- Walgreens (Montgomery, NY)
- …Comprehensive Health & Wellness Benefits** + Comprehensive benefits package including medical , prescription drug, dental, vision, disability and life insurance for ... support - Walgreens provides financial support for fertility treatments, including medical procedures and prescription medications. Eligible team members can also… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... treatment and documents each treatment according to established guidelines in the medical record. - Modifies goals and /or treatment according to patient's needs… more
- Elevance Health (Buffalo, NY)
- …structure or through extra-contractual arrangements, as permissible. Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the ... care management treatment plans. + May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the work of any LPN/LVN,… more
- CVS Health (Albany, NY)
- …and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Edwards Lifesciences (NY)
- …cath lab/OR environment and procedural best practices + Expert understanding of medical device asset creation, regulation requirements for claims and training ... been vaccinated for COVID-19, unless you request and are granted a medical or religious accommodation for exemption from the vaccination requirement. This… more
- Humana (Albany, NY)
- …Prior experience working within the healthcare field + Previous experience with medical claims + Project management experience **Additional Information** This ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Molina Healthcare (Buffalo, NY)
- …will work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.… more
- Elevance Health (Latham, NY)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- The Cigna Group (New York, NY)
- …partners to implement solutions with measurable value + Health care data (eg, claims , EHR) knowledge preferred If you will be working at home occasionally or ... one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We also… more
- WTW (New York, NY)
- …health and benefits projects involving the design and management of group medical , dental, wellbeing, life, disability and absence management benefits for clients. ... day to day service issues and questions (eligibility, carrier coverage and claims issues, compliance, etc.) + Preparing for and facilitating client meetings (prepare… more