• DRP Service Center Specialist

    Sedgwick (Albany, NY)
    …Best Workplaces in Financial Services & Insurance DRP Service Center Specialist **PRIMARY PURPOSE** : To assist customer service representatives in expediting ... the application by providing claims general information; to track trends; to investigate client...unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see**… more
    Sedgwick (10/18/25)
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  • Neuroscience Hospital Specialist

    Otsuka America Pharmaceutical Inc. (Rochester, NY)
    …of everyday health. In its evolved customer engagement model, a Hospital Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, ... and healthcare providers, with a focus on customer-centricity. The Hospital Specialist will report directly to the respective Area Business Lead, coordinating… more
    Otsuka America Pharmaceutical Inc. (09/13/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Albany, NY)
    …all with heart, each and every day. **Position Summary** Reviews and adjudicates complex , sensitive, and/or specialized claims in accordance with plan processing ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more
    CVS Health (09/27/25)
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  • Provider Network Specialist

    Sedgwick (Albany, NY)
    …Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and Managed Care Organization's ... with clients relative to their MCO status. + Ensures claims management system parameters are set for MCO flags....unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see**… more
    Sedgwick (10/17/25)
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  • FEMA - Program Delivery Specialist

    CDM Smith (Buffalo, NY)
    …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
    CDM Smith (10/18/25)
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  • Leave Management & Payroll Specialist

    Loretto Management Corporation (Syracuse, NY)
    Overview The Leave Management/Payroll Specialist is responsible for coordinating the organization's leave of absence program and assisting with the processing of the ... HR Business Partners on all related leave of absence claims . Meets regularly to review the status of ...seek opportunities for process improvement. + Manage and escalate complex LOA cases appropriately for guidance and resolution. +… more
    Loretto Management Corporation (10/16/25)
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  • Field Clinical Specialist , Imaging - New…

    Terumo Medical Corporation (New York, NY)
    Field Clinical Specialist , Imaging - New York City Date: Oct 15, 2025 Req ID: 5263 Location: New York, NY, US Company: Terumo Medical Corporation Department: TIS ... we go next!** **_Advancing healthcare with heart_** **Job Summary** Field Clinical Specialist - Imaging/Cardiology will serve as a "subject matter expert" (SME) to… more
    Terumo Medical Corporation (10/16/25)
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  • Inpatient Clinical & Coding Specialist…

    Independent Health (Buffalo, NY)
    …fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on ... cases involving complex clinical presentation with correlating coding complexity. They will...audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in Hospital Audit in… more
    Independent Health (10/04/25)
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  • FEMA - Costing Specialist

    CDM Smith (Woodbury, NY)
    …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... infrastructure projects. * Prepares complex project worksheets for the purposes of determining project...a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the… more
    CDM Smith (10/17/25)
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  • Denials Prevention Specialist PRN

    Datavant (Albany, NY)
    …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… more
    Datavant (10/08/25)
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