- Humana (Albany, NY)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- NASCO (Albany, NY)
- …with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS ... for volunteering + Employee Assistance Program + Wellness program - earn insurance discounts or credit towards health-related items **Financial Health Benefits** +… more
- Staffing Solutions Organization (Albany, NY)
- …Eligibility & Marketplace Integration (DEMI)** **Bureau of Third-Party Health Insurance , Medicare Savings Program and Recoveries** **Telecommuting Option:** This ... + Work independently to review information submitted relative to Third Party Health Insurance (TPHI) and make the necessary determination regarding when and how to… more
- Guardian Life (New York, NY)
- …to work closely with one of our core GB value streams (eg, underwriting, claims , distribution, etc.) to manage, define, shape, prioritize and lead the delivery and ... a highly independent senior manager with the ability to become rapidly conversant in insurance business processes. + You have an aptitude for using and shaping data… more
- Saia, Inc (Syracuse, NY)
- …within a defined geographic area. Ensures freight is delivered in a claims -free and cost-efficient manner. **Major Tasks and Responsibilities** + Drives tractor ... experience Pay Range: 31.25-35.75 per_hour, General Benefits: + 401(k) + Dental insurance + Health insurance + Paid time off + Referral program + Vision … more
- CVS Health (Albany, NY)
- …provider issues, benefit questions, care coordination, member eligibility and claims . + Coordinate vendor participation in onsite vaccine administration. Maintain ... related to the client's plan. **Required Qualifications** + 2+ years of insurance industry, account management or customer service experience. + An active resident… more
- Centene Corporation (New York, NY)
- …members, as well as to individuals and families served by the Health Insurance Marketplace. Looking for a compelling opportunity to move beyond patient encounters ... to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, or unusual or new services in order to… more
- Walgreens (Auburn, NY)
- …advancements and professional growth + A problem-solver - You navigate challenges, from insurance claims to medication management, with ease **Apply Today & ... benefits package including medical, prescription drug, dental, vision, disability and life insurance for qualifying team members. Plus free flu shots for all team… more
- Saia, Inc (Montgomery, NY)
- …trailer combinations over long distances to deliver freight in a safe, claims -free, and cost-efficient manner. **Major Tasks and Responsibilities** + Drives tractor ... on experience Pay Range: 0.73-0.81 per_mile, General Benefits: Health Insurance with Medical, Rx & Vision Dental Insurance... Insurance with Medical, Rx & Vision Dental Insurance Free Life Insurance Free Short-term Disability… more
- Humana (Albany, NY)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more