- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Attorney General, Office of the Title Senior Consumer Frauds Representative or Consumer Frauds Representative Trainee (NY HELPS) Occupational ... of health care complaints, including, but not limited to billing and claims reimbursement disputes; denials of coverage for medical treatment, prescriptions, and… more
- CVS Health (Albany, NY)
- …The Senior Analyst, Account Management will serve as a fully dedicated advocate to senior employees and their families employed by a leading financial ... services company. **Key Responsibilities** + Serve as the main point of contact for senior leaders working closely with the Benefits team to ensure a seamless and… more
- MTA (New York, NY)
- Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: ... Labor Relations MNR Date Posted: Aug 15, 2025 Description JOB TITLE: Senior Labor Relations Representative DEPT/DIV: Labor Relations WORK LOCATION: 420 Lexington Ave… more
- Molina Healthcare (Albany, NY)
- …with the Plan's highest priority, high volume, strategic providers to educate, advocate and engage as valuable partners. + Requires an in-depth knowledge of ... provider issues that may cross departmental lines and involve Senior Leadership. + Serves as a subject matter expert...3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5… more
- Warner Bros. Discovery (New York, NY)
- …primary legal advisor for litigation matters, overseeing pre-litigation claims and judicial proceedings, including arbitrations, mediations, settlement conferences, ... handling Warner Bros. Discovery litigation, investigating and resolving pre-litigation claims , representing the company in judicial proceedings, negotiating, reviewing,… more
- Warner Bros. Discovery (New York, NY)
- …will lead a talented team of privacy attorneys and professionals, advise senior business executives and technology stakeholders, and manage a range of issues ... and initiatives related to consumers, workforce, and talent . + Work with senior executives and technical subject matter experts on complex and innovative ad sales,… more
- Molina Healthcare (Rochester, NY)
- …skills to successfully engage high volume, high visibility providers (including senior leaders and physicians) to ensure provider satisfaction, education on key ... minimal direction, works directly with the Plan's external providers to educate, advocate , and engage as valuable partners, ensuring knowledge of and compliance with… more
- Highmark Health (Albany, NY)
- …resources available to transition to AHN or other community providers. + Advocate for the member by providing assistance with transferring medical records, making ... department (including but not limited to Product Management, membership, claims , eMarketing, etc.). Identify any opportunities for process improvements.Success will… more
- Humana (Albany, NY)
- …adhere to CMS mandates and NCQA standards. + **Technical debt management:** Advocate for the resolution of technical debt and architectural improvements, balancing ... leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with **CMS Stars… more
- OneMain Financial (New York, NY)
- …QA). + Partner with Product and Engineering leadership to influence roadmap priorities, advocate for SEO needs, and support major site redesigns or migrations. + ... Work closely with Legal/Compliance on content and claims approvals, ensuring compliance does not hinder organic growth....use of generative AI. + Serve as the team's senior point of escalation for complex SEO or GEO… more