- Humana (Albany, NY)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Saratoga Hospital (Saratoga Springs, NY)
- …outcomes in a fast-paced healthcare env ironment. The Denials Assistant provides clerical support to the various roles within the Denial and Follow-Up team. This ... position is responsible for facilitating assigned tasks that support the day-to-day operations of the team and the...What You'll Do + Handle and resolve assigned denied claims in multiple work queues including, but not limited… more
- Ideal Home Care (Hauppauge, NY)
- …including healthcare terminology, ICD-10, CPT, HCPCS coding systems, insurance claims , reimbursement processes, and regulatory compliance. + Instructional Methods: ... exams, and practical coding exercises. Provide constructive feedback and support to ensure successful learning outcomes. + Certification Preparation: Prepare… more
- Cushman & Wakefield (New York, NY)
- …and Finance & Accounting. This person will also be expected to support the day-to-day implementation of policies, procedures, programs and workplace services ... in Store Set-ups and closures as needed. * Customer Support * Assess retail location in person for any...and vendors comply with insurance requirements and coordinate all claims as required * Periodically inspect the facility, systems,… more
- Humana (Albany, NY)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... expectations. + Conducts executive-level briefings and presents solution recommendations in support of state-level initiatives. + Supports Medicaid IT leadership in… more
- Aflac (NY)
- …Society of Actuaries (SOA) exams and commitment to completing exams leading to an Associate of the Society of Actuaries (ASA) designation * Currently a candidate in ... Modeling, and/or Experience Analysis/Management concepts; conducts fact gathering and claims analysis; reviews and analyzes statistical data, including morbidity,… more
- City of New York (New York, NY)
- …the direction of the Membership and Service Director, the Deputy will support all activity within the Division including strategic planning, performance management ... resistance and proactively address issues. -Allocate the necessary resources to support the change effort, including identifying staff, needed technology or tools,… more
- New York Racing Association (NY)
- …the day-to-day management of employee and labor relations. The HRBP provides support to business units in interpreting and consistently applying HR policies, ... help identify and resolve HR needs while delivering prompt and efficient support . Essential Functions: + Establish relationships with assigned business units and… more
- Molina Healthcare (Buffalo, NY)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... to support ongoing reporting and analytics workflows. + Utilize Databricks...to guide technical decisions. REQUIRED EDUCATION: + Bachelor's or Associate 's degree in Data Science, Computer Science, Analytics, Information… more
- ZOLL Medical Corporation (Bronx, NY)
- …hospital setting. This includes the initial sales call as well as support activities to promote consistent use (Local Medical Education Programs, Tradeshows, ... reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at...a sales role and have been in a sales support role for a minimum of 1 year OR… more