- WTW (New York, NY)
- …opportunity to collaborate with global experts in reserving, underwriting, pricing, claims , and capital modeling to create and deliver impactful solutions. You'll ... modeling technology solutions a plus. + Active involvement in relevant professional organizations or industry associations. + Prior consulting and business… more
- WTW (New York, NY)
- …and Technology ("ICT") business. We are looking for a strategic sales professional experienced in insurance technology sales that know how to sell innovation ... industries. Working knowledge of insurance functions especially product development, pricing, claims , underwriting and actuarial a plus. + Ability to work… more
- NBC Universal (New York, NY)
- …the world. This role also involves building strong relationships with brokers, legal teams, and other partners, while shaping and maintaining our risk management ... make sure insurance requirements are fair and achievable. + Handle insurance claims from start to finish-analyzing coverage, investigating issues, and pushing for… more
- Rochester Regional Health (Rochester, NY)
- …Patient Safety, Patient Relations, Security, Finance, Regulatory, Compliance, Ethics, Claims /Insurance, and Legal ) to integrate risk management principles ... in quality improvement, safety, clinical risk management or equivalent (eg, Certified Professional in Healthcare Quality - CPHQ, Lean, Certified Professional in… more
- Colgate-Palmolive (New York, NY)
- …leadership across marketing, R&D, Operations, Sales, Strategy, Finance, and Legal /Regulatory. This individual is people centric and leverages empathy and ... emerging technologies + Collide stimulus from the marketplace with consumer, professional , & market research, Syndicated data (IRi or Nielsen), competitive trends… more
- J&J Family of Companies (Newburgh, NY)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... Care, Commercial). + Execute business in accordance with the highest ethical, legal , and compliance standards, including timely and successful completion of all… more
- CVS Health (Albany, NY)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... prepares cases for clinical and legal review. + Documents all appropriate case activity in...to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Bilingual English/Spanish +… more
- Walgreens (New York, NY)
- …you + A lifelong learner - You stay ahead of industry advancements and professional growth + A problem-solver - You navigate challenges, from insurance claims ... a retail setting including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and… more
- NTT America, Inc. (NY)
- …and closing large, complex BPO and BPaaS deals. This senior-level sales professional will play a pivotal role in identifying strategic opportunities, building ... AI, and industry accelerators. + Collaborate with solution architects, pricing teams, legal , and delivery to structure winning, commercially sound proposals. + Stay… more
- Mount Sinai Health System (New York, NY)
- …preferred). + EPIC certification(s) in relevant RCM modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management) strongly ... The Director will partner cross-functionally with internal RCM leaders, IT, Finance, Legal , and external partners to ensure vendor-delivered services meet or exceed… more