- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- Highmark Health (Albany, NY)
- …and claims staff regarding the final adjudication of complex claims . Research and investigate conflicting benefit structures in multi-payor situations. ... is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various… more
- Public Consulting Group (Albany, NY)
- …claim issue research . Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist with ... claim issue research . Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist with… more
- Humana (Albany, NY)
- …first** Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for its pharmacy programs to achieve success on the ... team. Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for pharmacy programs, working heavily with market and… more
- Norstella (Albany, NY)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Humana (Albany, NY)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Highmark Health (Albany, NY)
- …gather information. Define, understand, and manage project scope. Perform moderate/complex research to support evaluation of complex output requirements and formats. ... 5 - 7 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 3 -… more
- Highmark Health (Albany, NY)
- …intake of operational objectives and information gathering. May perform routine research and evaluate basic output requirements and formats. Communicate business ... 1 - 3 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 0 -… more
- Molina Healthcare (Albany, NY)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Albany, NY)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more