• Senior Analyst , Operational…

    Molina Healthcare (Syracuse, NY)
    …and/or detects violation of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business ... to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee,… more
    Molina Healthcare (08/22/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (NY)
    … needs. Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment… more
    Molina Healthcare (07/17/25)
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  • Senior Analyst , Medical Economics…

    Molina Healthcare (NY)
    **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... key business issues related to cost, utilization and revenue for...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… more
    Molina Healthcare (08/31/25)
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  • Senior Contract Manager Analyst…

    Mount Sinai Health System (New York, NY)
    …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a critical role in testing, ... of patients. We are accelerating a transition to a business model focused on population health management - our...within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System… more
    Mount Sinai Health System (08/01/25)
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  • Senior Contracting Compliance…

    Mount Sinai Health System (New York, NY)
    …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Hospital Billing) Analyst who will primarily be ... of patients. We are accelerating a transition to a business model focused on population health management - our...contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team… more
    Mount Sinai Health System (08/12/25)
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  • Senior Analyst , Special…

    CVS Health (Albany, NY)
    …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... tools, social media and internet research. + Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE +… more
    CVS Health (09/02/25)
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  • Data Science Analyst III - Mount Sinai…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... analytics to provide information, insights and BI ( Business Intelligence) solutions that contribute to sound strategic planning, decision-making, goal setting, and… more
    Mount Sinai Health System (07/03/25)
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  • Risk Adjustment Audit Operations Analyst…

    Molina Healthcare (NY)
    **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and… more
    Molina Healthcare (08/08/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Albany, NY)
    …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... as it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
    Humana (08/14/25)
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  • Executive Director, Data Analytics & Verification

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The Department of ... Office of Data Analytics & Verification is recruiting for (1) Administrative Staff Analyst NM III to function as an Executive Director, Data Analytics & Verification… more
    City of New York (08/13/25)
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