- MVP Health Care (Rochester, NY)
- …+ Bachelor's Degree in Business, Math, Computer Science, Information Systems, related field or five or more years of related work experience. Master's degree ... quality data highly preferred + Subject matter expertise in healthcare data- claims , coding, HIE's etc. Experience with quality metrics, (NCQA HEDIS and NYS… more
- Duane Reade (New York, NY)
- …with customers. **Operations** + Learn from store and pharmacy team members, field leadership, team members and customers/patients + Under the supervision by the ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Philadelphia Insurance Companies (New York, NY)
- …+ Bachelor's degree in Business, Law, Finance, Supply Chain, or related field + MBA or equivalent advanced degree preferred + Procurement certifications (eg, ... 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
- CVS Health (Albany, NY)
- …healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates ... - 1+ years' experience working with Medicaid. - 3+ years' in healthcare field working in fraud, waste and abuse investigations and audits. - Proficient in… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Interacts with Operations, Enrollment and Billing, Customer Care, Claims , Advocacy, Clinical Operations, Medical Affairs and Finance/Underwriting Departments ... industries. High School diploma or equivalent required. Associates Degree in related field preferred. * Valid NYS Accident and Health license within six months… more
- CVS Health (Albany, NY)
- …skills (complex formulas, dynamic visualizations, VBA). + Experience with eligibility, claims adjudication, reserving, or financial reporting in the managed care ... **Education** Bachelor's degree in business, finance, public health, or a related field required. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay… more
- Humana (Albany, NY)
- …Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming ... degree (or higher) in public health, Business Administration or a related field + Board Certified Specialty Pharmacist + Experience with Microsoft Access &… more
- CVS Health (Albany, NY)
- …application in business analytics. + Familiarity with medical and pharmacy claims datasets and healthcare analytics. + Excellent verbal and written communication ... and financial models. **Education** Bachelor's degree required in a quantitative field such as Statistics, Mathematics, Computer Science, Economics, Public Health or… more
- Trinity Health (Latham, NY)
- …and practice workflows: + Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties including but not limited ... + At least 10 months' work and/or clinical training experience in the healthcare field + Proficient in obtaining manual vital signs + Experience using an electronic… more
- Trinity Health (Albany, NY)
- …and practice workflows: + Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties including but not limited ... + At least 10 months' work and/or clinical training experience in the healthcare field + Proficient in obtaining manual vital signs + Experience using an electronic… more