- Excellus BlueCross BlueShield (Rochester, NY)
- …with all contractual stakeholders and advises, where applicable, to include Senior Leadership, Providers, Vendors and key departments in the organization such ... of SLA's (service level agreements). * Identifies and solves contractual, claims , group/member and pricing issues with supplier through vendor maintenance. Supports… more
- First Student (NY)
- …industry has to offer.** First Student is hiring an Area Safety Manager based out of Poughkeepsie, NY covering Eastern, NY state! Salary $88,000-$98,000 ... **Summary:** The Area Safety Manager (ASM) supports the safety of designated locations for...+ Provide support to RSD and Risk Management on claims management and in litigation. Complete Root Cause Analysis… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …Provide support to Account Representatives, Customer Service Supervisor, Customer Service Manager , and peers on all aspects of customer service, account management, ... annual management reports for PBM clients, and from our Claims Processor. + Assist with on-site client orientation, health...in a health care related service. **Special Conditions of Employment :** + Drug test + Initial and continuous exclusion… more
- Fujifilm (Albany, NY)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations of the company's compliance programs related to laws… more
- World Insurance Associates, LLC. (Syosset, NY)
- …retirement services, and human capital management solutions. Position Overview The Account Manager supports day-to-day service needs for our clients at the direction ... of Producers, Account Executives and/or Senior Account Managers. This individual will contribute to a...setup of online benefits enrollment support tools. + Resolves claims or administrative issues on behalf of client, escalates… more
- IQVIA (New York, NY)
- ** Manager , Medical Affairs Strategy** **Overview** IQVIA is a leading global provider of advanced analytics, technology solutions, and clinical research services to ... to superior client solutions as well as exceptional professional development. As a Manager , you will have the opportunity to directly address the most pressing… more
- The Cigna Group (New York, NY)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
- Paychex (Rochester, NY)
- …employee evaluations, to ensure consistent internal process are followed. + Ensures claims are handled in accordance with established quality and timeliness measures ... costs. Oversee claim resolution, settlement, and denials of WC's claims . Oversee vendor performance, including evaluation/negotiation of annual contract renewal.… more
- Blue Matter (New York, NY)
- …a core capability within our portfolio. We are seeking an entrepreneurial Technology Manager / Associate Principal to help grow our Technology & Operations practice ... Development (30%) + Serve as a strategic advisor to senior life sciences stakeholders. + Strengthen and expand East...design. + Deep understanding of life sciences datasets (IQVIA, claims , CRM, lab data). + Executive presence with strong… more
- Weeks Marine (Brooklyn, NY)
- **Requisition ID:** 175063 **Job Level:** Senior Level **Home District/Group:** Weeks Marine - Construction **Department:** Field Operations **Market:** Marine ** ... Employment Type:** Full Time Temporary **Position Overview** The Project Manager is responsible for a construction project's overall direction, completion, and… more