• Payment Integrity DRG Coding & Clinical Validation…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in ... Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules,… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Albany, NY)
    …messages on an hourly basis. + Mentors new hires; assists + Assists management and team lead with motivating and coaching employees to succeed as needed. + ... Hybrid or Remote position Schedule: Monday - Friday, 8:00 AM...Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope… more
    Cardinal Health (11/20/25)
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  • Revenue Cycle Analyst - Medical Group - E…

    Trinity Health (East Greenbush, NY)
    …is located at 2 Empite Drive East Greenbush, NY, and has the opportunity to work remote 1 day a week. . This Revenue Cycle Analyst is needed for the medical group. ... a medical practice. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical… more
    Trinity Health (10/28/25)
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  • Executive Director, US Access Strategy…

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    …President, CNS Business & Customer Engagement Operations business unit. **Job Description** + Lead a team responsible for developing access strategies and access ... channel customers. This role is based in Princeton with remote work placement as an option and reports to...is staffed with top talent within the industry + Lead a team to define the strategies… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Sr. Analyst, Audit

    Warner Music Group (New York, NY)
    …music lovers, tech innovators and inspired entrepreneurs, game-changing creatives and passionate team members. Here, we turn dreams into stardom and audiences into ... and fans. * Commitment: We pursue excellence for our team and our talent. Everything in music starts with...without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making… more
    Warner Music Group (12/09/25)
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  • Senior Technical Finance Analyst- Medicaid

    Humana (Albany, NY)
    …market growth and operational effectiveness. This position resides within the Finance team and partners directly with Market CFOs, clinical teams, and provider ... engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion markets. Key Responsibilities: +… more
    Humana (12/11/25)
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  • Actuary, Medicaid Trend Analytics and Data…

    Humana (Albany, NY)
    …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data changes on actuarial models, reporting tools, and financial results. Lead and manage data-related projects from scoping through post-production validation,… more
    Humana (11/20/25)
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  • Director, Global Marketing Nephrology & Immunology

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    …to excel performance across the Globe. Clear strategic thinking with the ability to lead and demonstrate passion for the brand is required. You'll join an empowered, ... fast-paced, high-visibility team at the forefront of scientific innovation, where your work will shape decisions that impact patients worldwide with autoimmune and… more
    Otsuka America Pharmaceutical Inc. (10/14/25)
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  • Director, Customer Engagement Platforms

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    …optimization of customer engagement platforms, including marketing automation and analytics tools. + ** Team Management** : Lead a high-performing team of ... insights Excellence, the Director will manage the Customer Engagement Platform Team , collaborate with cross-functional groups, drive innovation, and ensure our… more
    Otsuka America Pharmaceutical Inc. (11/26/25)
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  • Director - Travel Insurance Program Development

    AON (NY)
    …for a Director of Travel Insurance Program Development with a flexible ( Remote /Hybrid) schedule. This position will support Aon's Travel practice group within Aon ... the world. As an organization, we are united through trust as one inclusive team and we are passionate about helping our colleagues and clients succeed. What the… more
    AON (09/28/25)
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