- Jobleads-US (New York, NY)
- …on employment matters such as leave administration and compliance with labor laws; Lead all HR investigations and identify critical cases for outsourcing and develop ... practices. Create training on all policy and procedural changes for the HR team and administer the implementation plan; Develop and deliver training programs for… more
- Parexel (Albany, NY)
- **Project Lead ,** **Meeting Services** We are looking for a Meeting Specialist to join our talented and supportive team of 40+ delivering high quality ... for your clients as you look after projects end-to-end working with a team of likeminded individuals. Qualities such as being highly self-motivated, driven, and… more
- Sedgwick (Albany, NY)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Team Lead - Workers Compensation | AZ, ... activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ...Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Performance… more
- AON (NY)
- …or 100% remote work schedule. Responsibilities: + Review and service claims in accordance with plan provisions. + Examine claim submissions and documentation to ... + Communicate effectively with customers through verbal and written communication. Skills that lead to success: + Claims adjudication experience. + Clear and… more
- Cognizant (Albany, NY)
- **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote ** **Employment Type: Full-Time** **Job ID: 00066023611** **About the role** As a ... You will be a valued member of the delivery team and work collaboratively with stakeholders across business and...payer domain systems. **In this role, you will:** + Lead the implementation and customization of Facets Claims… more
- FlexStaff (Chappaqua, NY)
- …a detail-oriented and experienced Compliance Auditor to join our client's dynamic team ! This hybrid position offers the perfect blend of in-office collaboration and ... remote work, all while contributing to an organization committed...anesthesia records focusing on quality, completeness, and correctness of claims based on services provided - Communicate review findings… more
- Humana (Albany, NY)
- …some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, and Humana colleagues. After completion of mentored ... adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director, depending on the line of business. The Medical Director… more
- Danaher Corporation (New York, NY)
- …and evidence generation. Reporting to the Chief Data Officer (CDO), you will lead a multi-disciplinary team that partners across the CIO organization, university ... of the Chief Innovation Office and will be fully remote . In this role, you will have the opportunity to: + Lead and mentor a high-performing team of data… more
- Molina Healthcare (Yonkers, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... of new and existing health plans. + Executes retroactive claims reports + Runs fee schedule & MRDT update...MRDT processes to be built by the TCIM Development team including new fee schedule processes. + Performs manual… more
- Trinity Health (Albany, NY)
- …Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a ... team environment and is responsible for reviewing clinical documentation...diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system… more
