- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... general supervision. PRIMARY RESPONSIBILITIES: + Conducts monthly audits of CPHL claims utilizing CPHL guidelines, policies and procedures or any other regulatory… more
- Independent Health (Buffalo, NY)
- …benefit managers, and other insurance companies to accurately identify Independent Health responsibility for primary claims payment. Technical Proficiency and ... Innovation + Retain technical knowledge of Independent Health 's customer documentation and claims processing systems to review and maintain member records, as… more
- Robert Half Office Team (Rochester, NY)
- … claims and customer requests. * Provide guidance on employee benefits, health insurance, and claims processes when necessary. Requirements * Associate's ... multiple systems and screens. * Prior experience in employee benefits, health insurance, or claims administration is a plus. * Excellent communication skills and… more
- Arnot Health (Elmira, NY)
- …4. Advises and assists employees with interpretation and application of Arnot Health benefits (ie claims processing, waiting period, qualifying events, covered ... Benefits. DUTIES AND RESPONSIBILITIES: 1. Demonstrates thorough knowledge of Arnot Health benefit plans, retirement plans, and leave programs to provide general… more
- Mount Sinai Health System (New York, NY)
- …**Responsibilities** The ideal candidate will have had some experience working with health administrative/insurance claims data and other large datasets. Prior ... **Job Description** The Department of Population Health Science and Policy at the Icahn School...applications for a Postdoctoral Research Scientist with interest in health economics, health services research, and … more
- New York State Civil Service (New York, NY)
- …the healthcare industry and medical coding concepts (CPT, ICD-9/10, DRGs) and/or experience analyzing health care claims data.* A CPA is not required; but the ... to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to millions of New Yorkers, including low-income persons,… more
- Humana (Albany, NY)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as well as a focus on collaborative business relationships, value based care, population health , or disease or care management. **Use your skills to make an impact**… more
- Humana (Albany, NY)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as well as a focus on collaborative business relationships, value based care, population health , or disease or care management **Use your skills to make an impact**… more
- Acxiom (New York, NY)
- …Analyze and segment longitudinal healthcare provider and HIPAA compliant patient's health claims data to optimize targeted engagement strategies. **Audience ... Acxiom Health https://www.acxiom.com/healthcare/ is a business unit within Acxiom,...data and ethical innovation. Harnessing over 300 million de-identified health -related records, Acxiom Health empowers brands, agencies,… more
- Humana (Albany, NY)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as a focus on collaborative business relationships, value based care, population health , or disease or care management. Medical Directors support Humana values, and… more