• Self-Funded Health Plan Auditor

    City of New York (New York, NY)
    …requirements, and internal policies related to the payment of daily healthcare claims and monthly administrative fees. 2. Claims Data Validation: Verify the ... accuracy, completeness, and timeliness of daily healthcare claims payment data submitted by the health plan prior to authorize payment. Perform monthly… more
    City of New York (11/30/25)
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  • Self-Funded Health Plan Auditing Supervisor

    City of New York (New York, NY)
    …The role is responsible for overseeing staff responsible for the reconciling of claims payments within the City's self-funded health plan effective January 1, 2026. ... with contractual obligations, regulatory requirements, and internal policies related to health claims and monthly admin fee payments. o Oversee the performance of… more
    City of New York (12/03/25)
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  • Agency Health Liaison Supervisor

    City of New York (New York, NY)
    …Supervises liaisons to agency benefits offices, payrolls and carriers for eligibility, claims payments under the NYCE PPO. - Directs staff responsible for assisting ... personnel matters including performance review and any disciplinary meetings. INSURANCE ADVISOR - 40235 Qualifications a. A baccalaureate degree from an accredited… more
    City of New York (12/03/25)
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