- Excellus BlueCross BlueShield (Dewitt, NY)
- …First Contact Resolution, and performance. + Provides outreach related to claims , onboarding, effectuation, retention, provider inquiries, and any other complex ... months. + -OR- Move to & complete training for Commercial Unit. Level III - in addition to Level...III option for these two units. Must move to Commercial unit to continue level progression. + Commercial… more
- Highmark Health (Albany, NY)
- …as other analytical responsibilities. The incumbent conducts oversight of Commercial Operations Account installation processes, ensuring accurate and timely ... for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or… more
- Cardinal Health (Albany, NY)
- …operations and image. This function provides legal counsel related to commercial , corporate securities, intellectual property, labor and employment, and regulatory ... Counsel and Compliance teams + Demonstrate knowledge of general commercial and healthcare law; specifically, regulations related to pharmaceutical distribution… more
- Sumitomo Pharma (Albany, NY)
- …+ Partners with Regional Sales Directors, Marketing, Training and Development, Commercial Operations, Market Access team and other internal stakeholders to ... effectively execute the launch plan. + Acts in compliance with SMPA commercial compliance policy, all applicable federal and state laws and guidance relating to… more
- AIG (New York, NY)
- …Provides technical direction to management, less senior specialists, producers, and claims adjusting personnel. Communicate risk appetite and AIGRM Value Proposition ... to be underwritten.* Recognize and create cross sell opportunities for other Commercial products.* Collaborate with broker to understand the deal structure, terms,… more
- Ankura (Lexington, NY)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... government healthcare program and prescription drug pricing, investigations, and commercial litigation matters . Support project teams on advisory matters… more
- Deloitte (New York, NY)
- …disparate data to support or refute the facts and allegations of commercial investigations and complex litigation + Combine investigative skills with advanced ... and contribute to the formulation and critique of damages theories, claims , or conclusions. + Help prepare client presentations, reports, and deliverables… more
- UIC Government Services and the Bowhead Family of Companies (New York, NY)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- AIG (New York, NY)
- …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an ... be a trusted business partner, working closely with the underwriting and claims departments to ensure profitable performance and growth. + Perform and communicate… more
- ConvaTec (Massapequa, NY)
- …+ Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance payers. Verifies accuracy and completeness of all ... Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . +...or rejected claims . Resolves issues and resubmits claims . + Reads and interprets insurance explanation of benefits.… more