- Healthfirst (NY)
- …degree in Accounting, Finance, or Business Administration from an accredited institution preferred . + Certification in claims processing or related area (eg, ... institution + Leadership experience in a high-volume production billing, enrollment, claims , call center environment or related environment. + Basic understanding of… more
- Mount Sinai Health System (New York, NY)
- …BA or BS degree minimum, in a relevant field of study; Masters degree preferred . + 7 years minimum, higher preferred , in analytics development expertise, ... knowledge of a health care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX,… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support area within the Commercial Insurance industryOR + Zurich Certified ... and 12 or more years of experience in the Claims or Underwriting Support area within the Commercial Insurance...industryAND + 2 or more years of management experience Preferred Qualifications: + Bachelor's Degree + CPCU + Advanced… more
- Staffing Solutions Organization (Albany, NY)
- …healthcare data and business context of various elements related to Medicaid claims . Related efforts will include the production of reports and guidance ... professional experience required + Experience working with healthcare data, particularly claims , member, and provider domains required + Coordination of group… more
- AON (New York, NY)
- …check market quotes, binders and policy documentation. + Ensure client, marketing and claims files are maintained in a timely fashion. + Check computations of ... of 5 years of experience in Professional Liability insurance. + Preferred background in Employment Practices Liability, Management Liability, Technology Errors &… more
- Evolent (Albany, NY)
- …Data Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost drivers, utilization ... times, PMPM, trend drivers), with a working knowledge of healthcare claims and reimbursement methodologies. + Experience presenting actionable business insights to… more
- Deloitte (New York, NY)
- …and contribute to the formulation and critique of damages theories, claims , or conclusions. + Help prepare client presentations, reports, and deliverables ... on projects including accounting and fraud investigations, false claims act cases, and complex business litigation. + Demonstrate...(3.0 cumulative GPA required , 3. 2 cumulative GPA preferred ). + Must be legally authorized to work in… more
- CVS Health (Albany, NY)
- …data, user feedback, and market research to enhance digital self-service, claims transparency, provider search, member portals, and mobile applications. + Identify ... regulated industry. + Strong knowledge of healthcare payer operations ( claims , eligibility, enrollment, prior authorization, provider networks). + Experience working… more
- Evolent (Albany, NY)
- …client partners,their provider networks, and where applicable, ASO employer accounts. ** Preferred Experience we look for:** + Master's degree in business ... administration, public health, analytics, or a related field, master's degree Strongly Preferred . + 10+ years of experience working directly with health plans,… more
- Catholic Health Services (Melville, NY)
- …himself/herself in conformity with the CHS Security policies and procedures. Analyze claims data with the goal of identifying and quantifying payment issues and ... Escalation Unit. Position Requirements and Qualifications Education: Bachelor's degree preferred , comparable work experience considered in lieu of bachelor's degree.… more