- Evolent (Albany, NY)
- …growth opportunities at customer accounts + Strong knowledge of health plan operations, care/utilization management, claims processing, value-based ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...to identify opportunities and actions (including EMR, clinical, authorization, claims , SDoH, etc.); understanding of how to translate data… more
- CVS Health (Albany, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...will be handling a docket of more complex pharmacy/healthcare claims and experience handling malpractice litigation is preferred. -… more
- Sharecare (Albany, NY)
- **Job Description:** Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all ... their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans,… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Position Summary:** The Director, Health Technology Assessment (HTA) Lead, is responsible for leading the strategic development of HTA submissions. This role ... ensure seamless communication and collaboration for the development of global health economic models (eg, cost-effectiveness, budget impact) to support HTA… more
- City of New York (New York, NY)
- …provided to insured New Yorkers that seeks services in the article 28 Health specialty Clinics, Article 36, and other Care Management service areas provide by ... Assistant Director of Patient Billing by working alongside a team of talented health insurance billing specialist, you will perform health insurance billing… more
- Trinity Health (Schenectady, NY)
- …Department. + This position is responsible for reviewing coding and approving all claims /invoices in the accounts payable system. + Works with vendors and medical ... discrepancies and eligibility. + Processes daily mail and prepares claims to be entered into our EMR to determine...local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly… more
- University of Rochester (Albany, NY)
- …open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits ... claims , submits appeals and takes timely and routine action...retractions. Reviews and works all insurance credits in electronic health record. Enters electronic health record notes,… more
- Travelers Insurance Company (Melville, NY)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file...litigation experience. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more