- Highmark Health (Albany, NY)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** Work with Pharmacy Markets business owners, stakeholders and other management, as required, to ... achieve Pharmacy Markets growth objectives. Organize and coordinate Pharmacy Markets activities to focus on the successful delivery of desired results. Monitor… more
- Intermountain Health (Albany, NY)
- …impact both clinical staff and patients directly. As an Application Systems Analyst , you'll be at the forefront of continued learning-developing deep expertise in ... lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and… more
- Intermountain Health (Albany, NY)
- …impact both clinical staff and patients directly. As an Application Systems Analyst , you'll be at the forefront of continued learning-developing deep expertise in ... lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and… more
- Intermountain Health (Albany, NY)
- …lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and ... New York, Rhode Island, Vermont, and Washington._** The Principal analyst is responsible for providing overseeing technical support, configuration, integration,… more
- CVS Health (Albany, NY)
- …opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives to continuously ... You will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not...standard and ad-hoc client and regulatory Prompt Pay and Pharmacy Payment Compliance reporting using SQL and SAS. You… more
- Intermountain Health (Albany, NY)
- …lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and ... lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and… more
- Elevance Health (Latham, NY)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Baylor Scott & White Health (Albany, NY)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... TPA business requirements preferred.Experience with healthcare encounters, enrollment and pharmacy data preferred. **BENEFITS** Our competitive benefits package includes… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical… more
- CenterWell (Albany, NY)
- …a detail-oriented and experienced Home Health Facility Licensure & Regulatory Compliance Analyst to join our team. The successful candidate will oversee facility ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Norstella (Albany, NY)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Oct 27, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... Advanced degree (Master's or Doctorate) in Biostatistics, Epidemiology, Public Health, Pharmacy (PharmD), Medicine (MD/DO), or a related field. + Experience working… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy , Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep… more
- MVP Health Care (Schenectady, 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 ... (3) years' experience in auditing and/or reviewing, customer care, membership, pharmacy , or relevant healthcare industry experience. + Intermediate knowledge of… more
- MVP Health Care (Schenectady, NY)
- …and continuous improvement. To achieve this, we're looking for a Technical Business Analyst Encounter Data Integrity & Delivery to join #TeamMVP. If you have a ... root cause analysis of rejections with member eligibility, provider, medical & pharmacy data elements, and claim payment information with high integrity +… more
- Molina Healthcare (Albany, NY)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to support the… more