- Evolent (Albany, NY)
- **Your Future Evolves Here** Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit ... growth, and a great place to work? Definitely. Evolent Health International (Pune, India) has been certified as "Great...products. This role plays a critical part in both ** Medical Cost Management** and **Product Management** , leveraging advanced… more
- Molina Healthcare (Albany, NY)
- …reporting and monitoring process, including HEDIS, state-based measure reporting and medical record review. + Manages annual HEDIS data collection activities. ... manage contacts within the plan(s) and/or Molina corporate, external auditors, software and medical record vendors, and other Molina departments, such as Claims ,… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Associate VP, Resolution- CTM Oversight and Operations will serve as a strategic leader ... operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with… more
- Sedgwick (Albany, NY)
- …or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. + Work ... - a rewarding career making an impact on the health and lives of others, and a remote work...path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting.… more
- AON (New York, NY)
- …fashion to cross-sell Cyber Solutions products and services + Successfully apply the claims and legal advocacy group for claim administration and counsel to assist ... stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves of absence, paid… more
- AON (New York, NY)
- …managers and offices of general counsel. + Prepare underwriting submissions and claims exhibits for commercial insurers. + Draft and prepare policy documentation and ... stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves of absence, paid… more
- AON (New York, NY)
- …+ Analyze and provide technical input on insurance coverage, claims history, insurance-related collateral, insurance-related financial expense, surety bonds and ... stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves of absence, paid… more
- CDPHP (Latham, NY)
- …in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to ... RFPs. The Coordinator negotiates single case agreements for authorized medical services with non-participating providers. Network Operations Coordinators manage… more
- AON (New York, NY)
- …check market quotes, binders and policy documentation. + Ensure client, marketing and claims files are maintained in a timely fashion. + Check computations of ... stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves of absence, paid… more
- AON (NY)
- …to balance risk, customer value, and profitability. + Leverage data to analyze claims trends and product performance to inform product and underwriting decisions. + ... stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves of absence, paid… more