• Senior Claims Representative…

    Ryder System (Albany, NY)
    … are being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact ... Ryder s Liability program. + Assists Claims Manager in the identification of exposures...with Law Department on significant cases, and updates field operations personnel on claims status. + Recommends… more
    Ryder System (06/03/24)
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  • Manager , Customer Experience-ASC…

    Vontier (Albany, NY)
    Leading the Claims team the Manager , Customer Experience-ASC Claims is responsible for managing a team of Service Account Managers, overseeing the ... service providers, and ensuring the efficient and effective management of service requests. Manager , Customer Experience-ASC Claims will play a critical role in… more
    Vontier (06/14/24)
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  • Sr. Claims Coverage Counsel or AVP,…

    Zurich NA (New York, NY)
    …for either our Sr. Claims Coverage Counsel role or our AVP, Claims Coverage Counsel role.The hiring manager will determine the appropriate level based ... Sr. Claims Coverage Counsel or AVP, Claims ...interpretations to ensure continuous improvements to products, processes and operations . The attorney will need to possess demonstrated legal… more
    Zurich NA (06/15/24)
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  • Manager , Billing - Remote /Hybrid…

    University of Rochester (Rochester, NY)
    …with enrollment regulations on a continuous basis to avoid billing issues and denied claims . + Works with PBB billing manager , UBO/departmental staff and Revenue ... changes made at the patient guarantor level. + Front-end claim rejections + Claims with no payer response 20% Oversees Patient Financial Services mail distribution… more
    University of Rochester (05/07/24)
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  • Provider Credentialing Contract Specialist-…

    Intermountain Health (Albany, NY)
    …execution of contracts under the supervision of the Provider Development Operations Manager . These responsibilities include the drafting, implementation, ... Flexible schedule with 8 hours daily work any hours you want!** ** Remote /Hybrid or in office available** **Job Essentials Credentialing** 1. Facilitates all aspects… more
    Intermountain Health (06/19/24)
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  • Sales Operations Manager , Biologics…

    ThermoFisher Scientific (Grand Island, NY)
    …Other **Environmental Conditions** Office **Job Description** **Position Summary:** The Manager , Biologics Proposals is the process owner and strong people ... a strong team. It is the expectation that the Manager , Biologics Proposals will spend their time with the...spend their time with the day-to-day management of a remote global team, distribution of workload, addressing and resolving… more
    ThermoFisher Scientific (05/18/24)
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  • Revenue Cycle Coordinator IV - Remote

    University of Rochester (Rochester, NY)
    …ensure accuracy and report variances to Department Administrators and the PFS Ambulatory Operations Manager 5% Act as the liaison between the Patient Financial ... regulations and contracts. Prepares and maintains billing for these claims on a daily basis. Assists the PFS Revenue...on a daily basis. Assists the PFS Revenue Cycle Manager and multiple department administrators with planning and problem… more
    University of Rochester (06/06/24)
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  • Employee Services Representative II…

    Ryder System (Albany, NY)
    …to areas such as: I-9 compliance, Pre-employment services, Unemployment Insurance claims , Immigration Services, Leave Administration, Drug and Alcohol program, HR ... + Monitor work queues and work independently under the direction of the Manager + Exhibit positive attitude while communicating with all internal and external… more
    Ryder System (06/15/24)
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  • Clinical Bill Review and Treatment Plan Team…

    Zurich NA (Albany, NY)
    … 113692 Zurich Insurance is seeking a Clinical Bill Review and Treatment Plan Team Manager . This position is 100% remote . The Clinical Bill Review and Treatment ... bills and creates treatment plans for Zurich's Workers Compensation claims . The manager will ensure that the...vendors, and identifying areas for process improvement. This fully remote position involves leading, managing and developing a team… more
    Zurich NA (06/12/24)
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  • South Central Regional Network Development…

