- Excellus BlueCross BlueShield (Rochester, NY)
- …The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the understanding of ... for work. + Develops financial projections, risk score analysis, unpaid claim liability estimates and conducts actuarial analysis for well-defined projects as… more
- CVS Health (East Meadow, NY)
- …and compassion for your patients, customers, caregivers, and colleagues on your team + Support your Pharmacy manager in motivating, inspiring, and developing their ... work toward successfully implementing those solutions by leading your team to achieve specified goals + Adapt to change...regulations + Comply with all CVS policy and standard operations procedures (SOPs) at all times + Meet requirements… more
- Allied Universal (New York, NY)
- …in a dynamic, welcoming, and collaborative workplace, you will be part of a team that contributes to a culture that positively impacts the communities and customers ... This position is responsible for employee relations, employment compliance, unemployment claims , and monitoring of employment status for the employees of that… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …submission documents and represent the department at different product development team meetings. This individual will conduct **pharmacometrics** and simulation and ... this role, you will interact with early development and business development team members, as well as external collaborators, to assess/lead development and… more
- Humana (Albany, NY)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... with department leadership, trading partner owners, and the error resolution team to ensure timely improvements are made regarding Error Submission issues/errors.… more
- Molina Healthcare (Albany, NY)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM, ... support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost,...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Allied Universal (Hopewell Junction, NY)
- …platform to claim open shifts at client sites + Support operations across a range of environments including commercial real estate, healthcare, and education ... and inclusive workplace, you will be part of a team that fuels a culture that will reflect in...to address potential concerns. + Support the overall security-related operations of the location by maintaining a visible presence… more
- Cognizant (Albany, NY)
- …effectively with team members and other departments to ensure seamless operations . Contribute to the overall success of the company by enhancing patient ... 2 to 3 years of experience to join our team . The ideal candidate will have strong technical skills...**Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify due process was followed. Determine if… more
- MTA (Brooklyn, NY)
- …outside counsel that handles a high volume of personal injury and property damage claims and lawsuits brought in state and federal courts against MTA agencies. The ... Responsibilities: + Handle high volume personal injury and/or property damage claims during all phases of litigation, including hearings, depositions, discovery,… more
- Stony Brook University (Commack, NY)
- …the oversight of the Director of Managed Care Enrollment and join a team of professionals representing Stony Brook Medicine * and its Clinical Integrated Network. ... As a member of the Managed Care Enrollment ("MCE") Team , you will be responsible for coordinating and facilitating managed care provider and facility enrollment and… more