- Zurich NA (New York, NY)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 12 or more years of experience in the Claims or Underwriting Support area + Knowledge of Casualty...- Schaumburg, AM - Seattle, AM - Washington DC Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
- Highmark Health (Albany, NY)
- …and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract ... ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with… more
- The Hartford (New York, NY)
- …the Large Property Unit. The position will report into the Managing Director for Large Property, Risk Engineering Organization.It will have accountability specific ... Unit. This role must reside in the Northeast and can have a Hybrid or Remote work schedule. Candidates who live near one of our office locations will have the… more
- AECOM (New York, NY)
- …by our regional operational and technical teams and reports to the NYM Director of Architecture. The candidate will also collaborate with the Global Head of ... to mitigate and eliminate such risks + Direct staff to minimize exposure to claims and ensure projects are completed without significant issues + Work with the… more
- RxBenefits (New York, NY)
- …cross functional role, the Senior Manager, Pharmacy Pricing will report to the Director , Pharmacy Pricing & Analytics. The Senior Manager, Pharmacy Pricing is a ... team also assists with resolving client issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will… more
- Humana (Albany, NY)
- …diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors ... Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming… more
- Trinity Health (Rensselaer, NY)
- **Employment Type:** Full time **Shift:** **Description:** **Quality Healthcare Specialist** **Hybrid/ remote options - local candidates needed due to onsite ... development + Office Hours: Monday - Friday Under the direction of the Director of Quality, coordinates and implements performance analysis and reporting for Senior… more
- Centene Corporation (New York, NY)
- …using appropriate criteria, referring those requests that fail review to the medical director for second level review and determination. + Completes data entry and ... DRG, HCPC reimbursement methodologies. + Documents rate negotiation accurately for proper claims adjudication. + Acts as liaison between the TRICARE beneficiary and… more
- HANAC, Inc. (Astoria, NY)
- …copies of any relevant material & prepare trial notebooks, affidavits, motions, claims , forms, and communications for client`s cases. + Attend client`s hearings with ... required. + Perform other duties as assigned by Program Director and program attorney related to research in client`s...the time. Business attire is required Monday to Thursday. Remote work is allowed after probation, this position is… more