- Intermountain Health (Albany, NY)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on ... contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims … more
- CVS Health (Albany, NY)
- …opportunities, and quantitative evaluation of clinical program outcomes using Rx and medical claims data. You will champion the value of the Product to CVS by ... optimize clinical program outcomes for members and clients, using claims and other program outcomes data + Championing the...care management programs and familiarity with Rx and medical claims + High attention to detail and ability to… more
- New York State Civil Service (New York, NY)
- …person, field-based meetings with policyholders to collaborate on systematic approach to claims mitigation.* In-depth analysis of type and cause of injuries to ... of comprehensive safety services based on loss drivers to mitigate claims . Services include:o Assessment of safety programs, policies, procedures.o Creation or… more
- Shake Shack (New York, NY)
- …support to our in-house Legal team in litigation, arbitration, agency investigations and claims management. Working closely with members of the Legal team as well as ... legal research, fact investigation, organization and maintenance of complex claims files, document collection, production and preservation, and trial/arbitration… more
- JPMorgan Chase (New York, NY)
- …Morgan Health, you will utilize your deep experience with health care claims warehouses, data transformations, and product design thinking to evolve and execute ... this role, you will leverage your expertise in medical and pharmaceutical claims data, survey data, biometrics data and industry-standard groupers to propose… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... 8-10 years data related experience within the pharmaceutical industry Preferred + Masters in Computer Science, MIS, Information Management...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Stony Brook University (East Setauket, NY)
- …Analyst may include the following, but are not limited to:** + Analyze claims and remittance data and present findings to departmental leadership. + Complete ... business processes and business systems configuration, including: Patient Billing, Claims Scrubber, Contract Management and Work Listing Software. + Interpret… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** + Associates Degree or high school diploma/GED ... + 2 years experience in medical billing or health claims , with experience in IDX billing systems in a...familiarity with ICD/CPT coding + Licensing: None but CPC preferred **Responsibilities** 1. Verifies insurance and registration data for… more
- MTA (New York, NY)
- …strategy to drafting, soliciting and procuring, negotiating and awarding, and claims and change management. Develop strategic and consistent contracts and ... vendors in all contracts. Advises Delivery department leaders on contract enforcement, claims management, and merit determinations. Manages the claims process,… more
- MTA (Brooklyn, NY)
- …Authority, which includes the New York State Department of Labor claims processing, hearings, appeals, adjournments, remands and quarterly audits. Position will ... and efficiently in compliance with mandated deadlines. Review UI claims before submission to the DOL and also review...to obtain certification within one year of employment is preferred . Other Information May need to work outside… more