- CVS Health (Albany, NY)
- …technical direction and innovation of engineering projects that impact the Commercial Claim systems . As a Staff Software Engineer/Release Manager, you will: ... solutions that meet the evolving needs of our business. The Commercial Claim team handles complex project work that crosses many Aetna Technology… more
- Highmark Health (Albany, NY)
- …supporting the Epic Resolute Hospital Billing application. Responsibilities include business/ systems analysis, requirements definition and documentation, system ... design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions. **ESSENTIAL RESPONSIBILITIES** + Plans,… more
- Molina Healthcare (Yonkers, NY)
- …maintain contract, benefit or reference table information into the claim payment system and other applicable systems . + Participates in defect resolution for ... claims databases. Synchronizes data among operational and claims systems and application of business rules...housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Leviton (Melville, NY)
- …looking for a Deduction Representative I to join the Credit, Accounts Receivable & Claims department. We need individuals who thrive on challenges and are eager to ... I is responsible for evaluating, processing, and resolving customer claims (deductions), working together with customers and various internal departments.… more
- Travelers Insurance Company (Albany, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment… more
- GE Vernova (Schenectady, NY)
- …and other EPC claims + Research, pursue, negotiate and obtain insurance claim recoveries + Drive Supplier recovery working in conjunction with Sourcing + Ensure ... commercial expert in preventing and mitigating high dollar value claims and risks. In this role, you will: +...authorization to release new projects via Electronic Order Release system (eARS) in a timely manner + Maintain eARS… more
- Sedgwick (Albany, NY)
- …criteria; to provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through training and ... reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance.… more
- Highmark Health (Albany, NY)
- …performs business analysis tasks by supporting stakeholders of a specific system application(s), handling user inquiries/issues, and enhancements to the system ... of applications he/she supports, how users use the application, and what other systems integrate with the application. Understands how work is being conducted, and… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... ideal candidate will have had some experience working with health administrative/insurance claims data and other large datasets. Prior experience with the Department… more
- Mount Sinai Health System (Elmhurst, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... accounts receivable team to ensure the time processing of claims and all revenue is captured. Maintains daily logs...**Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where everyone… more
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