• Clm Resltion Rep IV, Hosp/Prv

    University of Rochester (Rochester, NY)
    …+ Identifies need for in-person meetings and phone conferences with third-party insurance representatives due to claim and systems issues requiring prompt ... dollar accounts. + Prepares information for and attend meetings with third-party insurance representatives on claims and systems issues for scheduled in-person… more
    University of Rochester (08/07/25)
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  • Referral Coordinator-Hybrid/ Remote

    Trinity Health (Rensselaer, NY)
    …as a Referral Coordinator this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position is located ... with proper documentation. - Works in colaboration with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system. -… more
    Trinity Health (08/20/25)
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  • Medicaid Senior Project Manager ( Remote )

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** Humana is looking for a Medicaid Senior Project Manager to join the Project Management team! ... a range of subject matter expertise relative to both Claims Administration & Payment Integrity (CAPI) and Humana as...and the impacted business areas While this role 100% remote , candidates that reside within 50 miles of Louisville,… more
    Humana (08/27/25)
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  • Client Services Director | REMOTE

    Sedgwick (New York, NY)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Client Services Director | REMOTE | Casualty/Workers Compensation Experience ... limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and… more
    Sedgwick (08/08/25)
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  • Specialty Seller BPO, Banking and Financial…

    NTT America, Inc. (NY)
    …dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance , short and long term ... apply now. We are currently seeking a Specialty Seller BPO, Banking and Financial Services( Remote ) US to join our team in New York, New York (US-NY), United States… more
    NTT America, Inc. (08/28/25)
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  • Manager, Medical Economics (Medicaid)…

    Molina Healthcare (Syracuse, NY)
    …industry (ie, hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care ... Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
    Molina Healthcare (08/27/25)
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  • Senior Analyst, Medical Economics - REMOTE

    Molina Healthcare (Yonkers, NY)
    …industry (ie, hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care ... Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
    Molina Healthcare (07/10/25)
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  • Remote Medical Director

    Centene Corporation (New York, NY)
    …and Medicare members, as well as to individuals and families served by the Health Insurance Marketplace. Looking for a compelling opportunity to move beyond ... per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid… more
    Centene Corporation (08/16/25)
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  • Executive Director of R&D Global Quality…

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    …inspection ready, resources are provided on site and/or remotely during health authority inspections, observational findings are responded to appropriately and ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
    Otsuka America Pharmaceutical Inc. (06/13/25)
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  • Remote HEDIS Abstractor $20/HR

    TEKsystems (New York, NY)
    100% REMOTE JOB OPPORTUNITY FOR HEDIS ABSTRACTORS - MUST HAVE PRIOR HEDIS EXPERIENCE EQUIPMENT PROVIDED THIS JOB OPPORTUNITY IS A 3 MONTH CONTRACT MONDAY - FRIDAY ... + Responsibilities include retrieving medical records with clinical accuracy using remote access to Electronic Medical Record Systems while meeting daily… more
    TEKsystems (08/27/25)
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