- CenterWell (Albany, NY)
- …- 3 years of grievance and appeals experience + Previous experience processing medical claims + Bilingual (English and Spanish); with the ability to read, write, and ... English and Spanish + Prior experience with Medicare + Experience with the Claims Administration System (CAS) + Knowledge of medical terminology + Ability to manage… more
- Humana (Albany, NY)
- …an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,...bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc.… more
- Greater Opportunities for Broome and Chenango, Inc (Binghamton, NY)
- …include the following. Other duties may be assigned. 1. Educate and communicate company personnel policies and procedures to newly hired and current employees. 2. ... training, grievances, performance evaluations, and classifications. 5. Assist with company benefit administration to include enrollment forms, plan questions, … more
- Sedgwick (Buffalo, NY)
- …organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad, ... to finalize and approve legal invoices for payment. + Consistently meet company established performance standards for production. + Work with other team members… more
- Capgemini (New York, NY)
- Scrum Master - Insurance Choosing Capgemini means choosing a company where you will be empowered to shape your career in the way you'd like, where you'll be ... goals. + Support agile adoption across insurance programs including underwriting claims and policy servicing. + Ensure compliance with insurance regulatory… more
- General Dynamics Information Technology (Menands, NY)
- …best practices, experience with manual testing tools and have knowledge of health care claims processing. We are looking for a qualified candidate who has a passion ... as an individual. + Preferred Skills: + MMIS related claims and ancillary transaction processing + Knowledge of Electronic...priorities at work and at home + 401K with company match + Comprehensive health and wellness packages +… more
- Pfizer (Albany, NY)
- …(customer, industry, and professional society meetings) + Ability to operate a Pfizer company car with a valid US Driver's License and regularly fly on airplanes; ... experience in field-based medical/outcomes role + Experience analyzing health care data ( claims , electronic health records, other health care data) + Expertise in… more
- GovCIO (Albany, NY)
- …Experience** + Experience working with the Department of Veterans' Affairs + Healthcare Claims X.12 Transaction (837, 835, 277, etc.), Healthcare Claims and ... Required:** Ability to obtain/maintain Public Trust/Suitability clearance for the VA. ** Company Overview** GovCIO is a team of transformers--people who are… more
- Guardian Life (New York, NY)
- …is on a transformation journey to evolve into a modern, forward-thinking insurance company committed to enhancing the wellbeing of its customers and their families. ... generative AI to process and understand unstructured data such as contracts, claims , medical records, and customer interactions. + Build autonomous agents and… more
- AECOM (Jamaica, NY)
- ** Company Description** **Work with Us. Change the World.** At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, ... impact of proposed actions. + Communicating with project and broader company teams, clients, governmental authorities and other stakeholders; Drafting project… more
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