- Theguarantors (New York, NY)
- …P&C insurance, fintech lending, or payments. Familiarity with insurance core systems , claims rules engines, consumer-debt collections, and state/federal ... Technology Fast 500. The Opportunity We are seeking a Senior Product Manager to lead the end-to-end product strategy...the end-to-end product strategy and execution for our insurance claims and collections technology. This role will focus on… more
- Pumpkin (New York, NY)
- …capabilities. This is a high-impact opportunity to drive the evolution of internal claims processing systems , CX processing systems , insurance premium ... ensuring alignment with company objectives and operational needs. Optimize internal claims processes, CX systems , and insurance operational workflows to… more
- SCOR (New York, NY)
- …cross-LOB growth Collaborate with the Claims Function in negotiating/resolving the claims arising from your portfolio. Ensure data quality and reporting to ... SCOR. Whether it's across underwriting, or working closely with Claims and Pricing, we are successful because of this...analysis of both the portfolio results and the market data Provide technical expertise, best practices and mentoring to… more
- Send (New York, NY)
- …the North American insurance market. Familiarity with underwriting workbenches, policy administration systems (PAS), or claims technology. What's on Offer - Life ... Start date: As soon as possible Visa / Sponsorship Available: Not Available The Senior Pre-Sales Consultant Role As we continue our mission to be the market-leading… more
- University of Rochester (Rochester, NY)
- …to address concurrent DBL and WC claims ). Monitors, tracks, and maintains data for reporting requirements. Utilizes multiple systems to analyze claims , ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
- NYC Health Hospitals (New York, NY)
- …file and data integrity across all TPAs c. Monitors ineligible claims and reviews for potential eligibility and qualification d. Projects and analyzes internal ... Pharmacy Affairs Guidelines *Knowledge in contracting, pharmaceutical purchasing, and inventory systems *Experience working with large data sets and manipulating… more
- Ivy Rehab Network (White Plains, NY)
- …Strong financial analysis and modeling capabilities Proficiency in contract management systems and data analytics tools Leadership and Communication Exceptional ... Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes… more
- Molina Healthcare (Albany, NY)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Amazon (New York, NY)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... Senior Risk Manager. The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of success in procurement,… more
- Capital One (New York, NY)
- Sr . Distinguished Engineer - Fraud Technology As a Sr . Distinguished Engineer at Capital One, you will be a part of a community of technical experts working to ... on our customers' lives. We are looking for a Senior Distinguished Engineer to define, architect and drive the...Define and drive technical strategy and roadmap for our systems and platforms that power Fraud defenses and Fraud… more
- Two95 International Inc. (New York, NY)
- …SOW will meet their needs * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively navigate and do the ... Job Title: Sr . Analytics Consultant Job type : Remote Work...analyses * Lead the analytical-interrogation of their EMR/EHR and/or claims data to perform data … more
- Warner Music Group (New York, NY)
- …company that retains the creative spirit of a** **nimble independent.** **Job Title: Sr . Analyst, Financial** **A little bit about our team:** Warner Music Group's ... development opportunities. We're excited to share this new opportunity for a Sr . Analyst, Participations with strong analytical & financial capabilities, to join our… more
- Canon USA & Affiliates (Albany, NY)
- **Mgr Medical Affairs - Clinical Development Sr - HIT - req1494** **OVERVIEW** Works independently and as part of a dynamic and fast-paced team of clinical and ... and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business,… more
- ServiceNow, Inc. (New York, NY)
- …of the Fortune 500(R). Our intelligent cloud-based platform seamlessly connects people, systems , and processes to empower organizations to find smarter, faster, and ... to make the world work better for everyone. The Sr Director of Insurance Go to Market (GTM) AMS...related pursuits within the global market connecting with more senior and C-suite stakeholders, taking our messaging, communications and… more
- Sumitomo Pharma (Albany, NY)
- …computer systems . + Identifies and resolves discrepancies in submitted data invoices to ensure legitimacy of contract discounts. + Ensures detailed accuracy ... highly motivated, and experienced individual for the position of Sr . Manager, Medicaid Contract Administration. This position is responsible...of correct data input into company systems . + Maintains… more
- Ducommun (Coxsackie, NY)
- Sr . Human Resources Generalist Provides full range of support in all areas of HR including recruiting, benefits administration, employee relations, training, ... development, orientation, data administration and documentation, talent management, HR compliance, and all related activities. Internal Communication and… more
- Evolent (Albany, NY)
- …mission. Stay for the culture. **What You'll Be Doing:** Evolent Health is looking for a Sr . Product Owner within our Common Data portfolio to be a key member of ... a technical field or relevant related field + Understanding of healthcare data formats (eg, eligibility, claims , configuration, authorizations, clinical data… more
- Evolent (Albany, NY)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... Familiarity with value-based care and utilization management is preferred + Understanding of data systems and the critical thinking skills to solve new problems… more
- Molina Healthcare (New York, NY)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Evolent (Albany, NY)
- …skills + Microsoft Office experience (Excel, Visio) + Understanding of healthcare data formats (eg, eligibility, claims , configuration, authorizations, clinical ... You'll Be Doing:** Evolent Health is looking for a Senior Product Owner to be a key member of...key member of the Product team, focused on client data integrations. This individual will play a critical role… more
