- Sedgwick (New York, NY)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | Remote | Strong... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Healthfirst (NY)
- …+ Assists in the development of strategic plans to ensure modern and efficient claims processing across the entire lifecycle with a focus on a unified, ... institution + Experience with Healthedge specifically with HRP implementation and claims processing + Prior experience with claims and provider payment… more
- Axis (New York, NY)
- …Lines market in North America. As a direct report to the Head of Financial Lines Claims , the successful candidate will lead a sophisticated team of claims ... top talent and developing appropriate succession plans + Reviewing, processing , and assigning new D&O claims to...maintaining relationships with internal and external partners as their lead contact within the claims department for… more
- MVP Health Care (Rochester, NY)
- …**Your key responsibilities:** + Mentor, support, and build a high-performing team within Claims Operations. + Supervise claims processing activities related ... improvement. To achieve this, we're looking for a Leader, Claims Support to join #TeamMVP. If you have a...supervisory experience or 2 years' experience as a team lead /senior. Knowledge of ICD-10, CPT-4, and HCPCS coding preferred.… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, and validating Medicaid… more
- Molina Healthcare (Buffalo, NY)
- …and tests assumptions through data, but leads with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... **Job Description** **Job Summary** Provides lead level support as a highly capable business...operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to… more
- Humana (Albany, NY)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... of our caring community and help us put health first** The Medicaid Lead , Technology Solutions builds strategic partnerships and manages relationships between IT and… more
- Citigroup (Getzville, NY)
- …an in-depth analysis and develop solutions to issues related to confirmations, processing , post-settlements, claims , and treasury operations + Capable of prompt ... The Sec & Derivatives Lead Analyst is a senior level position responsible...in at least one area of Securities and Derivatives processing + Advanced knowledge of hedge funds activities including… more
- Guardian Life (Albany, NY)
- ** Lead AI Innovation Lead - Data Science Lab** **Overview** Guardian is on a transformation journey to evolve into a modern, forward-thinking insurance company ... of pioneering research into practical, enterprise-wide solutions. In this role as Managing Lead Data Scientist for the DSL, you'll be entrusted with the crucial task… more
- CVS Health (New York, NY)
- …day. The Specialty Pharmacy AI team is seeking a highly motivated and experienced Lead Data Scientist to play a role in designing and executing AI solutions, with ... a particular focus on Generative AI. The individual will serve as the technical lead for a portfolio of 3 to 5 AI projects and will work in collaboration with a… more