- CVS Health (Albany, NY)
- …+ Help distribute questions, concerns, and escalations to the contract managers or director as necessary. + Review and submit "fix" tickets to either the First ... providers with exposure to benefits and/or contract interpretation, including experience with claims systems and network databases. + 3-5 years of experience with… more
- CAI (Albany, NY)
- …Required: + Minimum 6 years of experience or equivalent higher education. Preferred experience in healthcare claims environment and reporting development, n-tier ... and evaluate industry trends in database systems to advise the Data Manager, Director of Business Systems, and/or Chief Information Officer + Review project requests… more
- Humana (Albany, NY)
- …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
- JPMorgan Chase (New York, NY)
- …external events, including catering and transportation + Process invoices and T&E expense claims for team members, ensuring all policies are followed and items are ... etiquette and ability to manage competing priorities ie calendar management ** Preferred qualifications, capabilities, and skills** + Experience supporting at the… more
- Sanofi Group (Albany, NY)
- …customers. In this field-based position, the FRM will report to a field-based Director , Field Reimbursement, within Patient Support for T1D (Type 1 Diabetes). The ... payer policy requirements, buy & bill processes, billing and coding education, claims and adjudication by site of care, financial assistance offerings from patient… more
- MTA (New York, NY)
- …HAY POINTS: 805 DEPT/DIV: IT / Product Management & Engineering SUPERVISOR: Director , Product Development LOCATION: Various/ 2 Broadway, New York, NY 10004 HOURS ... of low-code/no-code platforms such as Power Platform. + Experience with Claims Management and Legal Case Management applications, and specify which products… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …and corresponding policy, procedure, and programs. **Job Summary:** Reporting to the Director of Operations, the Manager of Compliance and Clinical Operations is ... compliance issues to appropriate resources for investigation and resolution of claims adjudication issues. + Ensures that activities are conducted according to… more
- JPMorgan Chase (New York, NY)
- …external events, including catering and transportation + Process invoices and T&E expense claims for team members, ensuring all policies are followed and items are ... etiquette and ability to manage competing priorities ie calendar management ** Preferred qualifications, capabilities, and skills** + Experience supporting at the… more
- Evolent (Albany, NY)
- …coding team and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality ... regular coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and workflows to enhance department efficiency.… more
- City of New York (New York, NY)
- …DOHMH and partner agencies to disseminate key findings and advance policy goals. PREFERRED SKILLS: - Advanced degree in public health, public policy, law, economics, ... - Value-based care and Alternative Payment Models - Price transparency, All-Payer Claims Databases, and other employer-led strategies promote high-value care - Civil… more