• Program Manager - Insurance Platform Modernization

    Capgemini (New York, NY)
    …or general insurance Deep understanding of insurance operations including underwriting claims processing policy servicing and renewals Familiarity with core ... and strategic execution of multi stream programs involving policy administration claims billing and digital servicing **Key Responsibilities:** Lead end to end… more
    Capgemini (10/07/25)
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  • Service Coordinator

    Family of Kidz (Westbury, NY)
    …Program Responsibilities: + Input of new students demo information + Assist in processing and scheduling referrals for clinic based services + Updating correct demo ... to correct files as needed + Cleanup projects in Claims About You: If you have these attributes: +...in Microsoft Office with a focus on Excel + CLAIMS Knowledge a plus + Previous experience in agency/school… more
    Family of Kidz (10/04/25)
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  • Vice President, Operations

    Centene Corporation (Queens, NY)
    …stakeholders related to operational areas. + Oversee day-to-day operations including claims processing , provider network management, member services, utilization ... Oversee implementation and optimization of health plan operations systems (eg, claims adjudication platforms, CRM tools). + Drive digital transformation initiatives… more
    Centene Corporation (10/04/25)
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  • App Dev RFP_Solution Lead- AEM

    Capgemini (New York, NY)
    …using APIs and middleware Deep understanding of insurance workflows such as underwriting claims processing and policy servicing Familiarity with cloud based AEM ... Ensure integration with core insurance systems such as policy administration claims billing and CRM platforms Establish reusable components development standards and… more
    Capgemini (10/04/25)
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  • Manager of Delegated Credentialing & Enrollment

    Bassett Healthcare (Cooperstown, NY)
    …staff performance, and collaborates with internal departments to support clean claims and regulatory compliance. + Decision Maker + Credentialing & Enrollment ... submission of provider data to IT for system updates and reimbursement processing for accuracy + Lead coordination with Information Technology to maintain… more
    Bassett Healthcare (10/02/25)
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  • Test Manager (Remote)

    GovCIO (Albany, NY)
    …Healthcare Claims X.12 Transaction (837, 835, 277, etc.), Healthcare Claims and Payment Processing knowledge, Healthcare Eligibility Verification knowledge + ... Experience working with accessibility testing tools. **Clearance Required:** Ability to obtain/maintain Public Trust/Suitability clearance for the VA. **Company Overview** GovCIO is a team of transformers--people who are passionate about transforming… more
    GovCIO (10/01/25)
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  • Senior Employment Security Clerk (Hourly) - Albany…

    New York State Civil Service (Albany, NY)
    …responsible for the following;. Accept and process both original and continued claims for Unemployment Insurance. . Conduct telephone interviews with claimants in ... benefits.. Determine the need for further fact-finding and place claims on hold pending further investigation. Work a variety...to do so may result in a delay of processing your application.Candidates from diverse backgrounds are encouraged to… more
    New York State Civil Service (09/30/25)
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  • Senior Analyst, Utilization Management

    Molina Healthcare (Syracuse, NY)
    …proficiency in SQL for large dataset analysis and transformation, specifically in processing healthcare claims data and supporting managed care reporting needs ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient… more
    Molina Healthcare (09/25/25)
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  • Senior Operations Manager - Dry Bulk

    ADM (White Plains, NY)
    …the loading and discharge of bulk cargoes, initiating freight payments, claims handling, calculating laytime, and settlement of freight accounts. Additional duties ... efficiencies + Responsible for handling and settling of complex disputes and claims + Responsible for coordinating complex stow plans with chartering, trade and… more
    ADM (09/25/25)
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  • Small Business Insurance Account Manager

    Tompkins Community Bank (Batavia, NY)
    …to the Core Business Unit (CBU) Team Leader in the handling and processing of new and renewal commercial business. Meet with insurance company representatives such ... protect collection of same. + Assist the Tompkins Insurance claims personnel in and working with the processor in...the processor in the reporting, handling and settlement of claims . + Be familiar with and follow agency E… more
    Tompkins Community Bank (09/25/25)
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