- City of New York (New York, NY)
- …paternity and support orders on behalf of DSS and assert liens and claims against Public Assistance and Medicaid recipients' personal injury awards and estate ... Unit (SLRLU) Child Support Enforcement Team Office. Under the direction of a Senior Attorney, with latitude for independent and unreviewed action and decision, the… more
- Highmark Health (Albany, NY)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or ... processes, Coordination of annual audits (such as PWC Revenue Audit and Support Senior Vice President of Operations in Monthly/Annual budget and expense analysis for… more
- UHS (Vestal, NY)
- …with state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and ... Engagement Councils, peer recognition, and initiatives like Walk in my Shoes for senior leaders are just a few ways we foster belonging and collaboration. Outside… more
- Capgemini (New York, NY)
- …by technology created with purpose. **YOUR ROLE** As a **Manager** or ** Senior Manager** in our **Insurance** team focused on **Transformation Management** , you ... Property & Casualty or Life Insurance + Functional knowledge of Underwriting, Claims , Policy Admin, Sales and Actuarial + Bachelor's degree in Business… more
- Highmark Health (Buffalo, NY)
- …the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide ... gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports,… more
- Sanofi Group (New York, NY)
- …knowledge of the US healthcare system, including formulary operations, claims adjudication, specialty pharmacy networks, and contract performance tracking. We ... performance and recommend operational optimizations. + Provide timely updates to senior leadership and account management teams, highlighting trends, gaps, and… more
- Molina Healthcare (NY)
- …Help translate CMS audit requirements into data tasks under the guidance of senior analysts. + Document data sourcing steps, methodologies, and business rules to ... programming language + Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with data in spreadsheets… more
- New York State Civil Service (New York, NY)
- …internal quality resources.* Participate in the documentation, negotiation, and settlement of claims .* Ensure the retention and maintenance of records and files both ... industry related field plus five years' experience as a DASNY Senior Assistant Project Manager or Bachelor's degree in Engineering, Architecture, Construction… more
- Bowman (Albany, NY)
- …complex assignments, tasks, and execution. Work is frequently reviewed by more senior staff to ensure application of sound techniques and principles. Review work ... and resolve any issues that may arise as it relates to disputes, or claims + Act as liaison between operations and many corporate accounting functions including but… more
- New York Power Authority (White Plains, NY)
- …facilities, including recommendations for implementing such technologies and projects to senior management. + Implement new technologies at NYPA's generating (hydro ... and invoice documentation relating to projects. Evaluate and approve all change order claims and payment invoices. Work as a team member with other engineers inside… more