- Highmark Health (Albany, NY)
- …of industry and competitor performance, and conducting other general decision support activities + Lead special complex studies, computer simulations, ... business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design,… more
- Walmart (Niagara Falls, NY)
- …members with purchasing decisions locating merchandise providing guidance and support to members regarding selfservice technology assisting members with transactions ... up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink… more
- Molina Healthcare (Albany, NY)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to support the department's goals. + Develops and generates ad-hoc and standard… more
- Trinity Health (Albany, NY)
- …a medical practice. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical ... all billed services are submitted to insurances as "Clean Claims " + Works within the working queue to review...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Walmart (Plattsburgh, NY)
- …members with purchasing decisions; locating merchandise; providing guidance and support to members regarding self-service technology; assisting members with ... up orders are filled. Oversees assigned area of responsibility by handling claims and returns; zoning the area; arranging and organizing merchandise; identifying… more
- Walmart (Medford, NY)
- …acknowledging the member and identifying member needs; providing guidance and support to members regarding self-service technology; assisting members with purchasing ... in accordance with company policies and procedures by properly handling claims and returns; zoning the area; stocking, arranging and organizing merchandise;… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical ... Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in… more
- Air National Guard Units (Scotia, NY)
- …requirements. You must provide a copy of Official Transcripts as documentation to support your Educational claims . To receive credit for Education, you must ... shops and production control function. You will provide technical support to all assigned sections. You will provide guidance...Degree: Engineering. To be acceptable, the program must: (1) lead to a bachelor's degree in a school of… more
- Mount Sinai Health System (New York, NY)
- …stakeholders to improve financial performance based on analytical findings. + Support investigation into claims patterns, payor mix evaluation, and ... to validate underlying system configurations and financial reporting outputs. + Support annual audit requests and provide documentation for revenue-related testing.… more
- AON (New York, NY)
- …and Administrators. Under the general supervision of the Project Solutions Leader , you will perform responsible, client-focused duties in connection with the ... conducts presentations to program Sponsor, working in concert with the Project Solutions Leader and other appropriate Aon personnel. + Oversees the initiation of CIP… more