- CVS Health (Albany, NY)
- …experience with care management programs and familiarity with Rx and medical claims + High attention to detail and ability to proactively identify and address ... experience with analyses of Rx and / or medical claims + Care management experience + Excellent design intuition/background _Education:_ Bachelor's degree or… more
- EFI Global (Albany, NY)
- …in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, ... partnerships in the **large complex loss and catastrophic property claims ** space. At the forefront of innovation and integrity,...a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change… more
- Baylor Scott & White Health (Albany, NY)
- …commercial/government/ASO lines of business). + Experience with HealthEdge HealthRules Payer claims management software strongly preferred. + Experience with ... standardization as it relates to tools and processes (deliverable templates, change management processes, business models, process flows, etc.) + Ability to execute… more
- Ross Stores, Inc. (New York, NY)
- …and options in order to facilitate business decisions and outcomes\. * Claims management : Effectively and efficiently resolve demand letters and pre\-litigation ... to promote compliance and mitigate legal exposure, while effectively managing projects/ claims \. The position will report to the Sr\. Director, Employment Law,… more
- Utilities Service, LLC (Albany, NY)
- …orientation + Background checks + Safety Management Process + Monitors and review claims and participate in claims management process. + Inform and ... a safer, more compliant environment. You'll evaluate existing safety management systems, identifying opportunities for improvement and implementing strategic… more
- Mount Sinai Health System (New York, NY)
- …+ In-depth knowledge of healthcare revenue cycle processes, including billing, claims management , and payment reconciliation. + Familiarity with **Stratajazz** ... transition to a business model focused on population health management - our goal is to keep entire communities...Revenue Cycle team to integrate contract terms into billing, claims , and payment systems. + Provide support and guidance… more
- Parsons Corporation (New York, NY)
- …detailed schedules for estimates and work to be bid. + Change orders and claims management . + Coordination with project teams, as needed, to analyze delays ... Mastery of the Primavera Scheduling Software (P6). + Change orders and claims management experience + Ability to read and interpret construction drawings and… more
- IBM (New York, NY)
- …content supply chain transformation including content creation, review and approval, digital asset management (DAM), claims management , and modular content * ... transformation including content creation, review and approval, digital asset management (DAM), claims management , and...review and approval, digital asset management (DAM), claims management , and modular content * Consulting… more
- Molina Healthcare (Yonkers, NY)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management , Network, and other departments to enable critical ... + Knowledge of healthcare operations (utilization management , disease management , HEDIS quality measures, claims processing, etc.) + Knowledge of… more
- MetLife (New York, NY)
- … Claims automation: Given the exponential growth of the Pet business, claims cost management is essential. Enhance auto-adjudication models to substantially ... services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more… more