• PBM Senior Reporting Analyst

    CVS Health (Albany, NY)
    …and/or pharmacy claims data * Experience in healthcare industry, including health insurance , PBM or pharmacy services **Education** * Bachelor's degree or ... 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...named Long Island's Top Workplace! Position Summary: Manage underpaid insurance balances that are unable to be resolved through… more
    Catholic Health Services (08/22/25)
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  • Behavioral Health Service Provider

    OLV Human Services (Lackawanna, NY)
    …+ Up to $600 every year for completing biometric health screenings on a single health insurance plan & up to $1,200 if a spouse completes too! Salary range: ... + Paid Holidays + Paid Time Off (PTO) + Health , dental & vision insurance options +...state regulations and agency policies pertaining to HIPAA, false claims , whistleblower policies and all others. + Any other… more
    OLV Human Services (06/06/25)
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  • National General Adjuster - Northeast Region

    Sedgwick (New York, NY)
    …and relatively complex National Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine ... insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant(s) and witnesses… more
    Sedgwick (06/25/25)
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  • Senior Safety and Health Specialist…

    Nestle (New York, NY)
    …and procedures as well as all applicable external regulatory requirements. + Initiates WC Claims to insurance provider. + Ensure all locations have preferred HCP ... growth. Join us! **POSITION OVERVIEW:** The Senior Safety & Health Specialist will work towards zero unsafe behaviors and...locations. + Follow up on Claims as required. + Partners with Human Resources and… more
    Nestle (07/26/25)
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  • Pharmacy Help Desk Representative

    Independent Health (Buffalo, NY)
    …Six (6) months experience handling self-funded pharmacy calls or working for a health insurance company or physician's office interacting with pharmacies; OR ... 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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  • Medical Billing Specialist

    Robert Half Accountemps (Syracuse, NY)
    …position, you will play a vital role in managing billing processes for Home Health Care services, ensuring accuracy in claims submission and payment processing. ... for accuracy and completeness, correcting any missing or incorrect details related to Home Health Care billing. * Prepare and submit claims and invoices to… more
    Robert Half Accountemps (08/23/25)
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  • Counsel, Claim Legal - Strategic Resolution Group

    Travelers Insurance Company (New York, NY)
    …state(s) in which representation is required. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... Is the Opportunity?** This position handles complex legal matters, requiring established insurance coverage and litigation expertise. The Counsel does not appear in… more
    Travelers Insurance Company (08/16/25)
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  • Radiation Oncology Financial Authorization…

    Mount Sinai Health System (New York, NY)
    …Associate I for the Radiation Oncology Department verifies or obtains insurance benefits for patients, determines patient liability and coordinates payment of ... uncovered medical expenses. Assists patients with insurance and payment issues, and completion of required forms,...forms and agreements and ensures they are accurate for claims processing. 8. Performs other related duties. **About Us**… more
    Mount Sinai Health System (07/25/25)
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  • Billing & Accounts Receivable Specialist

    OLV Human Services (Lackawanna, NY)
    … + Up to $600 every year for completing biometric health screenings on a single health insurance plan & up to $1,200 if a spouse also completes + Up to $180 ... here to learn more: https://studentaid.gov/manage-loans/forgiveness-cancellation) + Casual dress code + Health , dental & vision insurance options + Free dental… more
    OLV Human Services (08/29/25)
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