• Sr Asset Protection Associate , 2nd shift

    Staples (Montgomery, NY)
    …Support Asset Protection Manager by conducting audits, assist in managing Workers Compensation claims and take lead on Cargo Loss, Shrink, POD's and CL Holds ... Asset Protection Manager. + Oversee compliance to COVID 19 and other associate health mitigation initiatives **Physical Demands** Physical demands described here are… more
    Staples (09/13/25)
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  • Associate Director, Small Molecule…

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    ** Associate Director, Small Molecule Analytical Development** + Lead and oversee phase appropriate method development and optimization for drug substance and drug ... wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (08/27/25)
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  • Associate Optometrist - Walmart

    Walmart (Plattsburgh, NY)
    …are aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides ... your chance to be part of it. A Walmart Associate Optometrist is the clinical partner to the Vision...reputation in the community. Serves as a credible spokesperson, representative , and sponsor of the company to the public… more
    Walmart (08/20/25)
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  • Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Rochester, NY)
    …Payer Website link (EPIC Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not paid. + Determines steps ... independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain… more
    University of Rochester (08/07/25)
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  • Assistant Supervisor- Benefits Examiner Level 2

    City of New York (New York, NY)
    …5141. Under direct supervision, receives and processes incoming workers' compensation claims . Performs tasks such as the following: Reviews accident reports and ... other documents related to incoming claims to determine workers' compensation coverage. Sets up computer...requirement applies to you, please discuss with the agency representative at the time of interview. To Apply Click… more
    City of New York (09/05/25)
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  • Grievances and Appeals 3

    CenterWell (Albany, NY)
    …caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic ... clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require… more
    CenterWell (10/08/25)
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  • Sr Field Service Engineer - Utility Scale Solar

    GCG (Albany, NY)
    …guidelines and detailed manuals. These efforts will not only support warranty claims but also enhance customer satisfaction by delivering service that sets us ... user-friendly + Develop detailed manuals to assist customers with warranty claims and installation support + Provide on-site training, product demonstrations, and… more
    GCG (09/09/25)
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  • Pharmacy Access Rep III - Home Infusion

    University of Rochester (Rochester, NY)
    …internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Pharmacy Access Representative III (PAR) is responsible for the overall financial ... to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization and… more
    University of Rochester (08/07/25)
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  • Manager, Fraud and Waste

    Humana (Albany, NY)
    …offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & ... Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of...normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect… more
    Humana (09/24/25)
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  • Pharmacy Coordinator

    Highmark Health (Albany, NY)
    …+ High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician ... medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior… more
    Highmark Health (09/09/25)
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