- DoorDash (New York, NY)
- …for translating business goals into marketing strategies and serving as the general manager across the organization to bring those strategies to market. About the ... looking for a strategic, data-driven, and execution-focused Insurance Product Marketing Manager to lead go-to-market strategy and lifecycle engagement for our future… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …and programs. **Job Summary:** Reporting to the Director of Operations, the Manager of Compliance and Clinical Operations is responsible formaintaining an effective ... licensure, third party administrators, utilization review and management requirements. The Manager of Compliance and Clinical Operations will also have oversight of… more
- Prestige Employee Administrators (Melville, NY)
- …and/or resolve service problems to both employees and clients pertaining to: + Claim Issues + Eligibility problems + Billing discrepancies + Benefit problems + COBRA ... in a high-pressure environment + Knowledge of an HRIS system, Salesforce and Prism preferred Required Experience: + + Minimum of ten years or equivalent client and… more
- CVS Health (Albany, NY)
- …organization (internal and external). - Must have strong knowledge of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, ... Word, PowerPoint) as well as experience using analytic/reporting applications ** Preferred Qualifications** Familiarity with medical cost analytics and advanced… more
- Mount Sinai Health System (New York, NY)
- …of the beneficiary, as coded and reported by the hospital on its claim , matches both the attending physician's description and the information contained in the ... coding in an acute care hospital. Validation and auditing experience preferred . ? Excellent current knowledge of MS-DRGs, APR-DRGs reimbursement methodology. ?… more
- Catholic Health Services (Roslyn, NY)
- …Island's Top Workplace! Job Details Rooted in Catholic Health's mission, the Risk Manager plays a vital role in promoting a safe, ethical, and healing environment ... corrective actions plans Responsible for professional liability discovery Attends claims litigation meeting Coordinates, investigates, trends and disseminates safety… more
- World Insurance Associates, LLC. (Syosset, NY)
- …and human capital management solutions. Position Overview Our Associate Account Manager provides general account support and customer service to an impressive ... inquiries and escalate issues related to eligibility and member claims + Develop and leverage knowledge of customer needs...the annual Open Enrollment process Qualifications + Bachelor's Degree preferred + 1-3 years of experience in the health… more
- Sumitomo Pharma (Albany, NY)
- …highly motivated, and experienced individual for the position of **Sales Account Manager , Oncology (Albany, NY).** In this field-based role, the Prostate Cancer ... and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office… more
- ZOLL Medical Corporation (Bronx, NY)
- …to intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all times Required/ ... Preferred Education and Experience + Bachelor's Degree From four-year...year OR have successfully performed within a Associate Territory Manager role. Physical Demands + This position requires the… more
- Public Consulting Group (Albany, NY)
- …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... **Required Skills** + Excellent communication, interpersonal and client-facing skills. Bilingual Preferred . + Ability to work independently and on a team. +… more