- Humana (Albany, NY)
- …clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key ... or managed care working experience + Experience working with medical, pharmacy, lab claims + Experience working with big data and using PySpark, Spark R or… more
- Compass Group, North America (Brooklyn, NY)
- …safety and sanitation training* Take the lead in working with the Home Office Risk Management team in responding to or managing any safety and claims issues* ... and settling of team members, foodborne illness, liquor liability and guest claims * Work with local OSHA, sanitation or Everclean inspectors to support inspections… more
- Walgreens (Delhi, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... as assigned by the Pharmacy Manager. + Leads Pharmacy Department inventory management activities, such as, ordering, unpacking, checking and storing shipment of… more
- CVS Health (Amherst, NY)
- …setup essential for online viewing and processing related to Customer Service, Claims , Enrollment, Billing and Reporting in support of internal and external ... experience with benefits interpretation **Preferred Qualifications** + Customer Service, Claims , and or Plan Build preferred + Salesforce experience preferred… more
- Truecare Homecare Agency (Brooklyn, NY)
- …all documentation to centralized location + Participate in data retrieval for claims appeals and requests for payment + Liaison between the insurance companies ... according to company standards + Provide superior customer service through phone/fax management skills, computer documentation of codes and information for claims… more
- New York eHealth Collaborative (New York, NY)
- …large and complex datasets (eg, master patient indexes, SPARCS, healthcare claims ). + Design, implement, maintain, and enhance data workflows, ETL/ELT pipelines, ... audiences. + Familiarity with Clinical Quality reporting, Medicare and Medicaid claims data, ICD coding, CDA standards, web scraping, EHR/EMR systems, and… more
- Robert Half Legal (New York, NY)
- …actions, as well as individual and class-wide discrimination, harassment, and retaliation claims under federal, state, and local laws. This is a hands-on role ... with a focus on employment law + Demonstrated experience with wage-and-hour claims + Substantial deposition experience + Strong legal research and writing skills… more
- Sedgwick (Albany, NY)
- …not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the ... 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… more
- City of New York (New York, NY)
- …case folders for accurate claim establishment by accessing and checking the Welfare Management System (WMS), New York City Work Accountability and You (NYCWAY), HRA ... other means for referral to the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP CR). - Review claims...Program- Claims and Recovery (SNAP CR). - Review claims calculations and make determination of whether to re-budget,… more
- Molina Healthcare (Buffalo, NY)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... of internal customers as it pertains to other provider network management areas, such as provider contracts. **Knowledge/Skills/Abilities** * Manages all aspects… more