- CenterWell (Albany, NY)
- …+ Support new business implementations with a goal of ensuring all pharmacy claims are processing appropriately + Drive project development and support project ... a part of our caring community and help us put health first** The Lead - Medicaid Customer Success oversees strategy and operations for multiple Medicaid markets.… more
- Insight Global (New York, NY)
- …in Mastercard or Visa chargeback processes for a Disputes Product Management Lead position supporting the AppleCard! This is an individual contributor role at ... of work for the Dispute teams back-office operations. The claims agents use Pega Dispute as their platform to...integrated with Mastercard and currently consists of many dispute processing workflows that are manual and require optimization. The… more
- Walmart (Medford, NY)
- …types programs and benefits to current and prospective members processing memberships upgrades and credit accounts encouraging membership renewals participating ... up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink… more
- KPH Healthcare Services, Inc. (Ithaca, NY)
- …policies. **Job Su Summary:** Assist the professional staff in the triaging, processing and delivery of prescriptions to the patient. Assist in the management ... in the initial submission, and resubmission (as required) of all third party claims + Locating prescription files and other manual records from storage as needed… 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 ... Issues: * Proactively escalate issues to Directors that could lead to significant legal ramifications or require intervention by...to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract… more
- University of Rochester (Albany, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . Collaborate with appropriate departments to generate a ... billing requirements and rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …+ Serve as the primary technical subject matter expert (SME) for upstream processing (cell culture/fermentation, harvest). + Lead and manage the technical ... Science and Technology (MSAT) for Upstream processes. This critical role will lead our efforts in developing, optimizing, and scaling up upstream bioprocesses for… more
- GE Vernova (Schenectady, NY)
- …**Job Description** **Roles and Responsibilities** + Manage and track warranty claims from initiation through resolution, ensuring timely processing and ... (NAM) region. In this role, you will manage warranty claims with a focus on reducing cycle time, ensuring...in accordance with contract terms and internal policies. + Lead and support continuous improvement initiatives to enhance claim… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …Serve as the primary technical subject matter expert (SME) for downstream processing (chromatography, TFF/UFDF, viral clearance/filtration, etc.). + Lead and ... review of batch records, deviation investigations, and change controls. + Lead or significantly contribute to troubleshooting efforts and root cause investigations… more
- New York State Civil Service (Latham, NY)
- …such as interns, and/or directly perform the more difficult or complicated clerical processing and office support work for which substantive knowledge of the program ... appointments, meetings, and travel using various office tools.* Perform routine processing activities, including checking forms for completeness and accuracy.* Type,… more