- Elevance Health (East Syracuse, NY)
- …via telephone and written correspondence regarding benefits, contracts, eligibility and claims . + Analyzes issues and provides information and/or solutions. + ... experience within the healthcare industry is highly preferred. + Strong knowledge of claims is preferred. + Strong verbal and written communication skills are highly… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …In the US, benefits may include health and wellness programs (including medical , dental, vision, life, and disability insurance ), fitness centers, 401(k) ... + Experience working with Oncology datasets, including prescription, sales data and claims /patient level data sets inclusive of pharma data sources such as IQVIA,… more
- The Robison Group (Albany, NY)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and ... pass a drug test with negative results (except when undergoing documented medical treatment). + College Degree preferred. TRAINING The Robison Group provides remote… more
- Oracle (Albany, NY)
- …Oracle US offers a comprehensive benefits package which includes the following: 1. Medical , dental, and vision insurance , including expert medical opinion ... benefits based on parity and consistency and support our people with flexible medical , life insurance , and retirement options. We also encourage employees to… more
- Elevance Health (Latham, NY)
- **Nurse Case Manager II** **Hours: Monday - Friday 8:00am to 4:30pm EST and 2-3 late evening 11:30am to 8:00pm EST per month.** **Location:** This role enables ... is granted as required by law. The **Nurse Case Manager II** is responsible for care management within the...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
- Molina Healthcare (Rochester, NY)
- …fraud, abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead...experience working in a Managed Care Organization or health insurance company + Minimum of two (2) years' experience… more
- Guardian Life (New York, NY)
- …work experience required. MBA preferred. + Prior Group Benefits or Medical insurance experience preferred. + Exceptional analytical and problem-solving ... within the Group Benefits Product and Digital organization. As a leading dental insurance carrier, the growth and ongoing management of Guardian's network of over… more
- The Cigna Group (New York, NY)
- …channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, ... the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports...Cigna's competitive position. + Supports initiatives that improve total medical cost and quality. + Drives change with external… more
- C&W Services (New York, NY)
- …**Job Description Summary** POSITION SUMMARY The Environmental Health & Safety (EH&S) Manager is responsible for providing direction and support for all EH&S ... audits, report and manage the corrective actions * Support Workers Compensation (WC) claims tracking, investigation, and management process * Liaise with WC Program … more
- Walgreens (Brooklyn, NY)
- …advancements and professional growth + A problem-solver - You navigate challenges, from insurance claims to medication management, with ease **Apply Today & ... package including medical , prescription drug, dental, vision, disability and life insurance for qualifying team members. Plus free flu shots for all team members… more