- Humana (Albany, NY)
- …first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new… more
- Humana (Albany, NY)
- …responsible for estimates of short term and long term reserves required for unpaid claim liability, active life reserves, and other actuarial items that ought to be ... course of action. This position will report to an Associate VP in Actuarial Valuation and will have significant...will have significant exposure to Humana's Appointed Actuary and Senior Leaders throughout the Finance Org. **Use your skills… more
- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... Audit and Risk Management reports directly to the DFS Associate Commissioner for Payments and Audit and Risk Management...Risk Management and is a member of the DFS Senior Management Team. The Assistant Commissioner is responsible for… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about ... 340+ senior focused primary care centers in 15 states. The...(related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare… more
- MTA (Brooklyn, NY)
- …Administrative Assistant: $61,565- $78,414 (Represented by TWU; New Hire: $53,532) Senior Admin. Assistant: $76,200 - $101,264 (Represented by TWU; New Hire: ... for handling a high-volume of personal injury and property damage claims and lawsuits. Responsibilities include providing administrative, record keeping and general… more
- Cardinal Health (Albany, NY)
- …for process improvements and efficiencies + Work under the general supervision of senior attorneys and exercise sound judgment as to matters that require attention ... of Legal and Compliance Departments' senior leadership + Promote and ensure compliance with the...including, Antitrust; healthcare laws and regulations, (eg, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising +… more
- Molina Healthcare (NY)
- …skills to successfully engage high volume, high visibility providers, including senior leaders and physicians, to ensure provider satisfaction, education on key ... problems as they arise, making an assessment when escalation to a Senior Representative, Supervisor, or another Molina department is needed. Takes initiative in… more
- Capital Region BOCES (Albany, NY)
- …sorts and distributes incoming mail. + Checks, codes and processes requisitions, claims and bills. + Prepares and maintains financial, statistical and personnel ... State Board of Regents to grant degrees with an Associate 's degree in secretarial science or a closely related...: Twelve (12) months' permanent competitive status as a Senior Typist or Senior Keyboard Specialist. The… more
- City of New York (New York, NY)
- …Services (PS) Unit, the Other than Personal Services (OTPS) Unit and the Revenue & Claims Unit. Candidates will be assigned to a unit based on need. Candidates must ... other budget analyses and special projects as needed by Senior Staff. STAFF ANALYST - 12626 Qualifications A master's...or fiscal management; or in a related area. An associate degree or completion of 60 semester credits from… more
- New York State Civil Service (Schenectady, NY)
- …State NY Zip Code 12305 Duties Description Under the direction of the Senior Workers Compensation Examiner, the Examiner: - Prepares and processes judgments for ... accounts; or experience examining, investigating, processing, or adjusting insurance claims ; or responding to technical questions from policyholders or claimants;Or… more