- Evolent (Albany, NY)
- …will be part of a team who thrives on driving analysis and support for Evolent's fast growth and innovative risk-based Performance Suite business. **Collaboration ... Medical Cost Action Planning work to identify, size, and support new programs aimed at reducing cost of care...clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for… more
- Zurich NA (New York, NY)
- …School Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... an Associate Degree and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s of business and the legal and… more
- Cognizant (Albany, NY)
- …will make an impact by configuring and maintaining QNXT systems to support provider contracts, benefits, and fee schedules. You will collaborate with stakeholders ... and clarify gaps. + Interpret paper contracts for reimbursement and troubleshooting, claim pending issues. + Create detailed technical design documents and perform… more
- University of Rochester (Rochester, NY)
- …complex secretarial and administrative duties in a fast-paced environment in support of clinical, educational, and academic programs. Responsible for all clinic ... provider patient schedule, coordination of patient care and information/data support . SUPERVISION AND DIRECTION RECEIVED: Receives minimal direction from physician,… more
- Cardinal Health (Albany, NY)
- …understanding of service level goals and objectives when providing customer support . + Demonstrates ability to respond to non-standard requests from vendors ... within the scope of responsibilities as dictated below with guidance and support from AR & Billing leadership teams. **_Responsibilities_** + Provides ongoing… more
- Hannaford (Ballston Spa, NY)
- …forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms. * Maintain organized filing system for invoices, manual insurance ... claims , daily reports, etc. in accordance with Standard Practice...our company's management planning guidelines to maintain productivity. * Support company's safety standards. Communicate any needed equipment repairs… more
- New York State Civil Service (NY)
- …Regions 1-3.* Directing Pre-Default Meetings and Show Cause Meetings * Take lead in claim review for claims on contracts in Regions 1-3. Technical Liaison ... and bidding. The incumbent will oversee Regions 1-3 and support the Director in the establishment and modification of...levels, upcoming workload levels, and upcoming staffing needs to support workload in Regions 1-3. * Direct work assignment,… more
- City of New York (New York, NY)
- …to oversee the timely planning, preparation, processing and submission of NYCDOT's claim reimbursement requests to the New York State Department of Transportation ... Budget (OMB), external audit entities, and internal audit units, including other support divisions/programs within the agency to oversee federal, state and city… more
- Elevance Health (New Hyde Park, NY)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... special projects such as understanding changes in cost and utilization at a claim level + Responsible for educating and making recommendations on changes in expense… more
- Elevance Health (New Hyde Park, NY)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... role plays a critical part in identifying coding discrepancies and recoverable claim opportunities, and supporting regulatory integrity on behalf of the company and… more