- Evolent (Albany, NY)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various… more
- Parsons Corporation (New York, NY)
- …detailed schedules for estimates and work to be bid. + Change orders and claims management. + Coordination with project teams, as needed, to analyze delays and ... the Primavera Scheduling Software (P6). + Change orders and claims management experience + Ability to read and interpret...without regard to race, color, religion, sex, national origin, disability , veteran status or any other protected status. We… more
- Tompkins Community Bank (Batavia, NY)
- …(CL) Department in the handling and processing of new and renewal business, claims and special projects. It will provide in-house customer service to clients, as ... and Expired Policies Report. + Assist with First Notice of Loss and Reporting Claims to carriers, setting up ImageRight for the Claim. + Process and mail… more
- City of New York (New York, NY)
- …the Office of Revenue that houses DSS Accountability Office (DSS-AO) (C&C). Claims and Collections (C&C) collects cash assistance overpayments from former cash ... account balances and collects monies when the balances exceed the allowable levels. Claims and Collections (C&C) is recruiting (1) one Fraud Investigator II to… more
- Sedgwick (Rochester, NY)
- …but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Arnot Health (Elmira, NY)
- …administration to include medical, dental, vision, life insurance, short-and long-term disability , and retirement plans. Reports directly to the Director, Benefits. ... employees with interpretation and application of Arnot Health benefits (ie claims processing, waiting period, qualifying events, covered expenses) and assisting with… more
- Mount Sinai Health System (New York, NY)
- …knowledge of a health care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX, ... **Responsibilities** + Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, administrative and… more
- City of New York (New York, NY)
- …the Bureau of Revenue Development and Automation unit. - Manage existing revenue claims , including Medicaid and SNAP compliance projects - Aggregate and analyze data ... Data Warehouse, Medicaid Data Warehouse, Passport and other data sources - Develop new claims to maximize revenue - Conduct ad hoc analyses using SQL, Excel, Access… more
- Philadelphia Insurance Companies (Melville, NY)
- …Works with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle. Responsible for the end-to-end product ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- City of New York (New York, NY)
- …databases to construct accurately informative responses to 311 and ARTs inquiries/ claims . Utilize PavementWorks, DOITT Map, Roadway Repair and Maintenance (RRM) ... towed and re-located by NYCDOT while during and paving. Forward calls and claims of vehicle damage to the NYC Comptroller's office. Assist administrative and… more