• Regulatory Analyst , Medicare

    Healthfirst (NY)
    …marketing, educational, and ad hoc material reviews including assisting the Regulatory Affairs Manager by reviewing, finalizing, submitting, and tracking approvals ... of material reviews in HPMS. + Actively participates in the annual Medicare Go to Market process, including working with internal stakeholders on developing… more
    Healthfirst (06/27/25)
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  • Senior Analyst , Operational…

    Molina Healthcare (Syracuse, NY)
    …and regulations pertaining to the Health Care environment **Job Duties** The Operational/ Regulatory Oversight Sr. Analyst works with health plans and operations ... ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and...projects as required. + Must have experience working in Medicare + Must have experience analyzing claims. **Job Qualifications**… more
    Molina Healthcare (08/22/25)
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  • Regulatory Analyst

    Healthfirst (NY)
    …maintaining, and monitoring identified projects in Logic Manager and coordinates within Regulatory Affairs team. + Communicates and coordinates any New York Medicaid ... Provides support to all internal stakeholders during the annual Medicare Go to Market project in preparation for the...Period (AEP). + Contributes to the development of the Regulatory Affairs department's objectives. + Handles other projects as… more
    Healthfirst (08/21/25)
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  • Lead Analyst , Claims / Regulatory

    Molina Healthcare (Buffalo, NY)
    …experience on researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding experience is ... highly preferred. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 7-9 years **Preferred Education** Graduate Degree or equivalent experience **Preferred Experience**… more
    Molina Healthcare (06/18/25)
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  • Lead Analyst , Payment Integrity

    Molina Healthcare (Yonkers, NY)
    …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met ... 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… more
    Molina Healthcare (09/07/25)
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  • Senior Financial Analyst , Revenue Cycle…

    Stony Brook University (Stony Brook, NY)
    Senior Financial Analyst , Revenue Cycle Management **Position Summary** At Stony Brook Medicine, the Senior Financial Analyst , Revenue Cycle Management is ... system, electronic medical record and departmental documentation programs. The CDM Analyst will continually interact with Hospital department staff to ensure that… more
    Stony Brook University (08/12/25)
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  • Senior Financial Analyst /CDM Chargemaster…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Senior Financial Analyst /CDM Chargemaster -Corporate-Full-Time Days (REMOTE)** We seek an experienced Senior Financial Analyst / CDM ... with clinical, financial, coding, and IT teams to ensure accurate and regulatory -compliant charge capture. **Qualifications** + Bachelors degree in Accounting or an… more
    Mount Sinai Health System (08/28/25)
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  • (Sales) Compliance Analyst

    Molina Healthcare (Buffalo, NY)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a ... corporate function supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Sales Compliance Analyst position is primarily responsible for Sales Oversight. +… more
    Molina Healthcare (08/29/25)
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  • Risk Adjustment Audit Operations Analyst

    Molina Healthcare (NY)
    analyst with a strong interest in healthcare data, regulatory processes, and cross-functional collaboration. Success in this role requires curiosity, ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...attention to detail and an interest in audit or regulatory workflows **Preferred Experience** + Internship or academic project… more
    Molina Healthcare (08/08/25)
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  • Revenue Cycle Analyst

    Stony Brook University (East Setauket, NY)
    Revenue Cycle Analyst **Position Summary** At Stony Brook Medicine the **Revenue Cycle Analyst ** will provide operational support and analytical and reporting ... & verbal) business process, objectives and trends. **Duties of the Revenue Cycle Analyst may include the following, but are not limited to:** + Analyze claims… more
    Stony Brook University (08/13/25)
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