- Humana (Albany, NY)
- …coverage + Experience in negotiation + Experience working with healthcare or claims related data **Additional Information** **Work At Home / Internet Information:** ... need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel,… more
- New York State Civil Service (Poughkeepsie, NY)
- …to ensure continued compliance with applicable regulations.o Audit and process contract claims , and approve and review contract payments to ensure that the payments ... process Assistive Support Priceso Is a member of the Quality Review Teamo Other tasks as assignedLinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all#LI-DL2 Minimum… more
- Canon USA & Affiliates (Melville, NY)
- …Funds (APF) - Track budgets - Reconcile sales funds and budgets - Validate claims - Research and resolve chargebacks - Meet with Sales, Product, and Credit groups ... to work for a global digital imaging leader with an unparalleled reputation for quality and innovation. **What We Offer** You'll be joining a leader in digital… more
- Hartford Steam Boiler Inspection and Insurance Company (New York, NY)
- …enhancements and product strategies in collaboration with HSB's underwriting, claims and engineering units. Qualifications Education and Experience: + Bachelor's ... are preferred. + High attention to detail and reliability to deliver high quality results. Self-driving and proactive. + Good project management skills including the… more
- Molina Healthcare (Rochester, NY)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... Records calls accurately in call tracking system. + Maintains specific quality and quantity standards. **JOB QUALIFICATIONS** **Required Education** High School… more
- Walmart (Medford, NY)
- …up orders are filled. Oversees assigned area of responsibility by handling claims and returns; zoning the area; arranging and organizing merchandise; identifying ... work assignments; providing advice, feedback, and support to ensure timelines and work quality are achieved; and modeling and helping others with how to adapt to… more
- Hannaford (Clifton Park, NY)
- …claim forms. * Maintain organized filing system for invoices, manual insurance claims , daily reports, etc. in accordance with Standard Practice Manual and state ... * Treat all co-workers with fairness, dignity and respect. * Maintain the quality of department's appearance and presentation. * Perform all other duties as… more
- AECOM (New York, NY)
- …Work with management and staff to resolve pre-litigation disputes and potential claims + Supervise and manage litigation, including professional liability, breach of ... death matters, utilizing outside counsel retained by the company to maximize quality and cost-effectiveness + Manage external counsel and litigation budgets + Handle… more
- Walgreens (Amherst, NY)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …+ Collaborates with workers' compensation patients, employers, providers, and claims adjusters to coordinate medical and disability services for timely ... with all customers and fellow employees. + Adheres to established quality assurance standards and MagnaCare policies and procedures. Essential Qualifications +… more