- Humana (Albany, NY)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- Walgreens (Yonkers, NY)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Humana (Albany, NY)
- …to an organization focused on continuously improving consumer experiences ** Preferred Qualifications** + Associate's or Bachelor's Degree + Previous inbound ... - 3 years of grievance and appeals experience + Previous experience processing medical claims + Bilingual (English and Spanish); with the ability to read, write, and… more
- GCG (Albany, NY)
- …guidelines and detailed manuals. These efforts will not only support warranty claims but also enhance customer satisfaction by delivering service that sets us ... user-friendly + Develop detailed manuals to assist customers with warranty claims and installation support + Provide on-site training, product demonstrations, and… more
- AECOM (Jamaica, NY)
- …+ Multi-tasking on a large number of various contract issues, claims and/or litigation, and general advice requests. **Qualifications** **Minimum Requirements:** + ... negotiating contracts, drafting project correspondence, negotiating changes, and/or handling claims and litigation related to engineering and/or construction projects.… more
- Highmark Health (Albany, NY)
- …August 2016. + Experience in Provider Data Management, Customer Services or Claims . + Microsoft office experience (ie Word, Excel, PowerPoint, etc.) ** Preferred ... File systems. + Experience with the Customer Service inquiry system or claims processing concepts. **Knowledge, Skills and Abilities** + Good written and verbal… more
- Humana (Albany, NY)
- …clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key ... and analytical results to higher-level business insights and key takeaways ** Preferred Qualifications** + Healthcare or managed care working experience + Experience… more
- New York State Civil Service (White Plains, NY)
- …legislation, regulations, and operations. The Regional Office also engages in the defense of claims brought against the state of New York and its agencies in the ... Court of Claims . The Regional Office offers a diverse and stimulating...list of three (3) professional references; supervisory references are preferred . For each reference, indicate the nature and duration… more
- Walgreens (Yonkers, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- WSP USA (New York, NY)
- …and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to appropriate action. + ... Compile contract and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in the performance of the above… more