- CVS Health (Albany, NY)
- …data, user feedback, and market research to enhance digital self-service, claims transparency, provider search, member portals, and mobile applications. + Identify ... regulated industry. + Strong knowledge of healthcare payer operations ( claims , eligibility, enrollment, prior authorization, provider networks). + Experience working… more
- Sedgwick (Albany, NY)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Humana (Albany, NY)
- …operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with ... Enrollment Period (AEP). + Utilize tools such as Availity to streamline claims submission, eligibility verification, and authorization processes. + Directly lead a… more
- Actalent (New York, NY)
- …you will manage the owner change directive process and contribute to monthly claims cost reporting. Responsibilities + Collaborate with the Project Manager and team ... directive processes with cost evaluations, estimating, and negotiations. + Prepare monthly claims cost reports. + Conduct internal and external cost reporting for… more
- AON (New York, NY)
- …+ 3+ years of insurance or reinsurance experience in an accounting, premium, claims , or broker client servicing role. + Successful completion of Aon's technical ... + 3+ years of insurance or reinsurance experience in an accounting, premium, claims , or broker client servicing role. + Successful completion of Aon's technical… more
- Google (New York, NY)
- …represented in both third-party datasets and Google's internal tools and marketing claims . This includes developing a global strategy to make sure YouTube's ... internal and external commercialization of solutions, covering use cases from marketing claims to cross-media ratings and ad planning tools. + Ensure YouTube's core… more
- Walgreens (Brooklyn, NY)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Evolent (Albany, NY)
- …accounts + Strong knowledge of health plan operations, care/utilization management, claims processing, value-based care, and the levers to optimize financial ... be leveraged to identify opportunities and actions (including EMR, clinical, authorization, claims , SDoH, etc.); understanding of how to translate data and insights… more
- Molina Healthcare (Albany, NY)
- …models to support analytical and operational use cases, including healthcare claims and utilization data. * Collaborate with cross-functional teams, including data ... * Prior experience working in the healthcare industry with familiarity in clinical, claims , or care management data. * Experience with cloud platforms (AWS, Azure)… more
- IBM (Buffalo, NY)
- …including content creation, review and approval, digital asset management (DAM), claims management, and modular content * Implement client's E2E content supply ... including content creation, review and approval, digital asset management (DAM), claims management, and modular content * Consulting experience with proven ability… more