- Carrington (Albany, NY)
- …processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines ... within one or more default related areas such as Foreclosure, Bankruptcy, Default MI Claims , Loss Mitigation, Recovery, etc. + Previous FHA, VA, USDA and PMI … more
- MetLife (Oriskany, NY)
- …Customers . High School Diploma Preferred: . Associate Degree . 2 plus years of claims management experience preferably in Healthcare field . 5 plus years of ... member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and appropriately investigates… more
- Norstella (Albany, NY)
- …sciences analytical use cases by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), ... Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be...worked in and understands the dynamics of the US healthcare ecosystem. **Responsibilities:** *As an RWD Analytic Consultant, you… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ? Experience in ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
- Norstella (Albany, NY)
- …relational databases, ensuring data accuracy and quality. * Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...worked in and understands the dynamics of the US healthcare ecosystem. **Responsibilities:** * Lead the delivery of complex… more
- Humana (Albany, NY)
- …medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, ... management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and ... general caregivers with the guidance and plans they need for healthy living. Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the… more
- Fujifilm (Albany, NY)
- …on the Fujifilm Healthcare Code of Conduct, Interactions with Healthcare Professionals Policy, Anti-Kickback, False Claims Act, HIPAA, Anti-Corruption Policy ... **Minimum of 2 years of experience with Antitrust.** + Strong understanding of healthcare regulations (eg, Anti-Kickback Statute, False Claims Act) and global… more
- Humana (Albany, NY)
- …operations, technology, communications, and processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider ... make an impact** **Required Qualifications** + Bachelor's degree in healthcare administration, public health, information systems, business, policy administration or… more
- Highmark Health (Albany, NY)
- …experience within one or more Epic modules. **Preferred** + 2+ years of Healthcare Revenue Cycle experience ( Claims , Patient Access, Billing) + Epic ... **Preferred** + Bachelor's degree in Computer Science, Information Systems, Healthcare or relevant experience. **LICENSES or CERTIFICATIONS** **Required** + Epic… more