• Payment Integrity DRG Coding & Clinical Validation…

    Excellus BlueCross BlueShield (Rochester, NY)
    …or RHIT) or a Nursing Degree. . Three (3) years' experience in claims auditing, quality assurance , or recovery auditing, of (MS/APR) DRG coding for hospital or ... addition to Level I Qualifications) . Five (5) years' experience in claims auditing, quality assurance , or recovery auditing, of (MS/APR) DRG coding for hospital… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Senior Analyst , Reporting & Analytics…

    Molina Healthcare (Rochester, NY)
    …and database stored procedures + Supports data validation, troubleshooting, and quality assurance activities + Develops and maintains documentation including ... reporting work is well-organized, clearly defined, and delivered accurately. The Senior Analyst helps bring structure to reporting efforts and serves as a liaison… more
    Molina Healthcare (12/24/25)
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  • Sr Business Analyst - Service

    Paychex (Rochester, NY)
    …to provide the best solution and gain overall operating efficiencies. + Leads Quality Assurance efforts for all solutions, including test plan creation and ... issue tracking, lead troubleshooting efforts, issue analysis, and communication of resolution....troubleshooting efforts, issue analysis, and communication of resolution. + Lead root cause analysis and resolution of complex business… more
    Paychex (12/18/25)
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