- NASCO (Albany, NY)
- **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance ... leadership regarding strategic direction, outcomes, staffing, and other assignments. The Director is a trusted advisor to technology and product leadership,… more
- Ankura (Lexington, NY)
- …New York, Chicago) to work with key leaders and team members as needed. However, a remote option may be available on a case-by-case basis. As a key member of our ... in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act;...science, economics, accounting, and data science. As a Senior Director , you can expect to: . Demonstrate the highest… more
- Zurich NA (New York, NY)
- VP, Energy Technical Director 126071 Zurich North America is hiring an Energy Technical Director to join our Specialties Energy SBU. This position reports to the ... Degree with 20 or more years of experience in Claims or Underwriting Support area within the Commercial Insurance...San Francisco, AM - Seattle, AM - Washington DC Remote Working: No Schedule: Full Time Employment Sponsorship Offered:… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …managing the organization's insurance programs, including renewals, coverage adequacy, and claims oversight. **This is not a remote opportunity** ... wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14623/ director -of-financial-planning-%26-risk-management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-East Syracuse_… more
- Centene Corporation (Latham, NY)
- …management experience (medical management, provider relations, contracting, compliance, claims or member/provider services) preferred. Knowledge of NCQA and ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- Centene Corporation (New York, NY)
- …to providers that would improve utilization and health care quality. + Review claims involving complex, controversial, or unusual or new services in order to ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… 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 ... performance goals with assigned department managers, in conjunction with the Director , Account Management so that department goals support overall account level… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 10 or more years of experience in the Claims , Underwriting support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft...- New York, AM - Atlanta, AM - Chicago Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
- Zurich NA (Albany, NY)
- … Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-AK1 #LI- REMOTE #LI- DIRECTOR EOE Disability / Veterans ... and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 12 or more years of experience in the Claims or Underwriting Support area Preferred Qualifications: + Bachelors… more
- Kelly Services (Rochester, NY)
- …exception, and medical necessity reviews + Route cases to pharmacist/medical director for final determination, as directed + Issue verbal and written ... Communicate with pharmacies/physician offices for clarification on requests and claims + Act as lead troubleshooter for pharmacy help...mouse, and phone + Ability to work in a remote home office environment + Ability to travel regionally… more