• Claim Audit Quality…

    CVS Health (Albany, NY)
    …more compassionate. And we do it all with heart, each and every day. **Position Summary** Claim Audit Quality Analyst is responsible for ensuring the ... accuracy and quality of claim audits across multiple areas within Meritain. This role...within Meritain. This role demands a deep understanding of claims , plan documents, eligibility, coverages, and the unique requirements… more
    CVS Health (11/22/25)
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  • Lead Configuration Quality / Audit…

    Molina Healthcare (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...and in accordance with unit standards. **Knowledge/Skills/Abilities** * Trains audit staff on configuration functionality, enhancements and updates. *… more
    Molina Healthcare (11/21/25)
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  • Senior Analyst , Quality Analytics…

    Molina Healthcare (Buffalo, NY)
    **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... develops reporting solutions to assist HEDIS audit , rate tracking, and Identifying targeted Interventions and tracking...Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep dive to support… more
    Molina Healthcare (11/13/25)
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  • Payment Integrity DRG Coding & Clinical Validation…

    Excellus BlueCross BlueShield (Rochester, NY)
    …and claims processing platform. . Manages case volumes and review/ audit schedules, prioritizing case load as assigned by Management. . Consistently demonstrates ... Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based...a Nursing Degree. . Three (3) years' experience in claims auditing, quality assurance, or recovery auditing,… more
    Excellus BlueCross BlueShield (10/23/25)
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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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  • Executive Director, Financial Review…

    City of New York (New York, NY)
    …Department of Homeless Services (DHS). DSS-AO maintains the operation of the Office of Audit and Quality Assurance (OAQA), Office of Compliance & Support (OAS), ... Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A...to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop… more
    City of New York (11/05/25)
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  • Commercial IT Principal Data Analyst

    Insight Global (Mount Pleasant, NY)
    …& Governance and they will assist in developing and maintaining automated data quality checks, reconciliation processes, and audit trails for all critical ... data infrastructure. This role is focused on ensuring that high- quality , governed data (including customer, promotional and HCP engagement...marketing data sources (eg, Veeva, Claims , email, web, owned and 3rd party Digital Engagement).… more
    Insight Global (11/05/25)
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  • Analyst , Finance

    Warner Music Group (New York, NY)
    …from financial statements, perform reconciliations, update cash forecasts and budgets, investigate audit issues and claims + Follow department financial controls ... large volumes of financial data is your jam, you take pride producing accurate, quality work that displays an attention to detail + It's important that you develop… more
    Warner Music Group (10/22/25)
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  • Vendor Contract Auditor

    City of New York (New York, NY)
    Job Description Only those on the Staff Analyst list or permanent incumbents are eligible to apply. DCAS's mission is to make city government work for all New ... them all. It's an opportunity to provide impactful support, quality customer service, and help protect the future of...to learn more about the work we do. DCAS's Audit & Compliance Services (ACS) consists of the following… more
    City of New York (10/25/25)
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  • Director Of Revenue Budget

    City of New York (New York, NY)
    …On your cover letter, indicate that you have a permanent Administrative Staff Analyst title -or- reachable in the Administrative Staff Analyst list. Otherwise, ... public health for all New Yorkers by providing 1.1 billion gallons of high- quality drinking water, managing wastewater and stormwater, and reducing air, noise, and… more
    City of New York (11/19/25)
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