- General Dynamics Information Technology (Menands, NY)
- …Required:** None **Job Family:** IT Quality Assurance **Skills:** Healthcare Claims ,Quality Assurance (QA),Structured Query Language (SQL) **Experience:** 2 + years ... depends on a **Regression Tester** joining our team to support New York State Department of Heath Medicaid Management...TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …assets as appropriate. + Consistently keep up with industry data trends. + Support an enterprise wide CDM framework with emphasis on modifications to organizational ... Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc.… more
- CDPHP (Albany, NY)
- …as Marketing, Enrollment, Pharmacy (internal and external), Provider Services, and Claims Operations to resolve member inquiries as defined within Member Services ... fast-paced high volume call center preferred. + A background in health insurance claims and appeals processing is preferred. + Experience with a documentation system… more
- New York State Civil Service (New York, NY)
- …previous loss experience and premium data.* Review/analyze experience rating data and claims material to price a policy.* Define, restrict, or qualify policy ... are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services Representative 1, Claims Service Representative 1,… more
- University of Rochester (Brighton, NY)
- …accuracy, and completion including medical documentation. Determination of how to classify claims (WC- determine OSHA recordable, medical only or loss time or if ... multiple claims how to address concurrent DBL and WC claims...Create - and Make the World Ever Better. In support of our values and those of our society, the… more
- Molina Healthcare (Syracuse, NY)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider ... in conjunction with the Director, Account Management so that department goals support overall account level objectives. * Responsible for the achievement and… more
- AIG (New York, NY)
- …for underwriters. This role also has responsibility to collaborate and support other AIG stakeholder groups. Fronting and Multinational Responsibilities + Develop ... and profitable long-term, sustainable leadership position in the marketplace in support of the company's profit objectives over the long-term. This includes… more
- American Express (New York, NY)
- …As part of Team Amex, you'll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new skills, ... - Risk management - Banking Risk Strategy Team , US** **ROLE : Fraud Claims & Recovery** **American Express Credit & Fraud Risk Management** American Express Credit… more
- Aspen Dental (East Syracuse, NY)
- …(TAG) is one of the largest and most trusted retail healthcare business support organizations in the US and has supported over 20,000 healthcare professionals and ... smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …combines the responsibilities of patient disease-state and education, injection training support , and access management to provide comprehensive support ... they are "injection naive" and their comfort with their support system + Build and maintain relationships with patients...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more