- Molina Healthcare (Yonkers, NY)
- …Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received ... via claims, call tracking, or e-mail. Maintain records in the enrollment database. **Knowledge/Skills/Abilities** + Holds general oversight of enrollment and premium staff at each plan site within defined region. This may include employee reviews, coaching… more
- Sharecare (Albany, NY)
- …from standard screens, scripts and procedures. CSRs use a computerized system for tracking calls, information gathering, and/or troubleshooting and may assess ... needs, explain programs and suggest/promote alternative products or services. **Start date:** September 22, 2025 (new hires must be able to start on this day) **Training:** Two weeks from 8am - 4:30pm CT. New hires are unable to miss any days of training (9/22… more
- Cognizant (Albany, NY)
- …collaborate with stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA paper or EDI information. + ... Evaluate medical records to determine if the service rendered was medically appropriate and criteria compliance. + Analyze claim and line-item edits, including warning messages, to determine payment eligibility. + Manage all tasks within designated timeline to… more
- Molina Healthcare (Syracuse, NY)
- …The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is ... required, and a background in payment integrity-either at a health plan or vendor-is strongly preferred. **Knowledge/Skills/Abilities** + Review Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. +… more
- Northwell Health (New Hyde Park, NY)
- …Degree in a related field, preferred. + Knowledge of all applicable health system , New York State and Federal employment regulations, preferred. + Microsoft Office ... Suite experience, required. + Strong verbal, written and customer service skills, required. + Strong attention to detail and ability to multi-task, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of… more
- IQVIA (New York, NY)
- …www.iqviadigital.com At the center of IQVIA Digital sits our IQVIA Media Operating System , a healthcare specific marketing platform trusted by some of the largest ... pharmaceutical brands and media agencies. We empower media planning, buying, and analytics teams with the tools they need to do their job, and do it well. By simplifying workflows that used to take days into seconds, integrating functionality that used to… more
- American Express Global Business Travel (Albany, NY)
- …road, rail, and accommodations + Use of one of our Global Distribution System 's (GDS) + Ensure compliance to customers' agreed travel policy, service provider ... policies, and regulatory requirements + Use positive telephone service techniques and act on special customer requests + Prevent fraudulent callers from trying to book trips afterhours by following our security protocols. + Collaborate within your team to… more
- Anywhere Real Estate (Buffalo, NY)
- …on feedback and usability testing. + **UI Design:** Work with a design system team to translate wireframes and prototypes into visually appealing and cohesive user ... interfaces and influence new patterns. + **Usability Testing:** Work with the UX research team to plan and conduct usability testing sessions to capture feedback and validate design choices. Use findings to refine and improve the user experience. +… more
- Anywhere Real Estate (Buffalo, NY)
- …based on feedback and usability testing. **UI Design:** Work with a design system team to translate wireframes and prototypes into visually appealing and cohesive ... user interfaces and influence new pattern. **Usability Testing:** Work with the UX research team to plan and conduct usability testing sessions to gather feedback and validate design choices. Use findings to refine and improve the user experience.… more
- Molina Healthcare (NY)
- …managers, and business analysts, to integrate AI solutions into existing systems and processes. * **Documentation and Reporting:** Create comprehensive documentation ... of models, methodologies, and results; communicate findings clearly to non-technical stakeholders. * Mentors, coaches, and provides guidance to newer data scientists. * Partner closely with business and other technology teams to build ML models which helps in… more