- Intermountain Health (Albany, NY)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on ... contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims … more
- Zurich NA (Albany, NY)
- Senior Performance Analyst I 128611 Zurich North America is seeking an intellectually curios Claims Finance Consultant to join our Claims Finance team! The ideal ... candidate can work in one of our claims offices Addison, Atlanta, Dallas, Maitland, Omaha, Overland Park,...the creation of key financial presentations and models to support strategic and operational initiatives. While executing on multiple… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …emerging biomarker and translational tools, new technologies and scientific capabilities in support of Otsuka's pipeline. The Senior Director TM works closely with ... Head of TM as well digital and diagnostics groups to support development of biomarkers throughout life cycle of Otsuka's compounds. The Senior Director TM will… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …congress strategies & execution educational programs, and evidence-based content that support Otsuka's mission to improve patient outcomes through deep scientific ... Description** **Key Responsibilities Include:** **Congress Strategy and Execution** + Lead development and execution of comprehensive multi-year medical congress… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …services and procedures covered under Health Plan Dental programs. The incumbent acts as lead dental reviewer and as an advisor to all areas regarding dental review ... computer analysis of dentist practice patterns and to identify dentists submitting claims for payment that do not comply with corporate policy. Essential… more
- Monro Muffler/Brake (Fairport, NY)
- …across our many brands, in field management, and in store operations at our Store Support Center in Fairport, New York. If you like helping others, if you enjoy ... costs. The Liability Analyst will understand and professionally input and communicate claims to the Risk Management and Monro Inc. leadership Team. Compensation: The… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies;… more
- Mount Sinai Health System (New York, NY)
- …* Structure and perform analyses to measure outcomes, communicate impact, and support strategic decision-making (ie, financial, clinical, and claims analyses) * ... roles ? Advanced analytical capabilities required, experience with healthcare claims analysis and clinical quality measures highly preferred ? Experience… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …procedures and related health plan functions such as member services, claims , and the referral/authorization process. This position provides leadership and expertise ... to optimize the member experience. + Acts as a lead troubleshooter for the pharmacy help desk, customer care...care and claim processors to coordinate pharmacy and/or medical claims with prior authorization information on file or needed… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …that may impact pharmaceutical practices, procedures and controlled documents. + Lead weekly regulatory intelligence team meetings to include review and discussion ... Global Regulatory Affairs to identify regulatory intelligence needs and strengthen and support Otsuka as a learning organization. + Maintain close communication with… more
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