• Customer Care Representative I

    Elevance Health (Latham, NY)
    …and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes ... to $22.00 **Locations** : New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition… more
    Elevance Health (05/29/25)
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  • Coding Auditor Educator

    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 :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs...internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of… more
    Highmark Health (05/09/25)
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  • VP, Planning & Pharmacy Analytics

    CVS Health (Albany, NY)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and every day. This position is responsible for forecasting claims costs and expanding Aetna's pharmacy analytics capabilities. This… more
    CVS Health (05/30/25)
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  • Experienced Medical Biller- Anesthesia…

    FlexStaff (Chappaqua, NY)
    …based on fee schedules - Prepare and submit appeals for underpaid or denied claims - Follow up with insurance carriers regarding outstanding balances - Respond ... 159695 FlexStaff Our client is seeking a skilled Anesthesia Medical Biller with a minimum of 2 years of...range for this position is $25-$27/hour It is Northwell Health 's policy to provide equal employment opportunity and treat… more
    FlexStaff (05/29/25)
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  • Nurse Case Mgr I

    Elevance Health (Latham, NY)
    …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... will make an Impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
    Elevance Health (05/29/25)
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  • Nurse Case Mgr I (US)

    Elevance Health (Latham, NY)
    …implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. **How you will make an impact:** ... for discharge planning. + Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care… more
    Elevance Health (05/23/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Latham, NY)
    …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
    Elevance Health (05/22/25)
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  • Provider Transformation Specialist (RN- New York))

    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 ... and efficiency metrics, accountable care organization development and support, patient centered medical home, and electronic health records. + Experience may be… more
    Highmark Health (05/20/25)
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  • LTSS Service Coordinator - RN Telehealth

    Elevance Health (New York, NY)
    …care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. **How you will make an impact:** + Responsible ... identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term services… more
    Elevance Health (05/18/25)
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  • Lead Director, AI Solutions Design

    CVS Health (Albany, NY)
    …+ Experience designing AI solutions for healthcare settings such as pharmacies, health insurance , or clinical workflows. + Background in process improvement ... At CVS Health , we're building a world of health...of AI-driven solutions to optimize healthcare processes, such as claims processing, patient care coordination, pharmacy operations, and supply… more
    CVS Health (05/17/25)
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