- MVP Health Care (Schenectady, NY)
- Leader , Claims Support Headquarters Office, 625 State Street, Schenectady, New York, United States of America * Rochester Office, 20 S. Clinton Ave, ... continuous improvement. To achieve this, we're looking for a Leader , Claims Support to join...supervisory experience or 2 years' experience as a team lead /senior. Knowledge of ICD-10, CPT-4, and HCPCS coding preferred.… more
- Trinity Health (Albany, NY)
- …and identify potential risks and mitigation associated with that risk. **LIABILITY CLAIMS SUPPORT :** Works collaboratively with assigned Trinity Health Area ... Claims Manager and defense counsel to support discovery requests (access facility records, identify witnesses, schedule interviews, depositions and other… more
- Sedgwick (Albany, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead I Workers Comp (Calif Exp) **PRIMARY PURPOSE:** To supervise ... individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in… more
- Carrington (Albany, NY)
- …losses in order to dispute financial impact + Review and procure additional support upon receipt of rebutted responses from external partners / investors + Analyze ... in order to apply the proper decision rationale and provide evidentiary support to complete accurate written summaries. + Research incurred losses, using analytical… more
- Sedgwick (Albany, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workforce Absence Team Lead **Must be able to work within these hours:** Monday - Friday 10:00am ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- Cardinal Health (Albany, NY)
- …insurance claims ; properly resolves by follow-up & disposition. + Lead and manage escalation projects, addressing complex issues and ensuring timely resolution ... understanding of service level goals and objectives when providing customer support . + Demonstrates ability to respond to non-standard requests from vendors… more
- GE Aerospace (Niskayuna, NY)
- …and drafting IP memos on complex topics, and conducting investigations and interviews to support IP claims /defenses + Substantial experience in one or more of ... inventing the future of flight. The IP Counsel will lead projects and initiatives with broad scope and high...and trade secret matters + Providing strategic guidance to support GE Aerospace's IP asset development team (substantially devoted… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …visible leadership position has been designed for an executive marketing professional to lead the US Centanafidine launch, a novel treatment for ADHD. The compound ... launch that results in significant contribution to overall brand growth and lead commercial team members responsible for creating and implementing brand strategy… more
- Carrington (Albany, NY)
- **Come join our amazing team and work from home!** The Bankruptcy Team Lead will be responsible for monitoring residential mortgage loans in the Bankruptcy process ... Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of...industry. * One year or more in senior or lead bankruptcy role or project management * Intermediate math… more
- GE Vernova (Schenectady, NY)
- …the critical path analysis for deliverables and ensure no impact to contract dates. + Claims (EOT, etc.); perform delay analysis to support extension of time and ... project schedules for a medium portfolio of projects to support project reporting and on time delivery analysis which...& EEP projects or TK Projects where partner is leader . **Job Description** **Roles and Responsibilities** + **ITO -**… more
- GE Vernova (Schenectady, NY)
- …the critical path analysis for deliverables and ensure no impact to contract dates. + Claims (EOT, etc.); perform delay analysis to support extension of time and ... project schedules for a medium portfolio of projects to support project reporting and on time delivery analysis which...& EEP projects or TK Projects where partner is leader . **Job Description** **ITO -** **O** **TR** **H** **a**… more
- Humana (Albany, NY)
- …caring community and help us put health first** The Market Entry Capture Strategy Lead will lead initiatives to develop and execute strategy to successfully ... assess, and translate state requirements into actionable go-to-market strategy. The Lead will consult with growth partners to design and optimize operating… more
- Cognizant (Albany, NY)
- …world. Together, we're improving everyday life. Job Title: Product Engineering Lead Location: Remote Job ID: SO# 00064440161 Role and Responsibilities: + ... perform thorough unit testing. + Participate in Systems/Integration Testing and support User Acceptance Testing. + Resolve application defects and implement system… more
- Cognizant (Albany, NY)
- **Job Summary** We are seeking an experienced Technology Lead / Manager with 10 to 14 years of experience to join our team. The ideal candidate will have expertise in ... Develop and maintain Java-based applications and web services to support content management systems. + Oversee the integration of...+ Have a good understanding of domain skills in Claims and Payer enhancing the ability to deliver tailored… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Uses existing software and systems to support the department's goals. + Develops and generates ad-hoc and… more
- Whitney Young Health Center (Albany, NY)
- …their direction to Athena CBO for submission, and all other activities that lead to the successful adjudication of eligible claims + Informs Director ... the billing and collection of medical services. This includes: creating claims according to regulations and compliance guidelines, patient account research and… more
- GE Vernova (Schenectady, NY)
- … LEAD the ENERGY TRANSITION. Our TEAM is ready. The Contract Manager will lead Contract Management support in the execution of complex equipment and extended ... commercial expert in preventing and mitigating high dollar value claims and risks. In this role, you will: +...Change Orders as required + Visit customer sites and lead Contract analysis of problems + Prepare and present… more
- University of Rochester (Albany, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the ... all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue… more
- Molina Healthcare (Albany, NY)
- …Responsible for auditing inpatient medical records and generating high quality claims payment to ensure payment integrity. Responsible for performing clinical ... issues of coding and DRG assignment accuracy. Ensures that claims are settled in a timely fashion and in...on-going training for all employees as needed; delegates to Lead as appropriate to ensure new hires are trained… more
- GE Vernova (Schenectady, NY)
- …project execution and ensures that commercial risks and opportunities (notably claims , change orders, vendor and insurance recoveries) are identified early, tracked, ... managed and resolved favorably to GE. The support includes contract analysis, drafting of contractual documents & correspondence as well as negotiation. **Job… more