- Sharecare (Albany, NY)
- …The role of the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to members and their families ... members (via voice and chat) for the following: + Help with eligibility, benefit education , open enrollment / new hire plan selection, claims issues, ID card issues,… more
- Sedgwick (Albany, NY)
- …Workplaces in Financial Services & Insurance Claim Examiner - Liability | Remote **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability ... Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** ** Education & Licensing** Bachelor's degree from an accredited college or… more
- Molina Healthcare (Rochester, NY)
- …equity principles is also beneficial. Case management and managed care experience is preferred. Remote position based in New York A New York RN licensure is required ... in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and… more
- Molina Healthcare (Albany, NY)
- …5:00pm PST. This position included rotating weekends and holidays is required. Remote position **Essential Job Duties** * Assesses services for members to ensure ... inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active… more
- Molina Healthcare (Buffalo, NY)
- …highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/medical reviews of previously ... surgical, ob/gyn, home health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and… more
- Molina Healthcare (Albany, NY)
- …is highly preferred. Work hours: Monday - Friday 8:00am - 4:00pm Remote position **Essential Job Duties** + Coordinates, conducts and documents pre-delegation and ... care environment facilitating utilization reviews, or equivalent combination of relevant education and experience. + Licensed Vocational Nurse (LVN) or Licensed… more
- CVS Health (Albany, NY)
- …to support other projects as needed based on business need This position can be remote or hybrid depending on candidate location and commutable distance to a nearby ... office .** **Required Qualifications** + 5+ years compliance and/or audit...business environment with exposure to provider data, processes, etc. ** Education ** Bachelor's degree preferred / specialized training / relevant… more
- Garnet Health (Middletown, NY)
- …process. Compensation for the role is $80,106-$100,133 USD per year. Fully remote from the following states: Pennsylvania; Florida; South Carolina; North Carolina; ... (eg, location, specialty, service line, years of relevant experience, education , credentials, negotiated contracts, budget and internal equity) Qualifications… more
- SitusAMC (Albany, NY)
- …in a computer-related or Business field preferred or equivalent combination of education or experience + Excellent written and verbal communication skills + Ability ... SitusAMC and its customers + Working Knowledge of Microsoft Office Suite especially Word and Excel, and Microsoft Project...the same time while maintaining attention to detail \#LI-AS1 #LI- Remote Note: This job description is not intended to… more
- Sedgwick (New York, NY)
- …Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** To analyze complex or technically difficult ... duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** ** Education & Licensing** Bachelor's degree from an accredited college or… more