• Benefits Specialist - Human Resources

    Arnot Health (Elmira, NY)
    …premiums due from the employee.* 11. Responsible for the filing of life insurance claims and assisting employees and/or beneficiaries. 12. Communicates with ... Is responsible for employee benefit and retirement administration to include medical , dental, vision, life insurance , short-and long-term disability, and… more
    Arnot Health (07/02/25)
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  • Lead Data Scientist - Research and Development…

    Highmark Health (Albany, NY)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Are you...to uncovering society's most complex challenges? Do you see medical records not just as disparate facts, but as… more
    Highmark Health (08/29/25)
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  • Utilization Management Representative I

    Elevance Health (Middletown, NY)
    …Capabilities and Qualifications:** + Medical terminology training and experience in medical or insurance field preferred. + For URAC accredited areas, the ... impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides...in medical terminology + Experience in the medical or insurance field + Excellent problem-solving,… more
    Elevance Health (08/20/25)
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  • Health and Benefits Associate

    WTW (New York, NY)
    …experience in professional services, ideally gained in a benefit consulting/brokerage firm or health underwriting / actuarial function of an insurance company + ... benefit package which includes the following (eligibility requirements apply): + ** Health and Welfare Benefits:** Medical (including prescription coverage),… more
    WTW (08/28/25)
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  • Health and Benefits Lead Associate

    WTW (New York, NY)
    health and welfare plans, ideally gained in a benefit consulting/brokerage firm or health underwriting / actuarial function of an insurance company + Proven ... benefit package which includes the following (eligibility requirements apply): + ** Health and Welfare Benefits:** Medical (including prescription coverage),… more
    WTW (08/22/25)
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  • Senior Child Behavioral Medical Director

    Centene Corporation (New York, NY)
    …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a...of recommendations to providers that would improve utilization and health care quality. + Review claims involving… more
    Centene Corporation (08/08/25)
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  • Billing Specialist - Rheumatology @ The Hill

    SUNY Upstate Medical University (Syracuse, NY)
    …Answers inbound inquires related to prior authorizations and assists billing group on insurance claims . Completes outbound calls to payors and clinics to assist ... Monday - Friday daytime hours Message to Applicants: Our benefits package includes health , dental and vision insurance , eligibility for employer 401k funding… more
    SUNY Upstate Medical University (07/07/25)
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  • Fraud & Investigations, Clinical Investigator

    MVP Health Care (Rochester, NY)
    …criminal justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation ... to the above requirements: A duly licensed or authorized medical professional, including but not limited to MD or...York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain… more
    MVP Health Care (08/31/25)
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  • Clm Resltion Rep IV, Hosp/Prv

    University of Rochester (Rochester, NY)
    …dollar accounts. + Prepares information for and attends meeting with third-party insurance representatives on claims and systems issues for scheduled in-person ... to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve… more
    University of Rochester (08/09/25)
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  • Field Clinical Specialist

    Terumo Medical Corporation (Queens, NY)
    …Date: Aug 26, 2025 Req ID: 4615 Location: Queens, NY, US Company: Terumo Medical Corporation Department: TIS Sales - New York Metro Terumo Medical Corporation ... (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous… more
    Terumo Medical Corporation (07/09/25)
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