- Stony Brook University (Commack, NY)
- …the Assistant Director of Managed Care, the Director will oversee the daily operations of the Managed Care Contracting Team, ensure timely execution of contracts and ... not limited to:** + Lead and manage the daily operations of the Managed Care Contracting Team. + Oversee...+ Support internal operational departments by addressing contractual disputes, claim denials, and reimbursement issues. + Participate in and… more
- Sedgwick (Albany, NY)
- …requirements + Ability to research technical issues + In-depth technical knowledge of claims management, managed care or call center operations + Excellent oral ... **PRIMARY PURPOSE** : To provide legislative, regulatory information and training to operations and account management and to serve as subject matter expert for… more
- City of New York (New York, NY)
- …which consists of five distinct departments: 1) Centralized Data Entry (CDE), 2) Claims & Collections (C&C), 3) Division of Financial Review and Processing (DFRP), ... 4) Office of Liens & Trust (OLT) and 5) Supplemental Nutrition Assistance Program, Claims & Recovery (SNAP-CR). The Office of Revenue is the collection branch of the… 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. ... techniques and assessing the impact of loss trends and claims emergence. Also, they will be responsible for one...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- Mount Sinai Health System (New York, NY)
- …with stakeholders from Pharmacy, Finance, 340B, Supply Chain, and Clinical Operations to deliver data products that inform strategic decisions across the ... Cloud). + Strong understanding of 340B program compliance, hospital pharmacy operations , and medication utilization. + Demonstrated ability to manage complex… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …and execution through standardized dashboards. + Partner with Commercial Operations to **streamline reporting processes** and provide clear, actionable insights ... basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k)… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations , etc.) to develop global regulatory plans, address global regulatory ... basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k)… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …+ **Cross-Functional Collaboration:** Work closely with, market access, Finance, Commercial operations , and medical teams to ensure seamless execution of brand ... basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k)… more
- Humana (Albany, NY)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …readiness across all clinical trial sites, clinical and Pharmacovigilance (PV) operations . + **Audit Management:** Oversee the planning, execution, and follow-up of ... basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k)… more