- Humana (Albany, NY)
- …and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim's environment + Experience creating ... if you will be moving forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.… more
- Healthfirst (NY)
- This position is 100% Remote . We are hiring for the following schedules listed below:** **EST Schedule** **Wednesday through Saturday, 10-hour shift, 7am-5:30pm** ... in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management/case management. + Demonstrated… more
- Arnot Health (Elmira, NY)
- …+ Full-time, salaried, exempt role + Monday through Friday + Day Shift + Remote What You'll Do: + Review new procedures to determine coverage and reimbursement ... payer policies) + Assist in claim edit resolution to ensure compliant, clean claims are submitted + Maintain proficiency in CPT, HCPCS, ICD-10, OPPS, and related… more
- Hartford Steam Boiler Inspection and Insurance Company (New York, NY)
- Actuarial Analyst Sr **Company** HSB **Location** New York , United States Location: Remote , USA Join HSB's expanding pricing team and make a difference by providing ... enhancements and product strategies in collaboration with HSB's underwriting, claims and engineering units. Qualifications Education and Experience: + Bachelor's… more
- Centene Corporation (Latham, NY)
- …management experience (medical management, provider relations, contracting, compliance, claims or member/provider services) preferred. Knowledge of NCQA and ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- AECOM (New York, NY)
- …per week required in the office and the remaining days available for remote work. The appropriately qualified applicant will be able to demonstrate an established ... Work with management and staff to resolve pre-litigation disputes and potential claims + Supervise and manage litigation, including professional liability, breach of… more
- Humana (Albany, NY)
- …from either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to ... Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay… more
- Centene Corporation (Queens, NY)
- …ICD 10 codes, medical abbreviations, medications. Experience in medical records review, claims processing or utilization and case management in a clinical practice ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- Ankura (New York, NY)
- …processes, anatomy and pharmacology. + Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D ... + Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills. + Prior success in managing small projects… more
- J&J Family of Companies (Smithtown, NY)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... competence with salesforce.com CRM use, Microsoft Word, and Excel \#FRM2025 \#LI- Remote Johnson & Johnson is an Equal Opportunity Employer. All qualified… more