• Actuarial Analyst 2, Pricing

    Humana (Albany, NY)
    …organization focused on continuously improving consumer experiences **Preferred Qualifications** + Health insurance experience + Medicare Advantage ... **Become a part of our caring community and help us put health first** The Actuarial Analyst 2, Pricing is responsible for setting pricing assumptions, submitting… more
    Humana (11/14/25)
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  • Growth & Community Engagement Specialist (Must…

    Molina Healthcare (Queens, NY)
    …Equal Opportunity Employer (EOE) M/F/D/V. Key Words: health care, insurance , health insurance , Medicaid, Medicare , health coach, community ... highly desirable. **Preferred License, Certification, Association:** + Active Life & Health Insurance + Market Place Certified To all current Molina employees:… more
    Molina Healthcare (10/07/25)
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  • Patient Registration - Gouverneur…

    Rochester Regional Health (Rochester, NY)
    …registration including making an empathetic first impression, soliciting personal health information, answering sensitive patient questions/concerns, insurance ... Job Title: Patient RegistrationDepartment: Behavioral Health Location: Gouverneur Hospital Hours Per Week: As...fashion + Screens for insurance eligibility via insurance websites, where appropriate + Completes Medicare more
    Rochester Regional Health (10/16/25)
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  • Health Insur & Auth Rep III

    University of Rochester (Rochester, NY)
    …Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500183 Health Insurance Counseling Work Shift: UR - Day (United States of ... coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage...work, financial case management, clinical team and contracting. The Health Insurance & Auth Rep is ultimately… more
    University of Rochester (10/14/25)
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  • Field Assessment RN, Brooklyn, NY - $10,000…

    Healthfirst (Brooklyn, NY)
    …care, discharge planning, case management, and//or medical surgical nursing** **Knowledge of health insurance , Medicaid, Medicare and MLTCP** **Experience ... disabled populations** **Preferred Qualifications:** **Work experience using electronic patient health information (PHI) database usage especially UAS** **Previous field-based… more
    Healthfirst (10/23/25)
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  • Health Insurance & Authorization…

    Highland Hospital (Rochester, NY)
    **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** The ... Health Insurance and Authorization Specialist is responsible...or Financial Assistance, reviews and validates MSP questions, monitors Medicare days for exhausted benefits, identifies and resolves coordination… more
    Highland Hospital (09/02/25)
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  • Associate Director, Field Access Manager - Central…

    Merck (Albany, NY)
    …sales or operations, project management, or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) ... Available benefits include medical, dental, vision healthcare and other insurance benefits (for employee and family), retirement benefits, including 401(k),… more
    Merck (11/27/25)
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  • Insurance Strategy Consultant

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** Humana, a Fortune 50 Healthcare Company Humana is a publicly traded, Fortune 50 healthcare ... 60's, to the largest US hospital corporation in the 80's, to a leading health benefits company beginning in the 90's. Today, Humana is a leader in consumer-focused… more
    Humana (11/11/25)
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  • Health Insur & Auth Rep III

    University of Rochester (Rochester, NY)
    …Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500183 Health Insurance Counseling Work Shift: UR - Day (United States of ... coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage...the above. **ESSENTIAL FUNCTIONS** + Reviews each visit for insurance history by utilizing the hospital system along with… more
    University of Rochester (10/03/25)
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  • Clinical Navigation Team Mgr Care Mgmt

    Healthfirst (NY)
    …and problem-solving skills** **Adept at planning, organizing, and executing** **Knowledge of health insurance , Medicaid, Medicare and MLTCP** **Care ... management experience in a clinical managed care environment and knowledge of best practices** **Knowledge of UM//QM case philosophies and reporting requirements to state and federal agencies** **Ability to allocate, monitor, and control resources while… more
    Healthfirst (10/15/25)
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