- Capgemini (New York, NY)
- …by technology created with purpose. **YOUR ROLE** As a **Manager** or ** Senior Manager** in our **Insurance** team focused on **Transformation Management** , you ... Property & Casualty or Life Insurance + Functional knowledge of Underwriting, Claims , Policy Admin, Sales and Actuarial + Bachelor's degree in Business… more
- Highmark Health (Buffalo, NY)
- …the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide ... gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports,… more
- Sanofi Group (New York, NY)
- …knowledge of the US healthcare system, including formulary operations, claims adjudication, specialty pharmacy networks, and contract performance tracking. We ... performance and recommend operational optimizations. + Provide timely updates to senior leadership and account management teams, highlighting trends, gaps, and… more
- Molina Healthcare (NY)
- …Help translate CMS audit requirements into data tasks under the guidance of senior analysts. + Document data sourcing steps, methodologies, and business rules to ... programming language + Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with data in spreadsheets… more
- CenterWell (Albany, NY)
- …Support new business implementations with a goal of ensuring all pharmacy claims are processing appropriately + Drive project development and support project ... that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of home health services, and… more
- New York State Civil Service (New York, NY)
- …internal quality resources.* Participate in the documentation, negotiation, and settlement of claims .* Ensure the retention and maintenance of records and files both ... industry related field plus five years' experience as a DASNY Senior Assistant Project Manager or Bachelor's degree in Engineering, Architecture, Construction… more
- Bowman (Albany, NY)
- …complex assignments, tasks, and execution. Work is frequently reviewed by more senior staff to ensure application of sound techniques and principles. Review work ... and resolve any issues that may arise as it relates to disputes, or claims + Act as liaison between operations and many corporate accounting functions including but… more
- New York Power Authority (White Plains, NY)
- …facilities, including recommendations for implementing such technologies and projects to senior management. + Implement new technologies at NYPA's generating (hydro ... and invoice documentation relating to projects. Evaluate and approve all change order claims and payment invoices. Work as a team member with other engineers inside… more
- Albany International Airport (Albany, NY)
- …collection and dissemination of data such as property or personal injury claims , unusual occurrences, and malfunctioning machinery or equipment for use of management ... staff. + In the absence of senior management, this position will represent the Airport Manager in routine operational matters and emergency conditions. + When… more
- City of New York (New York, NY)
- …workforce in an open and inclusive environment. Under general supervision of senior counsel, with wide latitude for independent judgment, a unique opportunity to ... EEO complaints of discrimination, harassment, retaliation, requiring knowledge of Title VII claims and Citywide EEO policies; reviewing merits of a case through… more