- WTW (New York, NY)
- …industries. Working knowledge of insurance functions especially product development, pricing, claims , underwriting and actuarial a plus. + Ability to work ... independently, autonomously and as part of a team in a fast-paced, dynamic environment + Disciplined approach to pipeline develop that includes relationship development skills and value-based sales capabilities + Strong communication, negotiation, and… more
- Garnet Health (Middletown, NY)
- …Services team at/in Garnet Health Medical Center-Middletown. Responsibilities Files insurance claims to all payers in timely and accurate manner. Representative ... serves as primary contact for patient reimbursement issues from both patients and payers in accordance with established Patient Accounting policies. They provide information regarding hospital payment requirements and alternative financing. Additionally, they… more
- Army National Guard Units (Latham, NY)
- …provide a copy of Official Transcripts as documentation to support your educational claims . To receive credit for Education, you must provide documentation of proof ... that you meet the Education requirements for this position. Additional Information If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires… more
- Highmark Health (Buffalo, NY)
- …gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, ... medical loss ratio reports, Medicare STARS gaps and other risk revenue opportunities. + Function as the Organization's key contact on gain/risk share multi-disciplinary team. This includes presentation of program results to both internal and external… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …including the code of business conduct, the NYS and federal false claims act, whistleblower protections and mandatory reporting. 11. Completes corporate compliance ... training and mandatory training at least annually and fully cooperates in all corporate compliance investigations and reviews. SUPERVISES: Nurse Educators Nurse Case Managers (NCM) Medical Case Manager Counselors (MCMC) more
- Molina Healthcare (Rochester, NY)
- …**Required Experience** + 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed ... healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for service, capitation, and various forms of risk, ASO, etc. **Preferred Education** Bachelor's Degree. **Preferred… more
- AIG (New York, NY)
- …network. Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to be a market leader in critical ... lines of the insurance business. Corporate Finance - Investment Accounting The Investment Accounting group at AIG is responsible for the accounting and reporting for AIG's Invested Assets of over $95 billion a comprised primarily of fixed maturity securities… more
- MVP Health Care (Rochester, NY)
- …our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims /Operations** **Pay Type** **Hourly** **Hiring Min Rate** **20 USD** **Hiring Max ... To achieve this, we're looking for a Member Operations Billing & Enrollment Associate to join #TeamMVP. This is the opportunity for you if you have a passion for commitment to serving the customer effectively, strong analytical and problem solving skills and… more
- CVS Health (Albany, NY)
- …that align with strategic goals. + **Drive Strategy:** Collaborate with sales, claims , and customer service teams to develop tailored underwriting strategies based ... on market trends and business objectives. + **Mentor & Guide:** Share your expertise by mentoring peers, reviewing work for accuracy, and identifying training opportunities. + **Ensure Compliance:** Conduct audits, track allowances, and ensure all financials… more
- Molina Healthcare (Yonkers, NY)
- …**I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a managed ... care or healthcare environment. + Strong verbal and written communication skills. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive… more