- 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
- 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
- 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
- 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
- Trinity Health (Rensselaer, NY)
- …and storage. **Qualifications** + Bachelor's Degree in Basic Sciences or related field or equivalent work experience + Minimum of five (5) years progressively ... communication skills, required + Clinical/Healthcare experience, preferred. + EMR and Billing/ Claims familiarity, preferred + Detail oriented, excellent follow up +… more
- WTW (Buffalo, NY)
- …phone and face to face with clients. + Champion the proper advocacy of claims . + Participate in stewardship meetings. + Support Client Management team in identifying ... **The Requirements** + Bachelor of Arts/Bachelor of Science degree in related field of study preferred + Valid State-relevant insurance license(s) only add this… more
- Molina Healthcare (Rochester, NY)
- …and the Provider community that serves Molina members. It's an external-facing, field -based position requiring a high degree of job knowledge, communication, and ... **Required Experience** + 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed… more
- Cardinal Health (Albany, NY)
- …deploying complex AI/ML solutions, preferred + Bachelor's degree in related field , or equivalent work experience, preferred + GenAI Proficiency: Deep understanding ... knowledge of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. +… more
- Amgen (New York, NY)
- …access + Investigate access challenges pre and post-infusion to include support for denied claims and claim reviews + Partner with Safety and PV and report AE's and ... spending accounts. + A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan + Stock-based long-term incentives… more