• Quality Analyst…

    Cognizant (Albany, NY)
    About the role As a ** Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end ... test strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued member of the Quality … more
    Cognizant (10/15/25)
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  • Associate Analyst , Claims Research

    Molina Healthcare (Rochester, NY)
    **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the timely ... and quality standards. **Job Duties** + Reviews and analyzes claims -related issues submitted by providers to identify potential root causes quickly and… more
    Molina Healthcare (10/18/25)
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  • Lead Analyst , Healthcare Analytics-…

    Molina Healthcare (Albany, NY)
    …and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant… more
    Molina Healthcare (09/11/25)
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  • Lead Analyst , Quality Analytics…

    Molina Healthcare (Buffalo, NY)
    …Microsoft Azure, AWS or Hadoop. * 3-5 Years of experience with predictive modeling in healthcare quality data. * 5+ Years of experience in Analysis related to ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and… more
    Molina Healthcare (08/17/25)
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  • Analyst , Quality Analytics…

    Molina Healthcare (NY)
    …Microsoft Azure, AWS or Hadoop. + 1-3 Years of experience with predictive modeling in healthcare quality data. + 1-3 Years of experience in Analysis related to ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep dive to support… more
    Molina Healthcare (09/18/25)
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  • Lead Configuration Quality /Audit…

    Molina Healthcare (Syracuse, NY)
    …Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data ... among operational and claims systems and application of business rules as they...to meet changing business requirements, strong commitment to high quality , on time delivery + Previous process improvement experience… more
    Molina Healthcare (10/18/25)
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  • Senior Analyst , Healthcare…

    Evolent (Albany, NY)
    …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
    Evolent (07/31/25)
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  • Senior Analyst , Medical Economics (Vbc)…

    Molina Healthcare (NY)
    …Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health… more
    Molina Healthcare (08/31/25)
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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 (10/14/25)
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  • Senior Analyst , Network Strategy, Pricing…

    Molina Healthcare (Yonkers, 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 (10/25/25)
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