• Claims Audit Analyst

    WelbeHealth (Albany, NY)
    ** Claims Audit Analyst ** At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most ... Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate… more
    WelbeHealth (11/16/25)
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  • Sr Business Analyst (Medical Claims…

    Molina Healthcare (Yonkers, NY)
    …and the Affordable Care Act (ACA). + Medical Coding certification. + Strong Medical Claims Audit knowledge To all current Molina employees: If you are interested ... to support systems solutions development and maintenance for Medical Claim Audit . This role includes coordination with stakeholders and subject matter experts… more
    Molina Healthcare (11/08/25)
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  • Analyst , Audit

    Warner Music Group (New York, NY)
    …label for the audit concerned; + Assist with the review and analysis of audit claims submitted by the auditor in question, as well as the relevant provisions ... the creative spirit of a nimble independent. **Job Title: Analyst , Audit ** Based on prior experience, the...the audit process, including, without limitation, tracking audit notifications, reviewing and analyzing the claims … more
    Warner Music Group (11/14/25)
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  • Senior Construction Claims Analyst…

    New York State Civil Service (Albany, NY)
    …DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office Occupational Category ... State NY Zip Code 12208 Duties Description Primary PurposeSenior Cost Control Analyst reviews and recommends approval of construction change orders, analyzes … more
    New York State Civil Service (09/27/25)
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  • Lead Configuration Quality/ Audit…

    Molina Healthcare (Buffalo, 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 (11/13/25)
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  • Claims Analyst

    Jacobs (Buffalo, NY)
    …the Contract, determine validity * Day-to-day tracking, review, and management of delay claims assigned to the successful candidate * Audit contractor's claim ... is where you belong. This candidate will work in the claims department, analyzing delay claims brought against the State within a geographic region. The… more
    Jacobs (10/11/25)
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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 ... Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Lead Analyst , Payment Integrity - REMOTE

    Molina Healthcare (Syracuse, NY)
    …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
    Molina Healthcare (09/28/25)
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  • Compliance Analyst , 340B Program ( On-Site…

    WMCHealth (Valhalla, NY)
    Compliance Analyst , 340B Program ( On-Site ) Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Executive/Management Department: Pharmacy ... Internal Applicant link Job Details: Job Summary: The 340B Program Compliance Analyst is responsible for maintaining regulatory compliance within the 340B Program… more
    WMCHealth (11/01/25)
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  • Overpayment Recovery and Monitoring Analyst

    MVP Health Care (Rochester, NY)
    …improvement. To achieve this, we're looking for an Overpayment Recovery and Monitoring Analyst to join #TeamMVP. If you have a passion for managing audits, medical ... customers in every interaction **Your key responsibilities:** + Manage recurring audit inventories, ensuring timely progression and completion of existing audits. +… more
    MVP Health Care (11/16/25)
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