    HomeSafe Alliance (Albany, NY)
    …more effectively. + Express company concerns and requirements to HomeSafe Alliance operations , claims , quality, and operations excellence staff sections. ... **Title:** South Central Regional Network Development Manager **HomeSafe Alliance** is the single global household...the client and HomeSafe Alliance resulting in smooth, seamless operations (property survey, pick up, pack, delivery, unpack, short… more
    HomeSafe Alliance (06/04/24)
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  • Field Reimbursement Manager I&I Dallas, TX…

    Pfizer (New York, NY)
    …and IRCA. Pfizer is an E-Verify employer. This position requires permanent work authorization in the United States. Sales Operations & Admin \#LI- Remote #LI-PFE ... brochures. + Reactively assisting HCP offices with coding and claims -related issues by contacting payers to understand policy or...use Pfizer's designated case notes system The Field Reimbursement Manager is to be the subject matter expert on… more
    Pfizer (06/12/24)
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  • Sr. Manager , Medicaid Contract…

    Sumitomo Pharma (Albany, NY)
    **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote /occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid Contract… more
    Sumitomo Pharma (05/09/24)
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  • Senior Manager , Global Regulatory Labeling…

    Takeda Pharmaceuticals (Albany, NY)
    …others as appropriate) to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure that Takeda products have ... Global Regulatory Team (GRT) + Liaises with US Labeling Operations , EU Labeling Operations , Labeling Devices Lead...around the world. This position is currently classified as " remote " in accordance with Takeda's Hybrid and Remote more
    Takeda Pharmaceuticals (06/18/24)
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  • Sr. Manager of Information Technology

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …needs. Lead and direct the staff of the Applications Development, IT Operations , Database, Reporting, Web, BI and technical departments. Perform planning, budgeting, ... and technology needs that support ProAct and Noble. This is not a remote position **Responsibilities** **Job Duties:** + Responsible for the daily activities of… more
    KPH Healthcare Services, Inc. (06/04/24)
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  • Release Manager

    HealthEdge Software Inc (Albany, NY)
    …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... you bring** **:** + 5-7years of experience in IT Operations ,Release Management,Configuration Management, Change Management, orSystem administration in complex… more
    HealthEdge Software Inc (06/12/24)
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  • Account Manager - Network Expansion

    Integra Partners (New York, NY)
    …in the healthcare community along the way. The AM will work closely with Sales Operations and the Payer Sales teams. The ideal candidate has high energy, is not ... healthcare. Salary: $70,000/annually Responsibilities and Duties The Network Expansion Account Manager Responsibilities include but are not limited to: + Research,… more
    Integra Partners (06/08/24)
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  • Senior Product Marketing Manager

    MetLife (New York, NY)
    …cross-functional team including product, sales & distribution, research & insights, claims , service, analytics and marketing operations . Key Responsibilities: * ... Distribution, Employer Product Marketing, Global Brand & Marketing (Marketing Operations , Customer Experience, Global Brand) Essential Business Experience and… more
    MetLife (05/30/24)
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  • Psychiatric Physician Lead-Hybrid-Jersey City, NJ

    Alight (New York, NY)
    …Case Managers managing behavioral health short-term disability and work accommodation claims . This role includes business continuity and crisis response along with ... and interpreting information related to psychiatric disability and/or leave of absence claims and claim management strategies. + Training the case manager more
    Alight (05/16/24)
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  • Surveillance Investigator

    The Robison Group (Buffalo, NY)
    …FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager , Case Management, etc. Department Surveillance Employment Type Full ... the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil… more
    The Robison Group (06/17/24)
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  • Construction Control Representative

    Veterans Affairs, Veterans Health Administration (New York, NY)
    …to most practical methods of accomplishing desired results. Confers with Project Manager or Project Engineer on matters pertaining to the control, placement, ... as to features, requirements, and special conditions. Provides oversight of construction operations to ensure proper quality and quantity of material and equipment,… more
    Veterans Affairs, Veterans Health Administration (06/13/24)
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