- Uniland Development Company (Amherst, NY)
- …Primary responsibilities of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and ... pertaining to Uniland's business activities. + Facilitates administration of insurance claims , including builder's risk, liability, and property insurance and other… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of SLA's (service level agreements). * Identifies and solves contractual, claims , group/member and pricing issues with supplier through vendor maintenance. Supports ... including supporting programs, reviewing vendor-related concerns/issues, etc. Performs quarterly claims audits to ensure accurate claims processing. Maintains,… more
- CVS Health (Albany, NY)
- …every day. **Position Summary** Join Meritain, a subsidiary of CVS Health as the Manager of Stop Loss/Reinsurance Operations. In this high impact role, you will lead ... who are responsible for the filing of Stop Loss claims to partner Managing General Underwriter (MGU) and Stop...up, reconciliation and posting of Stop Loss reimbursements. As Manager , you will lead day to day colleague management,… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- The Senior Manager , Global Product Quality - Biologics is responsible for managing quality oversight of clinical and commercial products at CMOs under contract by ... of combined experience in pharmaceutical/medical device industry as a manager in Manufacturing, QA or QC role supporting GMP...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- OLV Human Services (Lackawanna, NY)
- …while working + Employee referral program Position Overview: The Dental Practice Manager at Baker Victory Healthcare Center oversees the daily operations of the ... scheduling, insurance verification processes, and handling patient relations. The manager ensures smooth coordination between clinical staff, including Dental… more
- MTA (New York, NY)
- Senior Manager - General Law I (Toll Group) Job ID: 13400 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular ... #1 Date Posted: Oct 16, 2025 Description POSTING NO. 13400 JOB TITLE: Senior Manager - General Law I (Toll Group) DEPT/DIV: General Counsel WORK LOCATION: 2 Broadway… more
- Molina Healthcare (Albany, NY)
- …is required. **Job Duties** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which ... Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable… more
- First Student (NY)
- …industry has to offer.** First Student is hiring an Area Safety Manager based out of Poughkeepsie, NY covering Eastern, NY state! Salary $88,000-$98,000 ... **Summary:** The Area Safety Manager (ASM) supports the safety of designated locations for...+ Provide support to RSD and Risk Management on claims management and in litigation. Complete Root Cause Analysis… more
- Garnet Health (Middletown, NY)
- …Administrator, Coding & Clinical Documentation Improvement and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible ... day operation of the CDI department and DRG Denials appeals process. The Manager will develop, implement and evaluate processes, policies and procedures related to… more