- 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
- Sedgwick (New York, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | NY Jurisdictional Knowledge We are seeking ... a highly motivated and experienced **Workers' Compensation Claims professionals** to join our team . The ideal candidate will have at least 5 **years** of … 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
- 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
- Humana (Albany, NY)
- …healthcare operations, or insurance industry, with at least 1 year in a supervisory or team lead role. **Knowledge & Skills:** + Solid understanding of claims ... a part of our caring community and help us put health first** The Supervisor, Claims Review makes appropriate claim decision based on strong knowledge of claims … more
- Carrington (Albany, NY)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred ... to reduce costs and eliminate non-essential and manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including,… 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
- 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
- Molina Healthcare (NY)
- …Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue ... **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise, manages relationships… more
- Molina Healthcare (NY)
- …Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Mount Sinai Health System (New York, NY)
- …**Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days - Remote ** The Director, Pre Appeals Management is a strategic ... utilization management + **Skills & Competencies** : + Proven ability to lead cross-functional teams and manage complex workflows + Strong analytical and… more
- Molina Healthcare (Buffalo, NY)
- …analysis. + Do root cause analysis for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies, outliers, trend changes ... Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team . Designs and develops reporting solutions to assist HEDIS audit, rate… more
- iPostal1 (Montebello, NY)
- …an established, cutting edge leader in the digital mailbox industry. Full Time Transfer Team Lead - Montebello, NY Montebello, New York We're iPostal1 and we're ... Montebello, NY location. We are currently seeking a Transfer Team Lead to serve as a subject...for you! *Please note this is an in-office role. Remote work is not available. There will be a… more
- Humana (Albany, NY)
- …leading organization, we invite you to apply and be part of our dynamic team . The Value Based Programs Business Intelligence Lead solves complex business ... Places to Work-as a Value Based Programs Business Intelligence Lead . In this impactful position, you will play a...providers understand their overall performance. + Partner with finance team to conduct impact analysis and modeling for new… more
- Guardian Life (Albany, NY)
- ** Lead AI Innovation Lead - Data Science...their families. As part of the Data & AI team , this role presents a distinctive opportunity to collaborate with ... Science, actively contributing to Guardian's ongoing evolution. Guardian's Data & AI team spearheads a culture of data insights across Guardian, facilitating the… more
- New York Times (New York, NY)
- …to our readers. As lead editor, you will report directly to the team 's Senior Editor. A deep interest in thoughtful service-driven journalism - as well as in ... for. About the Role Wirecutter is looking for a Lead Editor to help shape and steer our coverage...You will work with the Writers on the Appliances team to make sure assignments stay on track, follow… more
- Cognizant (Albany, NY)
- **About the role** We are looking for Test Lead with 10+ years of QA experience who have good exposure and understanding of personal lines Insurance (Auto or Home). ... to solve straightforward problems, seeking input and guidance from team members. + Works with more junior members to...**Based on this role's business requirements, this is a remote position open to qualified applicants in Phoenix, AZ.**… more
