynamics Information Technology (Menands, NY)
    …container platform, which is the target platform for the NYSOH Application. + Healthcare , Medicaid or Health Exchange experience **Familiarity with the following ... 10 + years of related experience **Job Description:** Application Development Manager Deliver simple solutions to complex problems as a **Software Development… more
    General Dynamics Information Technology (08/08/25)
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  • QA Audit Manager - Operations

    Healthfirst (NY)
    …+ Bachelors degree from an accredited institution + Experience in Healthcare /Health Plan customer service, operations, vendor management, or claims processing. + ... communicating with cross-functional individuals within an organization. + Experience leading project groups and independent projects within a corporate setting. +… more
    Healthfirst (08/16/25)
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