• Home Healthcare Claims…

    CenterWell (Albany, NY)
    …our caring community and help us put health first** The Manager of Pre -Bill Audit provides strategic leadership and operational oversight for the organization's ... pre -billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and delivering… more
    CenterWell (12/18/25)
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  • Senior Business Intelligence Data Analyst

    Humana (Albany, NY)
    …years' advanced experience developing complex SQL queries + 1+ years' experience in Healthcare related data ie. Provider, Insurance, etc. + Experience with pharmacy ... claims data + Advanced knowledge of Excel (ex. Pivot...provide work visa sponsorship for this role._** Work at Home /Remote Requirements **Work-At- Home Requirements** + To ensure… more
    Humana (12/17/25)
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  • Payment Integrity Coding Professional

    Humana (Albany, NY)
    …escalations. **Use your skills to make an impact** **WORK STYLE:** Remote/Work at Home . While this is a remote position, occasional travel to Humana's offices for ... certification experience utilizing coding guidelines by reading and interpreting claims + Exceptional understanding of Centers for Medicare &...hours are 8AM - 5PM Eastern time. **Work at Home Requirements** * At minimum, a download speed of… more
    Humana (12/18/25)
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  • Sr. Director, Client Analytics

    Evolent (Albany, NY)
    …seamlessly with diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including ... preferred. + 10+ years of analytics & reporting experience in healthcare , including medical economics, cost/utilization analysis, and membership trend reporting. +… more
    Evolent (11/25/25)
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  • Medical Assistant & Practice to Perfect Program

    Trinity Health (Albany, NY)
    …Responds to patients concerns appropriately. + Completes referrals and obtains pre -authorizations for diagnostic testing. + Follows proper protocol for collection ... Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties...+ Inbox monitoring + Complies with Patient Centered Medical Home (PCMH) care delivery model. + Performs all mandatory… more
    Trinity Health (12/08/25)
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  • Utilization Management Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards ... for additional hours. Essential Accountabilities: Level I + Performs pre -service, concurrent and post-service clinical reviews to determine the appropriateness… more
    Excellus BlueCross BlueShield (10/07/25)
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  • Primary Care Physician

    Veterans Affairs, Veterans Health Administration (Buffalo, NY)
    …Functions: Provide direct patient care full-time as a member of an expanded healthcare team using the PACT (Patient Aligned Care Team - VA's Patient Centered ... Medical Home ) model. Manage a panel of Geriatric patients, with...include: Chart reviews Congressional, other suspense items VA Tort Claims Other duties as assigned 5. General Compliance: Follow… more
    Veterans Affairs, Veterans Health Administration (12/07/25)
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  • Physician (Pediatrics) 0620-GP-14

    Defense Health Agency (Fort Drum, NY)
    …of the CDP portion of the base was 12,955 at the 2010 census. It is home to the 10th Mountain Division. Fort Drum consists of 107,265 acres. Its mission includes ... malpractice liability insurance is not required for federal civilian healthcare providers as they are covered by the Federal...providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within… more
    Defense Health Agency (11/21/25)
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  • Managing Director, Actuarial Services

    Evolent (Albany, NY)
    …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key ... of Actuaries credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or… more
    Evolent (10/21/25)
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  • Medical Assistant - Rensselaer Health Center,…

    Trinity Health (Rensselaer, NY)
    …Responds to patients concerns appropriately. Completes referrals and obtains pre -authorizations for diagnostic testing. Follows proper protocol for collection and ... standards and practice workflows: Scheduling and registration Check-in Check-out Charge entry/ claims End of day processes General duties including but not limited… more
    Trinity Health (12/17/25)
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