- Humana (Albany, NY)
- …skills to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- Norstella (Albany, NY)
- …diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health (SDoH) data, to drive ... + Strong problem-solving and analytical skills, with attention to detail **Benefits:** Medical and prescription drug benefits Health savings accounts or flexible… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …The Billing Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting, denial ... rejections or denials promptly. + Prepare and submit appeals for denied claims , including documentation and provider narratives as needed. + Identify and report… more
- Norstella (Albany, NY)
- …by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data ... Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be...Mettle, and Perseverance 05: Humility, Gratitude, and Learning **Benefits:** * Medical and Prescription Drug Benefits * Health Savings… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …drug development programs, including: + Understanding pharmacology of drugs and unmet medical needs. + Formulating a rationale to develop the drug in accordance ... Developing and leading formal presentations of results to the medical community, in written, verbal, andvisual formats. + Analyzes...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Norstella (Albany, NY)
- …Resilience, Mettle, and Perseverance 05: Humility, Gratitude, and Learning **Benefits:** * Medical and Prescription Drug Benefits * Health Savings Accounts (HSA) ... offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization… more
- Stony Brook University (East Setauket, NY)
- …following requirements:** + Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health ... but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental and… more
- Sedgwick (Albany, NY)
- …job site modification and/or obtaining adaptive equipment necessary; and to ensure medical , legal and accreditation standards are maintained. **ARE YOU AN IDEAL ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of...needs and nutraceutical products for the maintenance of everyday health . This position can be based in Princeton, New… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …inspection ready, resources are provided on site and/or remotely during health authority inspections, observational findings are responded to appropriately and ... years of experience in a FDA regulated pharmaceutical and/or medical device industry environment + Strong knowledge of current...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more