- Travelers Insurance Company (New York, NY)
- …level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . ... of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash...course of this program at the discretion of your manager . You may work independently or with other interns… more
- New York State Civil Service (Albany, NY)
- …of health care complaints, including, but not limited to billing and claims reimbursement disputes; denials of coverage for medical treatment, prescriptions, and ... medical devices; incorrect processing of medical, mental health and substance abuse claims ; access to specialty and transitional care; termination of health plan… more
- Elevance Health (Latham, NY)
- **Nurse Case Manager II** **Hours: Monday - Friday 8:00am to 4:30pm EST and 2-3 late evening 11:30am to 8:00pm EST per month.** **Location:** This role enables ... employment, unless an accommodation is granted as required by law. The **Nurse Case Manager II** is responsible for care management within the scope of licensure for… more
- New York State Civil Service (Albany, NY)
- …each year. Please see our Management/Confidential benefits summary for additional information: https://www.suny.edu/media/suny/content-assets/documents/ benefits ... providing legal advice and serving as the OGC primary relationship manager for various state-operated campuses; providing highly competent professional and timely… more
- Molina Healthcare (Buffalo, NY)
- …likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge ... specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program… more
- Conifer Realty LLC (Rochester, NY)
- …captive insurance company and Risk Management function, ensuring incident data, claims management, and loss control programs are fully integrated with security ... safety risk assessments leveraging law enforcement data, regional crime statistics, claims history, inherent exposure potential and site evaluations. + Partner with… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …validates for accuracy. This can include, but is not limited to, benefit summaries, summary plan descriptions, Member Contracts, Group Agreements, etc. * Partners ... possible. Interacts with Operations, Enrollment and Billing, Customer Care, Claims , Advocacy, Clinical Operations, Medical Affairs and Finance/Underwriting Departments… more
- Terumo Medical Corporation (New York, NY)
- …team to include Business Development Managers (BDM), National Business Development Manager (NBDM), etc. in assigned accounts within the Imaging/Cardiology Quarterly ... (QA), and by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are… more
- Air National Guard Units (Syracuse, NY)
- …technology (IT) and communications architecture. You will serve as the lead manager of IT and communications projects, acquisition and control of equipment and ... to meet the needs of the assignment. Experience preparing documentation on cost/ benefit studies where is involved summarizing the material and organizing it in… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on...utilization by providers and recipients. The position will review claims data, medical records, and billing data from all… more