- Walgreens (Selden, NY)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- City of New York (New York, NY)
- Job Description The Office of Fiscal Operations is HRA's primary payments and accounting office and the core responsibilities are carried out through the operation ... and claiming data for data entry into multiple database systems for agency claims submitted annually for Federal and State reimbursement. - Analyze fiscal year … more
- Sedgwick (New York, NY)
- …the activities of other internal departments such as information technology, operations and business development. + Coordinates client invoicing, audits and accounts ... 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
- Independent Health (Buffalo, NY)
- …processes and how they relate to the enterprise, including how they impact operations and financials. + Expert understanding of health care concepts and products, ... testing to assess impacts on pricing outcomes. + Establish and implement claims review processes to support risk adjustment. Analyze data and provide strategic… more
- Robert Half Office Team (Hauppauge, NY)
- …offers the opportunity to contribute to recruitment, employee relations, and HR operations within a non-profit organization. The ideal candidate will bring expertise ... and system setup. * Collaborate with a third-party provider to address unemployment claims and related matters. * Utilize advanced Excel skills for data analysis,… more
- Utilities Service, LLC (Oneonta, NY)
- …Foreperson with CDL** This position ensures the productivity of daily operations , working closely with management to determine recruiting/hiring needs, deadlines, ... be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims... claims , etc., and to settle minor damage claims . + Maintains accurate records, timesheets, and reports related… more
- CDPHP (Albany, NY)
- …for authorized medical services with non-participating providers. Network Operations Coordinators manage contractual arrangements and performance targets with ... and external customers at all levels of authority + Understanding of claims and claims payments CDPHP salary ranges are designed to be competitive with room… more
- Trinity Health (Syracuse, NY)
- …Director of Risk Management **SUPERVISES:** None **CAREER PATH:** Administration ** OPERATIONS /COMPLIANCE:** Collaborates with the Risk Analysts, Risk Managers and ... to support the deployment of the Ministry Risk Management plan. **LIABILITY CLAIMS SUPPORT:** At times, accepts service of and appropriately forwards Summons &… more
- UNUM (Albany, NY)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent...Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA -… more
- CVS Health (Amherst, NY)
- …interpretation, and systematic setup essential to the processing of our claims adjudication system. Meritain's proprietary system provides a benefit solution for ... review, interpretation, and systematic setup essential to the processing of our claims adjudication system. The setup must also align for exporting in formats… more