- CVS Health (Albany, NY)
- … to members as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of ... any benefits related issues including answering routine questions, addressing denied claims , preauthorization, and providing support to both the employees… more
- Family and Children's Association (Mineola, NY)
- …is responsible for timely preparation, submission and payment reconciliation for claims submitted to various funding sources (local, state and federal government, ... billing data for accuracy and integrity, monitor contract budgets, and support compliance with funding and accounting guidelines. Responsibilities + Prepare and… more
- Momentive Performance Materials Inc. (Niskayuna, NY)
- …Summary:In this role, you will be the primary contact for customer support -related activities. You will provide best-in-class or excellent customer service for ... and play a key role as a profitability driver by offering proactive support to sales and customers, ensuring the execution and exceeding of customer expectations… more
- CVS Health (Albany, NY)
- …accreditation requirements. + Apply clinical criteria and policies to member/provider claims and coordinate clinical resolutions with MD support . **Performance ... Quality, CPHQ preferred. + Background in Managed Care. + Familiarity with claims processing workflows. + Experience with quality improvement, PIPs, ANE… more
- Catholic Health Services (Greenvale, NY)
- …and other regulatory requirements. Qualifications: + High school diploma or equivalent ( Associate 's degree or higher preferred). + Previous experience in a ... our medical practice. In this role, you will provide essential administrative support to our healthcare team, ensuring smooth and efficient office operations. Your… more
- City of New York (New York, NY)
- …for resources for citywide traffic safety education programs and for staffing to support the City's Vision Zero plan. The Director will report to the Assistant ... materials; managing all grant-related activities including expenditures; deliverables, fiscal claims , evaluations, and reporting; and providing guidance to partner… more
- CenterWell (Albany, NY)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex… more
- Humana (Albany, NY)
- …data sources, creating pivot tables and summarizing data into reports and dashboards + Experience working with claims data + Experience working with big ... and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to… more
- City of New York (New York, NY)
- …the Associate Commissioner, the Strategic Operations Advisor provides operational support and strategic counsel to the Associate Commissioner for Financial ... DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies...costs of goods and services required by ACS, to support Implementation and effective delivery of its social service… more
- Leviton (Melville, NY)
- …stakeholders. Team-oriented with a proactive and solution-focused mindset. Education & Experience High School Diploma or equivalent required. Associate or ... accelerate collections. Evaluate credit applications and collected financial data to support informed credit line decisions. Perform financial statement reviews and… more