- CDPHP (Albany, NY)
- …(2) years of equivalent experience required. + 1-3 years contract management experience preferred + Negotiation experience preferred + Demonstrated proficiency in ... and network adequacy requirements + Strong planning and workflow management skills with ability to shift priorities to meet...customers at all levels of authority + Understanding of claims and claims payments CDPHP salary ranges… more
- Lactalis American Group Inc. (Buffalo, NY)
- …hands-on experience in trade spend analysis, sales support, data reporting, and project management . The intern will act as a critical liaison between our fully ... 1. Data Analytics + Analyze and validate complex trade claims and sales data to drive informed decision-making. +...delivering ROI analysis that influences future strategy. 2. Revenue Management + Partner with the Trade Marketing (Revenue … more
- Evolent (Albany, NY)
- …member-centric products. This role plays a critical part in both **Medical Cost Management ** and **Product Management ** , leveraging advanced analytics to solve ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support area within the Commercial Insurance industryOR + Zurich Certified ... and 12 or more years of experience in the Claims or Underwriting Support area within the Commercial Insurance...Commercial Insurance industryAND + 2 or more years of management experience Preferred Qualifications: + Bachelor's Degree + CPCU… more
- Healthfirst (NY)
- …with internal teams (eg, sales, customer service, compliance) to ensure seamless management of members. + Monitor ,report, and deliver updates on memberships, data ... institution + Leadership experience in a high-volume production billing, enrollment, claims , call center environment or related environment. + Basic understanding of… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …maintain current list of corporate entities and officers. + Assist in management of representation by outside counsel on legal matters. Ensure required documents ... the Risk Manager in tracking insurance-covered litigation matters. File claims with insurance companies for claims and...organizational skills and attention to detail. + Excellent time management skills with a proven ability to meet deadlines.… more
- New York State Civil Service (Albany, NY)
- …City Albany State NY Zip Code 12229 Duties Description The Office of Financial Management , Strategic Financial & Managed Care Group is recruiting to fill a Data ... functions or applications using programming languages to perform analyses using commercial claims data.* Develops and maintains reports on commercial health data and… more
- Wright Beverage Distributing Corp. (Rochester, NY)
- …HRIS accuracy, coordinates recruitment logistics, handles offboarding and unemployment claims , and supports compliance activities. Acting as a central liaison ... and development coordination, and special projects + Manage unemployment claims , including timely state responses, documentation gathering, and maintaining accurate… more
- Pfizer (New York, NY)
- …net sales capability. + Work closely with Pfizer Digital, CMO, Channel Management , Patient Solutions, Procurement, Finance, and other Pfizer colleagues, and brand ... forecasting, predictive modeling. + Consulting experience and experiences of analyzing patient/ claims data is highly desired. + Deep understanding of pharmaceutical… more
- CVS Health (Amherst, NY)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... relations, underwriting, eligibility, finance, client management and much more. Develop and hone your skills...Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with… more