- Reed Smith LLP (New York, NY)
- …relationships and collaborative structure make us the go-to partner for complex disputes , transactions and regulatory matters. Our team of 3,000 people (including ... demonstrative materials, and managing offsite war room spaces as needed. Ensure compliance with court procedures and arbitration rules, such as formatting and trial… more
- Ankura (New York, NY)
- …is a team of excellence founded on innovation and growth. Ankura's Disputes & Economics professionals are world class and globally recognized independent experts ... who tailor financial, operational, and compliance solutions to complex litigation, enforcement, and regulatory challenges....Director will support the Healthcare Payer team within Ankura's Disputes & Economics practice - one of seven practices… more
- Ankura (New York, NY)
- …A recognized leader in healthcare litigation support, Ankura's Healthcare Disputes team combines unparalleled clinical, technical, and operational experience with ... analytical offerings for our clients that reveals how this information impacts legal disputes that these companies may be facing. We combine in-depth operational, … more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on ... millions of people we serve to achieve their best health - delivering the care and service...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Intermountain Health (Albany, NY)
- …+ Responsible for the accurate and timely submission of reconsiderations and disputes . + Responsible for maintaining work queues at acceptable ageing, by updating ... system or registration issues. + Maintain basic understanding and knowledge of health insurance plans, policies and procedures. + Accurately and thoroughly document… more
- CVS Health (Albany, NY)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...The Medicaid VBS Network State Manager manages and oversees compliance with our Network responsibilities as provided within the… more
- University of Rochester (Brighton, NY)
- …Senior Counsel identifies, analyzes and provides legal guidance and services on complex health care regulatory and corporate matters relevant to the University ... of Rochester Medical Center (Medical Center) and its health care affiliates, including hospitals, long term care facilities, home health agencies,… more
- MVP Health Care (Fishkill, NY)
- At MVP Health Care , we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve ... well-being + An opportunity to shape the future of health care by joining a team recognized...with developing contract documents for renewals and/or amendments in compliance with company templates, reimbursement structure standards and other… more
- Molina Healthcare (Rochester, NY)
- …to review compliance -based issues for benefit planning purposes. **Recoveries & Disputes ** + Review and validate provider complaints and payment disputes , ... disputes , appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical...years of experience in previous roles in a managed care organization, health insurance or directly adjacent… more
- Humana (Albany, NY)
- …Humana processes, as well as a focus on collaborative business relationships, value based care , population health , or disease or care management. **Use your ... of service should be authorized at the Initial and Appeals/ Disputes level. All work occurs within a context of...millions of people we serve to achieve their best health - delivering the care and service… more
