- Highmark Health (Buffalo, NY)
- …gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, ... and conflict management + Demonstrates a deep understanding of primary care practice operations and workflow across the continuum of variability in primary care and… more
- Elevance Health (Latham, NY)
- …management effectiveness and client outcomes. + Partner with sales, clinical, and operations teams to develop solutions that align with client goals. + Identify ... Direct or indirect leadership experience preferred. + Familiarity with pharmacy claims processing, formularies, and clinical programs preferred. + Prior experience… more
- KPH Healthcare Services, Inc. (Alexandria Bay, NY)
- …Follows standard procedures to accomplish assigned tasks. Oversees the day-to-day operations of the pharmacy department. Responsible for assisting the supervising ... in the initial submission, and resubmission (as required) of all third party claims + Locating prescription files and other manual records from storage as needed… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Marketing & Sales, Project Management, Clinical Studies, Customer Experience, Digital Operations , and other non-technical and/or technical based degree programs. + ... development of rate or Medicare bid filings through analysis of benefit designs, claims experience, and expected future events. + Assists in preparation of accurate… more
- Datavant (Albany, NY)
- …Microsoft office (including Word and Excel) **You will:** + Monitor Daily Customer Service operations : + Direct and support team members by answering any day to day ... fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + Ability to stay organized… more
- Independent Health (Buffalo, NY)
- …department. The Supervisor will work closely with all areas of internal operations , support services and human resources to ensure proper staffing, quality delivery, ... pharmacy/customer service call center field required. Experience in pharmacy on-line claims billing preferred. + One (1) year of progressive leadership/management… more
- AIG (New York, NY)
- …meets clients' needs. + Working collaboratively with home office, distribution, actuary, claims , loss control, premium audit, credit and legal to develop and ... property casualty networks. It is an exciting time to join us - across our operations , we are thinking in new and innovative ways to deliver ever-better solutions to… more
- Independent Health (Buffalo, NY)
- …environment. The manager will work closely with all areas of internal operations , support services and human resources to ensure proper staffing, quality delivery, ... experience in a call center, required. Experience with pharmacy online claims billing preferred. + Two (2) years of progressive leadership/management experience… more
- AIG (New York, NY)
- …Provides technical direction to management, less senior specialists, producers, and claims adjusting personnel. Communicate risk appetite and AIGRM Value Proposition ... property casualty networks. It is an exciting time to join us - across our operations , we are thinking in new and innovative ways to deliver ever-better solutions to… more
- Robert Half Finance & Accounting (Rochester, NY)
- …background checks to ensure compliance with company standards. * Handle unemployment claims and follow-ups as required. * Prepare and manage new employee paperwork, ... * Support additional administrative tasks as needed to enhance HR and payroll operations . Requirements * Minimum of 2 years of experience in HR and payroll… more
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