- Molina Healthcare (NY)
- …Governance and Operations Reviews + Performs root cause analysis of claims and encounter data and develops recommendations based on data and industry knowledge. ... recommendations for improvement to decision-makers. At the direction of the Manager , Encounters, collaborates with cross-functional teams to identify and resolve… more
- CDM Smith (Albany, NY)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...of the disaster on the applicant's assets, inventory, and operations . * Expert Testimony and Litigation Support: In cases… more
- Zurich NA (New York, NY)
- …office in New York or Houston. We may, at the sole discretion of the Hiring Manager , be open to basing the role out of other ZNA office locations. While this ... on a hybrid basis. You will partner with your manager to set a flexible work schedule that supports.../ analytical skills along with your knowledge of marine operations to analyze and underwrite new and renewal marine… 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, ... Acts as a resource to staff members. + Provides back-up for Supervisor/ Manager , whenever necessary. Minimum Qualifications: NOTE: We include multiple levels of… more
- Staples (Montgomery, NY)
- …Asset Protection Team. You will be providing support to our fulfillment operations . Our fulfillment operations are a business-to-business supply chain company ... programs and maintain compliance with written programs. Support Asset Protection Manager by conducting audits, assist in managing Workers Compensation claims… more
- Sedgwick (Albany, NY)
- …and integrity. + Communicates activity progress to involved parties. + Assists Operations Manager /Program Managers to resolve issues that arise involving client ... to include experience with leading quality initiatives and data intensive projects, claims operations , and general business experience with emphasis on data… more
- Walgreens (Castleton, NY)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Tonawanda, NY)
- …until satisfied, etc.). Develops strong relationships with most valuable customers. Operations Under the supervision by the pharmacist, assist in the practice ... Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Corning, NY)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. Operations + Under the supervision by the pharmacist, assist in the practice ... including requesting store or system repairs as required in manager absence, or as requested by manager ....those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Huntington Station, NY)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
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