- Evolent (Albany, NY)
- …analyses. **Required Qualifications:** + Bachelor's degree in a quantitative field (eg, Data Science, Statistics, Mathematics, Economics, Public Health, or ... diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorisation data… more
- Oracle (Albany, NY)
- …revenue cycle management capabilities, such as charge capture, contract management and claims generation. As a Senior Member of Technical Staff, you will collaborate ... data management across EHR. Basic Qualifications: -BS in Computer Science or related field , or equivalent experience -6+ years in software development, with 1+ years… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …+ Bachelor's degree, preferably in business administration or a healthcare related field . + 8+ years of program/project management experience with focus on client ... across these domains for self-funded client implementation (Enrollment/Benefit Administration, Claims Administration, Portals, Finance, Reporting). + Strong leadership, time… 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 ... Early Learn contractors, Social Security Benefits Unit (SSBU) Banking, Fiscal Field Review (FFR)/Risk Management units, Child Welfare Contract Audits (CWCA),… more
- Acosta Group (Middletown, NY)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... effectively moving consumers down the conversion funnel. With over 10,000 experts in the field and more than 150 corporate employees, we have a range of talents and… more
- Mount Sinai Health System (New York, NY)
- …in business administration, Healthcare Administration, Information Systems, or related field (master's degree preferred). + EPIC certification(s) in relevant RCM ... modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management) strongly preferred. + Minimum 7-10 years of progressive experience in… more
- Zurich NA (New York, NY)
- …Promote and support Zurich's sustainability initiatives. + Active and visible field engagement and industry engagement, including representing Zurich at various ... stakeholders, including, but not limited to: Technical Underwriting, Risk Engineering, Claims and Premium Audit. This Head of Construction Professional Liability… more
- FlexStaff (Queens, NY)
- …Committee. Requirements: 1. Level 1 BIS: Master's Degree in clinical or treatment field of Psychology. Documented training in assessment techniques. At least 5 years ... adhere to agency's corporate compliance program, the NYs and federal false claims act, mandatory reporting and whistleblower protections. All hires are required to… more
- Molina Healthcare (Yonkers, NY)
- …in statistics, mathematics, economics, computer science, health care management or related field . * Extensive experience in a leadership position in health care ... care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial… more
- Philadelphia Insurance Companies (Melville, NY)
- …four-year college or university. Degree in Safety, Engineering or related field /equivalent desired. Seven to Ten plus years previous related experience. Designations ... 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