- BAE Systems (Endicott, NY)
- …**Duties & Responsibilities to include:** + This person will function as a senior level labor and employment specialist supporting the Deputy Chief Counsel, ... **Job Description** We are seeking a senior level, experienced lawyer to serve in a...in its transactions and protect the company against potential claims and litigation. This role is required to be… more
- The Cigna Group (Albany, NY)
- **Pharmacy Account Manager (Non-IC) Senior Advisor - NY/NJ Market** **Work from Home: Preferably in NY or NJ** As part of Cigna Pharmacy Management, the Senior ... assigned geographical market(s) and client size band. The Pharmacy Account Senior Advisor position will be responsible for developing and maintaining relationships… more
- United Therapeutics (Albany, NY)
- …you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible ... team members, consultants and stakeholders + Manage Corporate Compliance Operations Specialist II, who is responsible for administration of compliance training and… more
- Highmark Health (Albany, NY)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Independent Health (Buffalo, NY)
- …systems to allow Pharmacy Benefit Dimensions (PBD) to accurately adjudicate prescription claims against the pharmacy benefits of its members and provide accurate ... stakeholders. Responsibilities include, but are not limited to, benefit designs, claims payment, eligibility issues, researching and resolving inquiries, assist with… more
- Trinity Health (Troy, NY)
- …grant reporting to federal, state, and local funders in conjunction with the Senior Grants Specialist , Assistant Director, and Director + Assists with ... Assists with processing of Forensic Rape Exam (FRE) reimbursement claims to NYS Office of Victim Services and processing...duties as assigned by the Director, Assistant Director, and/or Sr . Grants Specialist Pay range: $21.20-$32.15 Pay… more
- Oak Orchard Health (Brockport, NY)
- …the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through ... the third-party billing company + Manage Accounts Receivable related to all claims and ensure reconciliation with the general ledger. This involves working closely… more
- WSP USA (New York, NY)
- …contractors and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to appropriate ... construction and modernization projects under the guidance of a senior level SCA Project Officer. + Ensure the quality...and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in… more
- FlexStaff (Chappaqua, NY)
- …committed to high-quality healthcare administration. Under the direct supervision of a Senior Team Lead, the Accounts Receivable Specialist is responsible for ... Our client is seeking a skilled Anesthesia Accounts Receivable Specialist with a minimum of 2 years of experience...telephone or online and appealing denied or incorrectly paid claims . Key Responsibilities: - Review insurance payments for accuracy… more
- Highmark Health (Albany, NY)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more
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