- Molina Healthcare (Syracuse, NY)
- …ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations according to Molina policies and procedures. This position ... credentialing and primary source verification process for practitioners and health delivery organizations according to Molina policy and procedure. Where… more
- MetLife (Oriskany, NY)
- …administer Family & Medical Leave Act standalone/ADA (as well as other leave) claims and adhere to federal and state regulatory and/or company plan requirements and ... as well as perform leave follow-ups as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, etc. * Update systems… more
- Cognizant (Albany, NY)
- Cognizant is seeking an IBM i (AS400) Infrastructure Specialist to support the IBM i infrastructure for RxClaims. This position will perform level 1 monitoring of ... processing all backups. This role will also involve monitoring the IBM i RxClaim health , Sterling Integrator file delivery, Robot batch jobs on IBM i, Tidal jobs and… more
- Molina Healthcare (Buffalo, NY)
- …**PE** **R** **I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience ... to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues… more
- Aston Carter (Buffalo, NY)
- HR Specialist Job Description + This position supports the company's primary objective to acquire and retain profitable customers by coordinating talent acquisition ... with HR regulations. + Provide administrative support for benefits enrollment, claims processing, and employee inquiries related to benefits. + Assist with… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... non-profit provider of residential, day habilitation, Article 16, and clinical health services and supports people with intellectual and developmental disabilities… more
- The Hartford (Clinton, NY)
- …you are not sure you can have a conversation with your manager.The Sales Support Specialist is a key member of our Inside Sales Team, Small Business Insurance. This ... its long- standing history, broad coverage offering and exceptional claims service. + Support a high performing sales culture....world? What else can we do to destigmatize mental health in the workplace? Can we make our communities… more
- GAP Solutions Inc (Albany, NY)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- Molina Healthcare (Albany, NY)
- …ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations according to Molina policies and procedures. This position ... and regulatory requirements, while meeting production goals. * Communicates with health care providers to clarify questions and request any missing information.… more
- GE Vernova (Saratoga Springs, NY)
- …* Participate in the resolution of safety issues. * Initiate actions to improve health and safety where needed Quality & Lean: * Comply with Quality Procedures, work ... data and books + Support project close out and claims + Lead the team of Project Cost Control...dental, vision, and prescription drug coverage; access to a Health Coach, a 24/7 nurse-based resource; and access to… more