- CDPHP (Latham, NY)
- …and adjustments. In addition, the incumbent will utilize and interpret Claims Operations Policies and Procedures, coding methodologies, Plan contract ... incumbent will work closely with all departments such as Member Services, Claims Operations , Provider Relations, Health Care Network Strategy, Configuration and… more
- Zurich NA (New York, NY)
- …performance management, including leading and developing high-performing teams. + Background in claims operations + Experience working with large accounts + ... Claims Team Manager, General Liability (Dedicated Account) 128252...fostering a collaborative and supportive workplace culture. + Optimize Operations : Monitor team resources, allocations, and expenditures to manage… more
- Molina Healthcare (Rochester, NY)
- …Analyst, Claims Research serves as a senior-level subject matter expert in claims operations and research, leading the most complex and high-priority ... **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. The Sr.… more
- MVP Health Care (Schenectady, NY)
- …contact our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims / Operations ** **Pay Type** **Hourly** **Hiring Min Rate** **20 USD** ... continuous improvement. To achieve this, we're looking for a Claims Examiner to join #TeamMVP. If you have a...join #TeamMVP. If you have a passion for medical claims and attention to detail this is the opportunity… more
- Humana (Albany, NY)
- …Humana's In Home Well-being Assessment (IHWA) team and take ownership of critical claims operations that ensure compliance and accuracy for Medicare members. As ... a Senior Program Delivery Professional, you'll manage vendor claims processes, monitor compliance, and drive quality improvements. **Key Responsibilities:** +… more
- MetLife (Oriskany, NY)
- …Organizational and time management skills Preferred: * Bachelor's degree Business Category Operations - Claims At MetLife, we're leading the global ... meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and… more
- Molina Healthcare (NY)
- …analysis of claims research findings and results to leadership and respective operations teams. * Manages and leads major claims projects of considerable ... and efficiency of claims processing. * Fields claims questions from the operations team. * Interprets, communicates, and presents, clear in-depth analysis… more
- CVS Health (Albany, NY)
- …Qualifications** * Prior experience managing large teams * Medical Claims Operations exposure **Education** bachelor's degree preferred/specialized ... to staff and peers as necessary **Required Qualifications** * Minimum 5 years operations ( claims , eligibility, plan setup, implementation) or related field; stop… more
- Zurich NA (New York, NY)
- …Liability 126572 Zurich is currently seeking an AVP to direct and oversee the operations of our Claims General Liability leadership team. We're seeking an ... dynamic leader to guide and support a high-performing team of Managers and Claims Professionals within our General Liability Specialty Team. In this pivotal role,… more
- Walmart (Clifton Park, NY)
- …versustraining Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and ... and collaborating with all levels of associates regarding store operations utilizing technology business initiativesmerchandising and company direction introducing… more