- Cardinal Health (Albany, NY)
- …integration process, from due diligence and planning through execution, post-go-live support , and stabilization. The ideal candidate brings deep project management ... revenue cycle workflows, including eligibility and benefits, authorizations, charge capture, claim submission, and payment posting. + Identify risks and roadblocks… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency ... for work. + Develops financial projections, risk score analysis, unpaid claim liability estimates and conducts actuarial analysis for well-defined projects as… more
- Veterans Affairs, Veterans Health Administration (Canandaigua, NY)
- …and abnormal structures, discussion of differential diagnoses, recommendations and impression. Support patient care services with reports timely to the care being ... such as exam selection, review of results and other support functions. Participate in clinical conferences such as Tumor...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …his/her inpatient stay to provide recommendations for symptom management, emotional support , assistance with clarifying goals of care and discharge planning. Assist ... Veterans with serious illness in need of palliative care support , follow patients longitudinally in the out-patient setting as...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Walgreens (Fairport, NY)
- …the core of our business, and our pharmacy technicians enjoy all the tools and support - including the latest technology - to grow their careers and reach their ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Intermountain Health (Albany, NY)
- …Central Business Unit (CBU) and performs moderate to complex tasks within our claims platform. This position may interface with system architects and corporate staff ... on benefit and contract updates, and system projects to support resolution of issues. **Schedule** + Flexible schedule, Mon-Fri during normal business hours + Fully… more
- Molina Healthcare (Albany, NY)
- …in the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support , or other specific program ... of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of… 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 ... or managed care working experience + Experience working with medical, pharmacy, lab claims + Experience working with big data and using PySpark, Spark R or… more
- Compass Group, North America (Brooklyn, NY)
- …Office Risk Management team in responding to or managing any safety and claims issues* Working with operations and culinary teams to ensure the timely completion ... and settling of team members, foodborne illness, liquor liability and guest claims * Work with local OSHA, sanitation or Everclean inspectors to support… more
- Humana (Albany, NY)
- …The Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior Encounter Data Management Professional work assignments ... skills to make an impact** **Required Qualifications** + 5+ years of claims operations related experience + Experience with analyzing, reconciling and manipulating… more