- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... professional medical associations, the BlueCross BlueShield Association, the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services… more
- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have ... justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with law… more
- Sedgwick (Albany, NY)
- …Marine Investigator **PRIMARY PURPOSE** **:** To perform detailed admiralty claims investigation and analysis through examination of the loss, collection of ... or other stakeholders. + Runs and interprets formal background checks related to claims through online resources, evaluating the results as it relates to policy… more
- The Robison Group (Albany, NY)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... willing and able to obtain a New York Private Investigator license. + Self-motivated, determined, and intuitive. + Strong...upon hire. + Must be able to pass a drug test with negative results (except when undergoing documented… more
- The Robison Group (Brooklyn, NY)
- …such as auto and property theft, fire damages, auto accidents, commercial claims , finding missing persons, courthouse searches, and other investigative tasks. For ... in our Special Investigations Unit (SIU). As an SIU Investigator , you will be joining an incredible team of...background check. + Must be able to pass a drug test with negative results (except when undergoing documented… more
- EFI Global (Binghamton, NY)
- …and RESPONSIBILITIES** **Accepts assignments from customers for investigation of losses or claims and pursues investigation in accordance with the specific needs of ... the assignment.** **Determines the origin and cause of the loss/ claim under investigation and identifies any potential third-party responsibility for subrogation… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …generation of medical evidence, (eg, observational studies, registries, and investigator -initiated studies (IISs) / investigator -initiated trials (IITs)) + Manage ... business days. **Company benefits:** Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death &… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …Advocacy Groups) before during and after congresses + Organize and facilitate investigator meetings and advisory boards in conjunction with congress + Coordinate ... business days. **Company benefits:** Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death &… more
- Mount Sinai Health System (New York, NY)
- …for reviewing, summarizing, analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality ... Interface with the insurers and legal counsel, reporting potential claims as well as cases of concern by preparation...planned and unannounced site visits by The Joint Commission, Drug Enforcement Agency, New York City and New York… more
- Mount Sinai Health System (New York, NY)
- …patients, and clinicians to ensure effective, safe, and cost-effective drug therapy. **Qualifications** **Education Requirements: ** Minimum first professional year ... system. 2. Data analysis: such as payer data and claim 3. Support the pharmacist to implement the patient's...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more