• Senior Analyst , Claims Research

    Molina Healthcare (Rochester, NY)
    …identifies and recommends updates to policies, SOPs, and job aids to improve claims quality and efficiency. + Collaborates with external departments and ... **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support...position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (01/15/26)
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  • Analyst , Claims Research

    Molina Healthcare (Syracuse, NY)
    JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... operating procedures (SOPs) and job aids to increase the quality and efficiency of claims processing. *...position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (01/18/26)
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  • Lead Analyst , Healthcare (Remote)

    Molina Healthcare (Buffalo, NY)
    **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects initiated by… more
    Molina Healthcare (01/17/26)
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  • Analyst , Risk & Quality Reporting…

    Molina Healthcare (NY)
    **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs ... on how to use reports related to Risk and Quality /HEDIS for Medicaid, Marketplace and Medicare/MMP. **Job Duties** +...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
    Molina Healthcare (01/07/26)
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  • Healthcare Statistical Analyst…

    Excellus BlueCross BlueShield (Rochester, NY)
    …is right for you, we encourage you to apply! Job Description: Summary: The Healthcare Statistical Analyst & PFO performs technical services within the actuarial ... and aids in the creation of new analysis pertaining to benefit designs, claims experience, Value Based Payment (VBP) programs and valuation of internal and… more
    Excellus BlueCross BlueShield (01/18/26)
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  • Board Certified Behavior Analyst (BCBA)

    Genesis Healthcare (Roosevelt, NY)
    …and possible career growth opportunities. POSITION SUMMARY: The Licensed Behavior Analyst will provide services designed to facilitate improved behavior and skill ... a related field. 2. Must hold and maintain BCBA certification from the Behavior Analyst Certification Board (BACB). 3. Must hold a Licensed Behavior Analyst … more
    Genesis Healthcare (01/13/26)
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  • Senior Analyst , Medical Economics - REMOTE

    Molina Healthcare (Rochester, NY)
    …* Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health care ... **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including...and manages information from large data sources. * Analyzes claims and other data sources to identify early signs… more
    Molina Healthcare (01/11/26)
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  • Quality Analyst

    Brighton Health Plan Solutions, LLC (Westbury, NY)
    About The Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions' core ... portfolios- Claims , Provider, and Enrollment. In this role, you will...processes. You will play a key part in ensuring high- quality software delivery by validating business requirements, improving test… more
    Brighton Health Plan Solutions, LLC (12/10/25)
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  • Senior Analyst , Network Strategy, Pricing…

    Molina Healthcare (New York, NY)
    …network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary)… more
    Molina Healthcare (12/28/25)
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  • Senior Analyst , Network Strategy, Pricing…

    Molina Healthcare (Buffalo, NY)
    …network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary)… more
    Molina Healthcare (11/21/25)
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