- Centene Corporation (Queens, NY)
- …+ Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform ... care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations. Project management… more
- Humana (Albany, NY)
- …an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,...forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s...- Dallas, AM - Houston, AM - New York Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
- EFI Global (Rochester, NY)
- …**Boston, Hartford CT, Providence RI, or New York City area** . This remote role includes regular travel for in-person meetings and events, so candidates should ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more
- Independent Health (Buffalo, NY)
- …The CSR is called on to research complex issues pertaining to benefits, claims , plans, and eligibility across multiple databases which requires fluency in computer ... daily. + Attend required training sessions as needed (including remote and onsite learning). + Provide accurate and up-to-date...obtain needed information related, but not limited to: + Claims . + Enrollment. + Authorizations. + Finance. + Accounts… more
- Norstella (Albany, NY)
- Sr. Medical Analyst Company: MMIT Location: Remote , United States Date Posted: Jul 30, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You… more
- Ankura (Lexington, NY)
- …New York, Chicago) to work with key leaders and team members as needed. However, a remote option may be available on a case-by-case basis. As a key member of our ... Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice… more
- Evolent (Albany, NY)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various… more
- The Robison Group (Garden City, NY)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... medical treatment). + College Degree preferred. TRAINING The Robison Group provides remote training to ensure that individuals are set up for success before… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support area within the Commercial Insurance industryOR + Zurich Certified ... and 12 or more years of experience in the Claims or Underwriting Support area within the Commercial Insurance...Portal for resume submission. Location(s): AM - New York Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more