• PBM Senior Reporting Analyst

    CVS Health (Albany, NY)
    …pharmacy claims data * Experience in healthcare industry, including health insurance, PBM or pharmacy services **Education** * Bachelor's degree or equivalent ... At CVS Health , we're building a world of health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
    CVS Health (08/30/25)
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  • Supervisor, Escalation Unit

    Catholic Health Services (Melville, NY)
    Overview Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care ... hospitals, three nursing homes, a home health service, hospice and a network of physician practices...conformity with the CHS Security policies and procedures. Analyze claims data with the goal of identifying and quantifying… more
    Catholic Health Services (08/22/25)
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  • Customer Service Representative

    Independent Health (Buffalo, NY)
    …innovation and collaboration. **This is a great opportunity to join Independent Health and our family of companies!** **We are hiring full-time customer service ... passion for service, and practicing empathetic listening while connecting to Independent Health members. The CSR actively listens, assesses needs and utilizes system… more
    Independent Health (08/01/25)
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  • Senior Safety and Health Specialist…

    Nestle (New York, NY)
    …your development and growth. Join us! **POSITION OVERVIEW:** The Senior Safety & Health Specialist will work towards zero unsafe behaviors and conditions being the ... implementation in the organization. Ensure responsibilities are carried out in compliance with health and safety regulations and to enforce employee's health and… more
    Nestle (07/26/25)
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  • Clm Resltion Rep IV, Hosp/Prv

    University of Rochester (Rochester, NY)
    …to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Flowcast billing application, Microsoft ... Medicaid Managed Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer web sites. **Typical Duties:** 30%… more
    University of Rochester (08/07/25)
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  • Revenue Specialist

    Stony Brook University (East Setauket, NY)
    …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more
    Stony Brook University (07/23/25)
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  • Pharmacy Help Desk Representative

    Independent Health (Buffalo, NY)
    …(6) months experience handling self-funded pharmacy calls or working for a health insurance company or physician's office interacting with pharmacies; OR pharmacy ... as needed. B. Technical Proficiency + Maintain technical knowledge regarding Independent Health and PBD pharmacy contracts and benefits and working knowledge of… more
    Independent Health (08/29/25)
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  • Digital Product Owner, Business Consultant…

    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 ...user feedback, and market research to enhance digital self-service, claims transparency, provider search, member portals, and mobile applications.… more
    CVS Health (08/27/25)
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  • Administrative Assistant - Risk Management

    Trinity Health (Syracuse, NY)
    …TO:** Regional Director of Risk Management **MISSION STATEMENT** **_:_** We, St Joseph's Health , St. Peter's Health Partners and Trinity Health , serve ... the deployment of the Ministry Risk Management plan. **LIABILITY CLAIMS SUPPORT:** At times, accepts service of and appropriately...local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly… more
    Trinity Health (08/01/25)
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  • Senior Billing Specialist

    Access: Supports For Living (Middletown, NY)
    …management throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation, submission, and ... uploading of claims with providers and insurance companies, including but not...weekly billing batches (uploads and response files) in Electronic Health Record (MyEvolv) + Understand clients' insurance benefits utilizing… more
    Access: Supports For Living (06/03/25)
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