- Humana (Albany, NY)
- …Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as… more
- Trinity Health (East Greenbush, NY)
- …group . Coding and EPIC knowledge not required but a plus. Must have knowledge of health insurance . After probation period 1 work from home day a week allowed. ... **Shift:** Day Shift **Description:** **Revenue Cycle Analyst - Medical Group - East Greenbush, NY - FT** If you...this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more… more
- Whitsons Culinary Group (Islandia, NY)
- …missing insurance provisions. Data Analytics & Reporting + Track and analyze claims data and insurance metrics to identify loss trends and evaluate program ... Corporate - Legal-00146 Job Description SUMMARY At Whitsons Culinary Group , we take pride in serving communities with fresh,...+ 7-10 years of progressive experience in risk management, insurance , or claims administration, ideally within a… more
- Travelers Insurance Company (Melville, NY)
- …license required depending on the location. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including spouses, ... and outstanding client service. We handle litigation arising from claims asserted against policyholders or the company and take...Will Our Ideal Candidate Have?** + 3+ years of insurance defense litigation experience as a practicing attorney. +… more
- Travelers Insurance Company (Melville, NY)
- …license required depending on the location. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including spouses, ... local expertise and outstanding client service. We handle litigation arising from claims asserted against policyholders or the company and take cases from inception… more
- AON (New York, NY)
- …of services and liaising with clients in the day-to-day management of their insurance needs? As an Assistant Vice President, you will work alongside our Account ... of our clients focused on core property and casualty insurance programs. This will be a hybrid role requiring...to requests and inquiries. + Prepare underwriting submissions and claims exhibits for clients. + Request and review insurerer… more
- City of New York (New York, NY)
- …education. One year of such experience must have been in group benefits or group health insurance ; or 2. A baccalaureate degree from an accredited ... prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in billing software to ensure...year of experience in group benefits or group health insurance as described… more
- AON (New York, NY)
- …Liability, Management Liability, Technology Errors & Omissions, and Cyber insurance . This role requires independent project ownership, creative problem-solving, and ... responsibility for renewal cycles of law firm clients' Professional Liability insurance programs. Proactively coordinate renewal cycle to ensure all necessary steps… more
- The Cigna Group (New York, NY)
- …and operationalization of transformer based deep learning models trained on health insurance data sources. **Responsibilities** + Support high-value enterprise ... non-technical partners to implement solutions with measurable value + Health care data (eg, claims , EHR) knowledge...decision, a commitment to changing lives. At The Cigna Group , we're dedicated to improving the health … more
- The Cigna Group (New York, NY)
- …Cigna Group . **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group , is an advocate for better health through every stage of life. We ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more