- SitusAMC (Albany, NY)
- …toward goals; acknowledges team accomplishments. + Ability to work independently in a remote work environment. + Understanding of ADO, WLS, and SQL coding ... related to AML, funds transfer policies, client confidentiality and data security. \#LI-AS1 #LI- Remote Note: This job description is not intended to be all inclusive… more
- GovCIO (Albany, NY)
- …be instrumental in ensuring customer satisfaction. This position will be fully remote within the United States. **Responsibilities** We are seeking a User ... + Front-End Development Knowledge: HTML, CSS, JavaScript (not necessarily coding but understanding implementation). + Agile/Scrum Methodologies: Working in iterative… more
- Penguin Random House (NY)
- ML Ops Associate Director (Open to Remote ) Apply comprehensive knowledge of statistical modeling, programming tools, data warehousing technologies, and back-end ... experience creating measurable business impacts by using statistics and coding to create machine learning models; demonstrated understanding of underlying… more
- Humana (Albany, NY)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... teams or organizational committees. \#physiciancareers Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings… more
- SitusAMC (Albany, NY)
- …scaling of APIs in the cloud. + **Programming & Automation:** 6+ years coding in Python, Shell, or equivalent scripting languages for automation. + **AWS Cloud ... domain-specific data + Understands Agentic RAG (Retrieval-Augmented Generation) architectures \#LI-AS1 #LI- Remote Note: This job description is not intended to be… more
- Sedgwick (New York, NY)
- …Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** To analyze complex or technically difficult ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
- CVS Health (Albany, NY)
- …in analyzing monthly billing variances (20%) + Load new rates and specific coding relevant to the group plan and products sold. This set up information ... is critical for the import process from billing to accounts receivable/payable to ensure accurate and efficient revenue reporting and vendor payments (10%) + Process administrative claims to collect payment for monthly administrative invoices (5%) - Complete… more
- Molina Healthcare (NY)
- …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts ... and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Understanding of… more
- Molina Healthcare (Yonkers, NY)
- …risk adjustment models, quality metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to ... walk stakeholders (internal and external) through basic financial reconciliations. + Excellent leadership skills, especially ability to influence others who are not in a direct reporting line including ability to think strategically, develop vision, and… more
- Mindex (Rochester, NY)
- …related to Salesforce applications and integrations. + Ensure best practices and coding standards are followed in all development activities. + Participate in code ... reviews and provide constructive feedback to team members. + Stay updated with the latest Salesforce features and technologies to continuously improve our Salesforce environment. Requirements + Bachelor's degree in Computer Science, Information Technology, or… more