- 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 ... Food, Drug, and Cosmetics Act; FDA regulations; The Federal False Claims Act and Anti-Kickback statute; CMS and Veteran's Administration regulations regarding… more
- Turner & Townsend (New York, NY)
- …advanced techniques including Time Impact Analysis (TIA), productivity tracking, and claims support. Collaborate with regional leads to elevate service quality and ... degree in quantity surveying, cost management, construction management, or engineering is preferred . + 20+ years of relevant scheduling experience. + 15+ years… more
- Molina Healthcare (Albany, NY)
- …software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and ... + Maximizes use of information from multiple sources, including claims /encounters, pharmacy, utilization management, clinical indicators, industry benchmark, and/or… more
- Highmark Health (Albany, NY)
- …leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights ... 3 years of relevant work experience in lieu of a Master's Degree ** Preferred ** + Doctoral degree (Ph.D.) in Analytics, Mathematics, Physics, Computer and Information… more
- MTA (New York, NY)
- …include monitoring actual project performance; anticipating and forecasting potential claims ; negotiating and resolving claims /disputes; ensuring proper ... Administration, Transportation, or a related field. Masters Degree in related field preferred . Must have a minimum of fourteen (14) years related experienc e.… more
- BronxCare Health System (Yonkers, NY)
- …source documents as necessary. Utilize multiple billing applications for claims preparation, validation and submission.Using reports provided by billing system, ... follow up on unpaid claims , send inquiries to insurers, performing necessary research, creating...manner. Qualifications High School or GED required, Associate degree preferred . Proficiency with Excel spreadsheets to develop account reconciliation… more
- Zurich NA (Albany, NY)
- …hone your underwriting and marketing skills while building relationships with our Preferred Distribution Partners within your area and grow your long-term career. ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...underwriting Life Science product liability on a primary basis Preferred Qualifications: + Existing broker relationships in East Coast… more
- Molina Healthcare (Albany, NY)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims , Provider Services and Contracting. * Identifies issues, resolves problems… more
- American Express (New York, NY)
- …include evaluating compliance risk associated with new product development, marketing claims and disclosures, pricing initiatives, rewards and benefits, and customer ... and other relevant federal, state and local regulations. + Review marketing claims and required disclosures for adherence with applicable laws and regulations. +… more
- Lincoln Financial (Albany, NY)
- …(Indiana); Omaha, NE (Nebraska); Phoenix, AZ (Arizona); Work from Home **Work Arrangement:** Hybrid Preferred : Preferred employee will work 3 days a week in a ... will contribute to strategic projects requiring group protection and claims business/technology knowledge, project & stakeholder management, and presentation skills.… more