- General Dynamics Information Technology (Menands, NY)
- …testing best practices, experience with manual testing tools and have knowledge of health care claims processing. We are looking for a qualified candidate ... as an individual. + Preferred Skills: + MMIS related claims and ancillary transaction processing + Knowledge of Electronic...at home + 401K with company match + Comprehensive health and wellness packages + Internal mobility team dedicated… more
- BrightSpring Health Services (Uniondale, NY)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist, where you'll play a key role in...Flexible Schedules + Competitive Pay with Shift Differentials + Health , Dental, Vision, and Life Insurance + Company-Paid Disability… more
- CenterLight Health System (NY)
- …a pivotal role in enhancing the efficiency and effectiveness of the claims department by evaluating and refining processes, conducting comprehensive data analysis, ... position requires a working knowledge of Government Programs medical claims payment system and configuration with strong focus on...+ Evaluate and propose revisions to existing SLAs with claims TPA, or introduce new SLAs to streamline processes… more
- Humana (Albany, NY)
- … first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on ... Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient… more
- Humana (Albany, NY)
- …first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on ... Qualifications** + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient… more
- AON (Garden City, NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... by a remote work schedule. How this role is different: Aon prioritizes the health and well-being of current and potential employees. Our leaders pride themselves in… more
- AON (New York, NY)
- Aon is looking for a Property Claims Advocate. Are you ready to take on a new challenge and work with the best Risk Management Professionals in the business? Then ... our Aon Global Risk Solutions Property Risk Control and Claims Practice Group. Aon is in the business of...sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent… more
- WTW (New York, NY)
- **Description** The role of Global Head of Claims Strategy & Execution is a senior position, directly reporting to Global Head of Claims . In this role, the team ... member will be involved in all aspects of claims strategy across three key pillars - organize, commercialize and digitize. The Global Head of Claims Strategy &… more
- Healthfirst (NY)
- …terms, prepare fee schedules and accurately document file changes into the claims processing system + Research and identify published updates to payment ... methodologies, fee schedules and claims editing policies from Medicare, Medicaid, and third-party sources....duties as assigned. **Minimum Qualifications:** + Managed care, commercial health plan (or other healthcare related) experience where you… more
- FlexStaff (Bronx, NY)
- **Req Number** 158358 FlexStaff is seeking a Temp to Perm Claims Specialist for our client, a non-profit healthcare organization providing home and community-based ... healthcare and services for the elderly. The Claims Specialist will support department operations related to provider...range for this position is $27-$27/hour It is Northwell Health 's policy to provide equal employment opportunity and treat… more
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