- Utilities Service, LLC (Queens County, NY)
- …Assure recommendations are appropriate for the causes. + Assist the Regional Manager with an assignment of recommendations to individuals, and that the ... checks, etc. + Safety Management Process _(SMP)_ . Monitor and review current claims . + Work with the Home Office Claim Examiners and regional insurance adjuster… more
- Walgreens (Utica, NY)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Rochester, NY)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Oneida, NY)
- …records. Checks in and prices merchandise as required or as directed by store manager or communicated by the shift leader. + Performs duties as assigned by Pharmacy ... Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Utilities Service, LLC (Yaphank, NY)
- …+ Assuring the investigation identifies root causes + Assisting the Regional Manager with the assignment of recommendations to individuals, and that recommendations ... orientation + Background checks + Safety Management Process + Monitors and review claims and participate in claims management process. + Inform and communicate… more
- Walgreens (Smithtown, NY)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Sharecare (Albany, NY)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... + Coordinate issue resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or… more
- Molina Healthcare (Buffalo, NY)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems ... out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. *… more
- New York State Civil Service (Melville, NY)
- …11747 Duties Description * Manage the day-to-day duties as a medical only Case Manager in the NYS Segment.* Work-up and process Workers' Compensation claims .* ... via phone and email.* Routinely communicate with employers to obtain info about claims .* File forms and correspond with the Workers' Compensation Board.* Review … more
- City of New York (New York, NY)
- …The role is responsible for overseeing staff responsible for the reconciling of claims payments within the City's self-funded health plan effective January 1, 2026. ... with contractual obligations, regulatory requirements, and internal policies related to health claims and monthly admin fee payments. o Oversee the performance of… more