- Constructive Partnerships Unlimited (Bronx, NY)
- …implemented. + 15. Performs all other duties as assigned. REQUIREMENTS: + 1. Associate 's degree preferred in Human Services/or related field or, three to five years ... the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more
- CVS Health (Albany, NY)
- …healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates ... provide assistance on a timely basis. **Education** - Bachelor's degree and/or an Associate 's degree with three additional years working in health care fraud, waste,… more
- New York State Civil Service (West Babylon, NY)
- …and provide fiscal and administrative oversight of contracts. Audit and process contract claims and vouchers and approve and review contract payments to ensure that ... approval from control agencies; monitoring and review of contract terms. An associate degree may substitute for two years of experience; a bachelor's degree… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (URS) a plus - Bilingual (Spanish preferred) - High School or GED - Associate 's - Computer expertise in DOS and Windows, Microsoft Office including MS Access Job… more
- Humana (Albany, NY)
- …Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Albany, NY)
- …2 years of Humana Experience + Knowledge of Humana Medical and Pharmacy Claims Processing Systems + Experience with data query/data programming applications (ie SQL, ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Elevance Health (Latham, NY)
- …Develops understanding of client needs and priorities. + Manages complex sales, claims , and benefit issues by researching, resolving, and responding to accounts, ... and external client reporting, as needed. + Acts on behalf of Strategic Account associate to respond to client needs, as necessary. + Mentors, coaches, and trains… more
- Fordham University (Bronx, NY)
- …Training Campus: Rose Hill (RH) - Bronx Position Summary: Reporting to the Associate AD, Head Athletic Trainer, the Assistant Athletic Trainer will perform injury ... Medicine injury tracking software. Files and coordinates medical insurance claims for assigned student-athletes. Coordinates preseason physicals with coaches,… more
- City of New York (New York, NY)
- …projects incoming revenues, monitors revenue targets, tracks grants, and oversees claims for expense reimbursements. - Capital Budget: Capital planning and budget ... services program planning/evaluation, or fiscal management; or in a related area. An associate degree or completion of 60 semester credits from an accredited college… more
- Aston Carter (Nanuet, NY)
- …personal injury paralegal assists attorneys in handling personal injury cases, which involve claims for injuries or accidents caused by another party. This role is ... Skills & Qualifications + 3+ years of paralegal experience. + Minimum of an Associate 's Degree required. Work Environment The role is within a small legal team of… more