- Elevance Health (Middletown, NY)
- …for complex group cases based on thorough analysis of the group's experience , industry, location, size, and demographic nature. + Coordinates with other departments ... rates and terms for group prospects, utilizing a combination of other carrier experience , demographic data and manual rates. + Prepares or supervises the preparation… more
- 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 ...opportunities. **What We're Looking For** + 7+ years of experience in product development, product management, and a mix… more
- Rochester Regional Health (Rochester, NY)
- …nursing experience required. PREFERRED QUALIFICATIONS + Progressive clinical experience including community health , care management, disease management or ... the needs of patients with high risk or complex medical, behavioral health and/or psychological problems through practice, community and home-based visits and… more
- Elevance Health (Latham, NY)
- …loss rates for large complex cases based on thorough analysis of experience , location, demographics, etc. + Coordinates with other departments to ensure accuracy ... Proposes rates for prospective business utilizing a combination of other carrier experience , demographic data and manual rates. + Performs post-sale reviews. +… more
- Cardinal Health (New York, NY)
- …by performing structured work assignments **Pay rate:** $33.60 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits ... utilizing eRecovery software to drive cost containment within a health system account. The goal is to access free...* New York Pharmacy Technician license * 2-4 years experience preferred * Strong communication skills * Strong Microsoft… more
- Elevance Health (Latham, NY)
- …license in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a ... minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or...or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information… more
- Elevance Health (East Syracuse, NY)
- …by law.** **National Government Services** is a proud member of Elevance Health 's family of brands. We administer government contracts for Medicare and partner ... with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our Medicare… more
- CVS Health (Albany, NY)
- …programs by the clinical teams. **Required Qualifications** *Two (2) or more years of experience in Health Care Delivery System eg, Clinical Practice and ... Health Care Industry. *Prior UM (Utilization Management) experience *Active and current state medical license without encumbrances *M.D. or DO, Board… more
- Cardinal Health (New York, NY)
- …by performing structured work assignments **Pay rate:** $33.60 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits ... behalf of patients utilizing eRecovery software to drive cost containment within a health system account. The goal is to access free medications directly from… more
- Elevance Health (NY)
- …Requires a High school diploma or equivalent and a minimum of 1 year of experience ; or any combination of education and experience , which would provide an ... equivalent background. **Preferred Skills, Capabilities & Experiences:** + Industry experience with Marketplace strongly preferred + Bilingual candidates strongly… more