- Humana (Albany, NY)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- GE Vernova (Schenectady, NY)
- …Chain, or a related field. + 2+ years of experience in warranty, service operations , claims management, or similar role (preferably in energy, industrial, or ... supporting the North America (NAM) region. In this role, you will manage warranty claims with a focus on reducing cycle time, ensuring accurate cost allocation, and… more
- MVP Health Care (Schenectady, NY)
- …our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims / Operations ** **Pay Type** **Salary** **Hiring Min Rate** **52,423 USD** ... you have a passion for driving efficiency in healthcare operations and analytical thinking this is the opportunity for...full-time, hybrid + 3-5 years of experience in healthcare operations , billing, financial, or customer service role required +… more
- AIG (New York, NY)
- …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations , Marketing and Risk Management, among other functions. ... development analytics and performance measurement. They collaborate with Marketing, Operations and Financial Management. How you will create an...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- MVP Health Care (Schenectady, NY)
- …our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims / Operations ** **Pay Type** **Salary** **Hiring Min Rate** **56,200 USD** ... + Collaborate with the Value Stream Specialist and Director of Product Operations to thoroughly plan product implementation across the organization. + Utilize… more
- Healthfirst (NY)
- …from an accredited institution + Experience in Healthcare/Health Plan customer service, operations , vendor management, or claims processing. + Previous work ... **Preferred Qualifications** + Demonstrated experience or deep understanding of healthcare Operations processes and supporting systems such as Claims Processing,… more
- Molina Healthcare (Yonkers, NY)
- …outcomes and benefit realization + Demonstrates deep understanding of Core Operations , Claims and Enrollment processes, deliverables, vendor partners and ... responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of… more
- Highmark Health (Albany, NY)
- …efficient working relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), ... resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This… more
- MVP Health Care (Tarrytown, NY)
- …contact our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims / Operations ** **Pay Type** **Hourly** **Hiring Min Rate** **20 USD** ... **Hiring Max Rate** **28.8 USD** more
- City of New York (New York, NY)
- …every facet of City government and is instrumental in the successful day-to-day operations of the City of New York. Our commitment to equity, effectiveness, and ... the City's efforts to reduce carbon emissions from government operations . When you work at DCAS, you're not just...of Citywide Administrative Services (DCAS) seeks to hire a Claims Processor within Human Capital's Unemployment Insurance Unit. The… more