- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions is looking for an Implementation Manager with experience managing a complex, program of strategic projects that span ... more work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer Service, Legal… more
- Humana (Albany, NY)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- Sedgwick (New York, NY)
- …combination of education and experience required to include two (2) years account manager experience, or five (5) years adjuster experience including two (2) years ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Utilities Service, LLC (Oneonta, NY)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... benefits available for this role, please contact the recruiter or hiring manager . **Individuals with a disability who desire a reasonable accommodation can contact… more
- City of New York (New York, NY)
- …materials; managing all grant-related activities including expenditures; deliverables, fiscal claims , evaluations, and reporting; and providing guidance to partner ... providing progress reports to the State; handling program audits; and ensuring participating agency claims are paid in a timely manner. The Director will also act as… more
- Ankura (Lexington, NY)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... . Be a key contributor to project delivery teams . Serve as project manager for client services, including large and complex engagements . Support expert witness… more
- ManpowerGroup (Chester, NY)
- …on various benefit plans, while serving as back-up to Employee Benefits Senior Manager . + Administer benefit programs and oversee the disability plan. + Conduct ... wellness initiatives. + Research and resolve benefit issues including claims assistance and assist with Open Enrollment and ACA...of benefits experience preferred. + Knowledge of benefits and claims processes, as well as HR benefit laws such… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Under the general guidance of the Ambulatory Billing Manager , the Ambulatory biller/coder is responsible for monitoring, auditing, and identifying ... from clinical departments, physicians, and Financial Service staff to ensure claims are billed and/or resubmitted with appropriate coding. Responsible to assist… more
- The Robison Group (Garden City, NY)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager , Case Management, etc. Department Surveillance Employment Type Full time Minimum… more
- Project Renewal, Inc. (New York, NY)
- …with latitude for independent action, the Assistant Director coordinates with the Building Manager and the Director of Social Services to ensure that the day-to-day ... the Program Director in compiling information and documentation needed to defend a claim submitted by either a client and/or staff member + Performs other duties… more