- Excellus BlueCross BlueShield (Dewitt, NY)
- …and in depth knowledge of HEDIS software, Health Plan EDW (or related claims data sets) or Medical/Pharmacy Management Systems while becoming familiar with ... sets across the team and aiding in growth and development , as needed. Collaborates with the clinical team to...problem solves, investigates and brings forward concerns to peers, management and other Health Plan analytical teams with relation… more
- AON (New York, NY)
- …for client delivery in this market segment. The role involves business development in partnership with Aon's new business producers and account executives to ... secure new client relationships as well as the management of ongoing US health and benefits client relationships...requirements + Analysis of utilization reports, carrier reports, and claims data & trends. + Possess a strong understanding… more
- Elderwood (Lancaster, NY)
- …birthdays, anniversaries. + Managing Performance Management systems and supporting management in employee development . + Cultivating and monitoring company ... residents with dementia benefit from the Seasons Memory Care program , while a highly-regarded subacute rehabilitation department provides comprehensive short-term… more
- Mount Sinai Health System (New York, NY)
- …**Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management , financial, ... care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a...b) develop BI queries, and c) generate and use management reports effectively. 13. Shares development and… more
- American Express (New York, NY)
- …Checking Product Management and Marketing teams, manage product positioning, marketing claims , and the development of creative assets and online assets ... Senior Analyst will partner closely with key stakeholders across Marketing, Product Management , Product Development , Analytics, Servicing, and Legal teams to… more
- Utilities Service, LLC (Albany, NY)
- …orientation + Background checks + Safety Management Process + Monitors and review claims and participate in claims management process. + Inform and ... the development of innovative hazard abatement programs, proactive risk management strategies, and action plans that protect employees while ensuring regulatory… more
- AON (New York, NY)
- …the client-specific renewal strategy. + Coordinates with Brokers in the development and delivery of renewal strategies. + Facilitates critical relationships between ... whether fee or commission-based, accordingly. + Educates clients in risk management , risk transfer, market issues and relevant trends including appropriate… more
- Molina Healthcare (NY)
- …Engages cross-functional areas & health plans (eg product, configuration, UM, Care Management , provider network, claims ) for requirements planning * Makes ... operational efficiencies and/or an increase in customer satisfaction. Assists in development of MHI's business process improvement methodology and in the… more
- RGP (New York, NY)
- …insurance, Disability insurance, 401(k) savings plan, Employee Stock Purchase plan, Professional development program , Paid Time Off, Paid Sick Time (in ... Book) OR Accounting (e. . Reinsurance Accounting & Analysis, Premium & Claims Accounting). GAAP Accounting for Insurance, Statutory Accounting, Insurance Premium and… more
- CVS Health (Amherst, NY)
- …interpretation and systematic setup essential to the processing of our claims adjudication system. Meritain's proprietary system provides a benefit solution for ... and systematic setup essential to the processing of our claims adjudication system. The setup must also align for...or renewal activity. + Collaborates on review, analysis and development of recommendations for the design of complex account… more
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