- Molina Healthcare (Albany, NY)
- …software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and ... + Maximizes use of information from multiple sources, including claims /encounters, pharmacy, utilization management, clinical indicators, industry benchmark, and/or… more
- Highmark Health (Albany, NY)
- …leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights ... to prototype. + **Healthcare Data Familiarity:** Understanding of healthcare data domains ( claims , clinical, EMR) and related ontologies or standards (eg, SNOMED CT,… more
- Evolent (Albany, NY)
- …- Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1 years of experience in ... assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable experience with Testing, Writing Test cases, Test Plans,… more
- New York State Civil Service (Endicott, NY)
- …responsible for the following;. Accept and process both original and continued claims for Unemployment Insurance. . Conduct telephone interviews with claimants in ... of certifying for benefits.. Determine the need for further fact-finding and place claims on hold pending further investigation. Work a variety of reports . Provide… more
- MTA (New York, NY)
- …include monitoring actual project performance; anticipating and forecasting potential claims ; negotiating and resolving claims /disputes; ensuring proper ... processing of change orders, contract amendments, and payments; and monitoring recovery plans. Contract management responsibilities will include oversight of contract procurement schedule and process, ensuring contract deliverables are received, ensuring MTA… more
- Sedgwick (Albany, NY)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- City of New York (New York, NY)
- …State, and local veterans' benefits. Veteran Specialists assist clients in assembling claims that are submitted to the United States Department of Veterans Affairs ... State Department of Veterans Services. VSO accreditation is necessary to file claims with the VA. COMMUNITY COORDINATOR - 56058 Qualifications 1. A baccalaureate… more
- CGI Technologies and Solutions, Inc. (Albany, NY)
- …determining their annual rent adjustments, reconciling monthly payment requests, processing claims for unpaid rent and damages and extended vacancies. The Business ... contracts; * Perform annual contract rent adjustments; * Evaluate and approve owner's claims for reimbursement due to unpaid rent, tenant damages, and vacancies; *… more
- Sedgwick (Albany, NY)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- CVS Health (Albany, NY)
- …data, user feedback, and market research to enhance digital self-service, claims transparency, provider search, member portals, and mobile applications. + Identify ... regulated industry. + Strong knowledge of healthcare payer operations ( claims , eligibility, enrollment, prior authorization, provider networks). + Experience working… more