- Mount Sinai Health System (New York, NY)
- …our negotiated contracts. **Qualifications** Bachelor's degree or greater in related field or equivalent education/experience Five years minimum of managed care ... experience in insurance claims or contracts Four to Five years of financial analysis experience in a hospital/healthcare environment is required. Advanced knowledge… more
- Cardinal Health (Albany, NY)
- …government programs, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act, Civil Monetary Penalties Law, Stark, Beneficiary Inducement Statutes), ... in any state required * A minimum of 10 years of experience in related field , preferred in a large complex organization or law firm preferred * Extensive knowledge… more
- MTA (New York, NY)
- …grievances and employee discipline appeals; perform analytical review of claims , grievances, and discipline transcripts; prepare substantive letters of decision ... applications. Education and Experience: + Bachelor's Degree in Industrial/Labor Relations or related field . + Minimum of five (5 ) years of experience in Labor… more
- Centene Corporation (New York, NY)
- …to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, or unusual or new services in order to ... time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's… more
- Tompkins Community Bank (Batavia, NY)
- …the billing procedure for account transactions + Provide assistance to customers reporting claims + Review and maintain current ImageRight "To Do List" + Identify ... as assigned by Management Qualifications + Two year college degree in related field or equivalent experience preferred + Licensed insurance broker or ability and… more
- Elevance Health (Middletown, NY)
- …or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan ... changes. **Minimum Requirements:** Requires a BA/BS in a related field ; Minimum 4 years of related experience; or any combination of education and experience, which… more
- Aflac (NY)
- …* Bachelor's Degree in actuarial science, mathematics, computer science or a related field * Completion of three Society of Actuaries (SOA) exams and commitment to ... Modeling, and/or Experience Analysis/Management concepts; conducts fact gathering and claims analysis; reviews and analyzes statistical data, including morbidity,… more
- Rochester Regional Health (Rochester, NY)
- …and competitions as necessary; supervise and evaluate athletes requiring on- field and clinical experience; coordinate/schedule physical exams and medical referrals ... management of the budget; keep records, document injuries and process insurance claims ; evaluate and recommend new techniques and equipment that would enhance the… more
- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... human resources development, political science, urban studies or a closely related field , and two years of satisfactory full-time professional experience in one or… more
- Constructive Partnerships Unlimited (Queens, NY)
- …related duties as assigned. REQUIREMENTS: 1. BA/BS in related human services field . 2. Minimum 1 year experience in developmental disabilities and/or regulatory ... including the code of business conduct, NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more