• Senior Encounter Data Management Professional

    Humana (Albany, NY)
    …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... The Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior Encounter Data Management Professional work assignments… more
    Humana (08/15/25)
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  • STD Senior Quality Analyst

    MetLife (Oriskany, NY)
    …and areas such as Product, Business Procedures, Contracts, or Plan Master; may support the development of criteria and ensure that complex, non-routine processes and ... quality and performance standards. * Evaluating and improving business and associate performance by effectively conducting quality evaluations of Short Term… more
    MetLife (08/14/25)
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  • Pharmacy Access Rep III - Home Infusion

    University of Rochester (Rochester, NY)
    …to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization and ... completion of required patient documentation. Coordinate required information for denied claims . Participate in payer audits and collect, summarize and send… more
    University of Rochester (08/07/25)
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  • Senior Investigator

    City of New York (New York, NY)
    …the Office of Revenue that houses DSS Accountability Office (DSS-AO) (C&C). Claims and Collections (C&C) collects cash assistance overpayments from former cash ... and resources available to the community spouse refusing to support his or her institutionalized spouse and pursues payment...collects monies when the balances exceed the allowable levels. Claims and Collections (C&C) is recruiting (1) one Fraud… more
    City of New York (07/10/25)
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  • Pharmacy Technician / Pharm Tech Apprenticeship

    Walgreens (Staten Island, NY)
    …the core of our business, and our pharmacy technicians enjoy all the tools and support - including the latest technology - to grow their careers and reach their ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
    Walgreens (07/04/25)
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  • Director of Managed Care Contracting

    Stony Brook University (Commack, NY)
    …+ Support internal operational departments by addressing contractual disputes, claim denials, and reimbursement issues. + Participate in and support ... bottom line. **Job Number:** 2502803 **Official Job Title:** : TH Associate Administrator **Job Field** : Administrative & Professional (non-Clinical) **Primary… more
    Stony Brook University (08/08/25)
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  • Clinical Reimbursement Manager; HSO Drg…

    Mount Sinai Health System (New York, NY)
    …of the beneficiary, as coded and reported by the hospital on its claim , matches both the attending physician's description and the information contained in the ... reviews the physician documentation for specificity, completeness and quality to support coding accuracy, and to identify physician query opportunities to improve… more
    Mount Sinai Health System (07/17/25)
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  • Accounts Receivable Manager

    City of New York (New York, NY)
    …west of the City. The Bureau of Water Supply seeks to hire an Associate Staff Analyst for a position with Property Management Group, City Lands Stewardship Section, ... of the City Lands Stewardship Property Management Supervisor, the Associate Staff Analyst will serve as Accounts Receivable Manager...DEP work units (Bureau of Legal Affairs, Revenue and Claims , etc.) and coordinating with other City agencies such… more
    City of New York (08/15/25)
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  • Unit Clerk

    City of New York (New York, NY)
    Job Description YOU MUST BE PERMANENT IN THE CLERICAL ASSOCIATE TITLE OR IF YOU ARE HIRED PROVISIONALLY AS A CLERICAL ASSOCIATE III, YOU MUST TAKE AND PASS THE ... CLERICAL ASSOCIATE CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE. BFI...HRA programs to deter participant fraud. Office of Administrative Support (OAS) is the central repository for the receipt… more
    City of New York (07/15/25)
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  • Operation Supervisor

    City of New York (New York, NY)
    Job Description YOU MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE The Department of Social Services Accountability Office (DSS-AO) ... State Wage Reporting, Department of Corrections, Unemployment Insurance and child support greater than cash assistance grant computer matches. DFRP also sanctions… more
    City of New York (06/13/25)
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