• Manager, Fraud and Waste

    Humana (Albany, NY)
    …Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience ... it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and… more
    Humana (09/24/25)
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  • Section Supervisor

    City of New York (New York, NY)
    …Reimbursement Unit is responsible for the authorization of Medicaid reimbursement claims of consumers receiving public health insurance which include reimbursable ... Medicaid consumers, insurance plans, medical facilities, etc. - Ensure timely processing of premium payments to avoid insurance policy cancellation, interview,… more
    City of New York (09/14/25)
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  • Patient Account Coordinator

    WMCHealth (Kingston, NY)
    …(https://pm.healthcaresource.com/cs/wmc1/#/preApply/29991) Internal Applicant link Job Details: Coordinates the orderly processing of all third party claims in ... accurate cash receipt and Ancillary Services posting to the Accounts Receivable system.Submits claims for third party insurance payers. Handles self pay billing in a… more
    WMCHealth (09/12/25)
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  • Attorney for Legal Support Unit

    City of New York (New York, NY)
    …ongoing subsidies throughout their participation. These continued activities include processing annual and interim recertifications to update family income/assets, ... and recommends responses to Article 78 petitions, New York City Comptroller claims , Freedom of Information requests, reviews legal documents pertaining to legal… more
    City of New York (09/11/25)
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  • General Clerk III

    UIC Government Services and the Bowhead Family of Companies (New York, NY)
    …required. + Extensive computer/PC knowledge required including; spreadsheet software, word processing software and knowledge of MS Office Suite. + Must be ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
    UIC Government Services and the Bowhead Family of Companies (09/04/25)
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  • Assistant Vice President Commercial Executive…

    MTA (New York, NY)
    …anticipating and forecasting potential claims ; negotiating and resolving claims /disputes; ensuring proper processing of change orders, contract amendments, ... and payments; and monitoring recovery plans. Contract management responsibilities will include oversight of contract procurement schedule and process, ensuring contract deliverables are received, ensuring MTA C&D compliance with its own contractual commitments… more
    MTA (08/29/25)
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  • Data Science Analyst II - Enterprise Data…

    Mount Sinai Health System (New York, NY)
    …knowledge of a health care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX, ... and property. Identifies contingency plans for potential risks. + Strong data processing / transformation skills using tools like SQL, R, Python, PySpark, etc.… more
    Mount Sinai Health System (08/15/25)
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  • Executive Director, Data Analytics & Verification

    City of New York (New York, NY)
    …and/or systems. - Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner, with 100% accuracy ... thousands of staff work hours, and single-handedly ensuring that over 80,000 claims are correctly processed. - Coordinate planning, set policies and prioritize the… more
    City of New York (08/13/25)
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  • Lmu Worker

    City of New York (New York, NY)
    …as coordination with all program areas and FIA to troubleshoot payment processing issues, facilitate resolution as well as landlord communication and customer ... duplicate records are created. Review security voucher and SSAF claims submitted by landlords via CurrentNYC or by mail...- Review security voucher and Special Supplemental Assistance Fund claims submitted by landlords via CurrentNYC or by mail… more
    City of New York (08/13/25)
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  • Project Engineer

    Tutor Perini (New York, NY)
    …and responding to FOIL requests (Freedom of Information Laws). - Assist with claims and dispute related issues (research, compile and redact). + Identifies critical ... work plans. + Assists with monthly billings, cash flow projections, and processing change orders. + Reviews mock-up and/or shop drawings and specifications. +… more
    Tutor Perini (07/14/25)
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