- Molina Healthcare (Syracuse, NY)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... that provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes. **JOB QUALIFICATIONS** **Required… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer Service, Legal ... resource planning. + Manage various file integrations including eligibility, accumulators, claims , etc. + Create an efficient process to manage client… more
- The Cigna Group (Albany, NY)
- **We are seeking an experienced Scrum Master to join our Claims Systems Operations team. This role is pivotal in fostering a collaborative, high-performing ... environment that supports the delivery of valuable claims system solutions. The Scrum Master will uphold SAFe framework values, facilitate team ceremonies, and… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. Provides ... manages email correspondence between vendors, functional counterparts, and stakeholders ( Claims , Enrollments, IT, Health Plan, Core Operations) + Performs… more
- IBM (New York, NY)
- …including content creation, review and approval, digital asset management (DAM), claims management, and modular content * Implement client's E2E content supply ... including content creation, review and approval, digital asset management (DAM), claims management, and modular content * Consulting experience with proven ability… more
- City of New York (New York, NY)
- …payments in compliance with financial policies and procedures. - Examine invoices, claims , fee collection or applications for recoupments, refunds and verify their ... revenue collection for outstanding balances. Investigate and research unidentified claims /payments received to determine its appropriateness to deposit the payments.… more
- WTW (New York, NY)
- …management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy ... purchasing coalition round out our broad-based suite of offerings. **Explore an opportunity:** WTW's Recent College Graduate Program (RCGP) is a centrally run, 12-month program for recent college graduates. The program offers a centralized team to support… more
- Huntington Ingalls Industries (Syracuse, NY)
- …requests + Negotiates and settles with suppliers regarding damage claims , rejections, losses, return of materials, over-shipments, cancellations, and engineering ... change orders. + Work independently with limited supervision on multiple complex projects simultaneously What We're Looking For: + 6 years relevant experience with Bachelors in related field; 4 years relevant experience with Masters in related field; or High… more
- Molina Healthcare (NY)
- …+ SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting ... and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made… more
- Molina Healthcare (Yonkers, NY)
- …formal training in Business Analysis and/or Systems Analysis + 1-3 years of Claims or Adjustment experience in Medicare and/or Medicaid + Familiarity with QNXT, ... iServe, Project Management To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an… more