- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …working with Business Analysis to enhance field intelligence capabilities. + **Compliance Management :** Must comply with all state and federal laws, regulations and ... expertise in business analytics, business operations, sales support, and resource management within a commercial pharmaceutical organization. + Ability to focus on… more
- Kelly Services (Rochester, NY)
- …permitted by law. Reviews are conducted in accordance with pharmacy management drug policies and procedures. Responsibilities include preparing and interpreting ... cases for Utilization Management (UM) reviews and acting as a content expert...Communicate with pharmacies/physician offices for clarification on requests and claims + Act as lead troubleshooter for pharmacy help… more
- Zurich NA (Queens County, NY)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft...Market Facing areaAND + 2 or more years of management experience Preferred Qualifications: + Bachelors Degree + Advanced… 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
- Sedgwick (Albany, NY)
- …ARM designation required. Experience: Ten (10) years of relationship building in the claims management or risk management area or equivalent combination ... Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. Licenses as required. Possession of, or progress towards, CPCU… more
- AON (New York, NY)
- …and account executives to secure new client relationships as well as the management of ongoing US health and benefits client relationships and delivery of consulting ... services. Responsibilities include managing complex consulting projects, proactive project management , frequent vendor interface, developing client reports, leading external… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting, denial management ... rejections or denials promptly. + Prepare and submit appeals for denied claims , including documentation and provider narratives as needed. + Identify and report… more
- AIG (New York, NY)
- …optimization, capital use, detailed monitoring standards, controls, guidelines, authority management and quality reviews to assess loss ratios, underwriting acumen, ... Office, Operations, Audit, COE, Modeling, Engineering, Natural Catastrophe Modeling, Actuarial, Claims , Regulatory and Legal to share insights and best practices… 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. ... review for actuarial work products. + Communicate with and advise senior management , underwriters, comptrollers, claims department. + Work effectively as part… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... position requires interacting with EMG leadership, healthcare practitioners, practice management and staff; (6) Establish relationships with medical/dental staff,… more