- University of Rochester (Brighton, NY)
- …accuracy, and completion including medical documentation. Determination of how to classify claims (WC- determine OSHA recordable, medical only or loss time or if ... multiple claims how to address concurrent DBL and WC ...and 3 years' experience in Human Resources or related field ; or an equivalent combination of education and experience.… more
- CVS Health (Albany, NY)
- …opportunities, and quantitative evaluation of clinical program outcomes using Rx and medical claims data. You will champion the value of the Product to CVS by ... evaluate and optimize clinical program outcomes for members and clients, using claims and other program outcomes data + Championing the client value story… more
- Molina Healthcare (Albany, NY)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- City of New York (New York, NY)
- …DSS complies with all statutory, regulatory, and contractual standards. The Division of Claims and Collections Division (C&C) is housed within the office of Revenue. ... the resources of Medicaid Nursing Home residents through computer bank matches. Claims and Collections also assess the income and resources available to the… more
- Catholic Health (Buffalo, NY)
- …(IDM) position is responsible for monitoring and aggressively managing claims leaves, and absences associated with occupational and non-occupational injury ... regulations, and procedures for handling NYS Workers' Compensation and Disability claims . This position also requires the necessary expertise and active involvement… more
- Mount Sinai Health System (New York, NY)
- …initiatives. **Qualifications** + BA or BS degree minimum, in a relevant field of study; Masters degree preferred.Prefer degree in Data Science, Computer Science, ... Public Health, Healthcare Administration, Pharmacy, Finance, or a related field + 7 years+ years minimum, higher preferred of experience in healthcare analytics or… more
- MTA (New York, NY)
- …for the overall management of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. + Responsible for the management ... and assess loss picks, ensuring accuracy in estimating future claims costs. Oversees OCIP claims and settlements...degree in Finance, Risk Management, Business, or a related field or an equivalent combination of education and experience… more
- CDM Smith (Woodbury, NY)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... in regular FEMA meetings by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether the claim is eligible. Assists… more
- MVP Health Care (Schenectady, NY)
- …High School Diploma or GED required; Associate's degree in Business or related field preferred. + The availability to work full-time, virtual, in Schenectady or ... Rochester, NY + 1-2 years of data entry or claims experience preferred. High accuracy and attention to detail....Word and Excel. + Familiarity with medical terminology and claims processing. + Curiosity to foster innovation and pave… more
- Allied Universal (New York, NY)
- …This position is responsible for employee relations, employment compliance, unemployment claims , and monitoring of employment status for the employees of that ... recruitment processes, practices, compliance, technology, and tools are used in the field to maintain stated region goals pertaining to non-billable overtime (NBOT),… more