- ThermoFisher Scientific (Rochester, NY)
- …and documentation. + Support material change risk assessments and verify product claims align with global industry standards (ISO 10993, USP, Pharm Eur, ICH ... (ISO 14971) and drafting protocols, reports, and procedures (SOPs). + Knowledge of systems like SAP, Salesforce.com, Trackwise, Oracle, and Agile. Join us in making… more
- Paychex (Rochester, NY)
- …prescribed guidelines to ensure good customer relations are maintained and customer claims and complaints are resolved fairly, effectively, and in accordance with ... issue completion in compliance with established Service Level Agreements + Uses systems and software packages, which may include HRIS, Salesforce, Flex, Core… more
- Molina Healthcare (New York, NY)
- …management of provider offices (including large multispecialty groups or health systems , executive level decision makers, Association meetings, and JOC's). * ... SKILLS & ABILITIES** : * 3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare… more
- All About Kids (Plainview, NY)
- …acumen + Good verbal and written communication + Detail Oriented + High E- Systems Proficiency + "Team player" attitude + Self-motivated and able to work autonomously ... accounting software (for example FundEZ, Quickbooks, Peachtree/Sage 50 a plus), experience with CLAIMS and/or HR Cloud a plus + Experience in the children's therapy… more
- Cushman & Wakefield (New York, NY)
- …report and manage the corrective actions * Support Workers Compensation (WC) claims tracking, investigation, and management process * Liaise with WC Program Manager ... * Safety Certification (CSP or CIH) preferred * Demonstrable success in Systems Management across multiple accounts/sites * Subject Matter Expertise in EHS and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and Federal Mandates. + May be responsible for pricing, coding, researching claims to ensure accurate application of contract benefits and Corporate Medical ... CM). Incumbent is required to know multiple functional areas and supporting systems . + Expert in Utilization Management and ability to handle complex assignments,… more
- Guardian Life (New York, NY)
- …(classification, OCR/layout understanding, entity/table extraction, summarization) across underwriting, claims , and customer service. + Design and ship ... bots for intake, triage, and workflow orchestration; integrate with core systems and human-in-the-loop reviews. + Translate ambiguous business problems into… more
- Molina Healthcare (Buffalo, NY)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient ... Associate's degree in Data Science, Computer Science, Analytics, Information Systems , Engineering, or other technology-related fields **Required Experience** + 3-5… more
- Chautauqua Opportunities (Dunkirk, NY)
- …AccuFund including the scanning of the cash receipt backup. * Reconcile payments with claims & correcting any errors resulting in reduction or denial of payment. * ... as appropriate. * Participates in organizational and divisional management systems . Knowledge, Skills Required: * Associates Degree in Business… more
- MetLife (New York, NY)
- …product knowledge and possess knowledge of plan designs, benefit features and how claims are paid. * Proactive customer focused mindset with strong focus on customer ... and proficient computer navigation skills and ability to work in multiple systems simultaneously (Microsoft suite, different company platforms) * High School diploma… more