• Fraud and Abuse Investigator

    Humana (Albany, NY)
    …Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a ... part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
    Humana (05/22/25)
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  • Pharmacy Intern Grad

    Walgreens (Rego Park, NY)
    …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. + Performs pharmacist tasks including… more
    Walgreens (05/18/25)
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  • Medical Analytics Data Engineer

    Pfizer (New York, NY)
    …for analytical models. + Identify data inputs needed to conduct analytics (eg, claims data for unmet need analysis) + Gather, prepares, and maintains datasets ... collaboration with data mgmt. lead and ensure accurate collection, storage, and processing of data within team. + Enhance data infrastructure for greater scalability… more
    Pfizer (05/17/25)
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  • Billing Coordinator

    Westchester Jewish Community Services (White Plains, NY)
    …Care, Medicaid and 3rd Party Insurance. This position ensures timely and accurate processing of claims , collections, and account reconciliations to support the ... financial health of our organization. The salary range for this...package, including: + Generous paid time off + Comprehensive Health Benefits, Flexible Spending Account (FSA) and a Healthcare… more
    Westchester Jewish Community Services (05/16/25)
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  • Student Athletics Director

    CUNY (Queens, NY)
    …program staff. + Oversee physical examinations of all student-athletes and facilitate the processing of reports and insurance claims . + Collaborate with College ... compliance, and sports information, and supervise all efforts to support the health , safety, retention, and academic progress of student athletes. In addition, the… more
    CUNY (05/16/25)
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  • Reimbursement Configuration Programmer Analyst…

    Excellus BlueCross BlueShield (Rochester, NY)
    …validation of provider reimbursement configuration and to support research of claims . + Attend, participate in Vendor educational sessions and workgroup meetings ... reimbursement configuration fields, tables, modules and databases required to support processing on the system. + Configures, analyzes, researches, and resolves… more
    Excellus BlueCross BlueShield (05/15/25)
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  • Pharmacy Tech

    WMCHealth (Valhalla, NY)
    …patient paperwork related to the filling of prescription + Assisting with insurance claims processing (usually a pharmacist will handle this, but assistant's ... WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Allied Health Prof/Technical Department: Pharmacy Union: No Position: Per Diem Hours: Per… more
    WMCHealth (04/30/25)
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  • Property Manager

    Community Housing Innovations (Patchogue, NY)
    …and paperwork required. + Ensure applications are sent for credit checks and processing . + Ensure that all criteria for tenant selection are properly enforced, ... vacancy loss. + Work with appropriate authorities regarding insurance claims regarding CHI due to property issues. + Prevent...DSS properties. Ensure that all CHI properties always meet health and safety standards. + Assist Director of PM… more
    Community Housing Innovations (04/26/25)
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  • Pharmacy Operations Manager

    Walgreens (Glen Oaks, NY)
    …pharmacy errors and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any health services allowed by law. +… more
    Walgreens (05/24/25)
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  • Manager, Medical Economics (Medicare) - REMOTE

    Molina Healthcare (Buffalo, NY)
    …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of ... to ensure accuracy and clarity. + Reviews regulatory reporting requirements and Health Plan project documentation. + Maintains reporting service level benchmarks for… more
    Molina Healthcare (05/16/25)
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