- Lincoln Financial Group (Albany, NY)
- …**Requisition #:** 72954 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... Group Protection in a remote environment. Background Details The Claimant Excellence Team will...development to perform in this fast-paced environment. As a Claims Customer Care Associate , you… more
- University of Rochester (Rochester, NY)
- Responsibilities **Location:** Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings / work at RTP are ... required. Remote location must be within 2 hours of RTP...the accurate and timely preparation and submission of third-party billing/ claims to governmental or third-party payers. Re-submits claims… more
- University of Rochester (Rochester, NY)
- Responsibilities **Location:** Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings / work at RTP are ... required. Remote location must be within 2 hours of RTP...to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Flowcast billing application,… more
- University of Rochester (Rochester, NY)
- …to enable assistance and fill in as needed **Requirements:** Bachelor's or Associate 's Degree in Business, Health Care Administration or related discipline ... Responsibilities **Location:** Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings / work at RTP are… more
- Humana (Albany, NY)
- …to drive improvements in quality and/or reductions in total cost of care + Scorecard creation and reconciliation of provider performance based on contractual ... Qualifications:** + Bachelor's Degree + 3-5 years of experience in managed care operations, provider reimbursement and analytics, and value-based care +… more
- WTW (New York, NY)
- …in the North American market to join as a Property & Casualty (P&C) Associate Director in our Insurance Consulting and Technology (ICT) practice. You will have ... full potential. In this role you will collaborate with our team of pricing, claims , distribution, product management, underwriting and claims experts to sell and… more
- Mercy University (Dobbs Ferry, NY)
- Associate Athletic Trainer Print (https://www.schooljobs.com/careers/mercyedu/jobs/newprint/4419746) Apply Associate Athletic Trainer Salary $46,400.00 - ... Job Posting Summary Essential Job Functions & Responsibilities: + Supervise/Provide coverage and care of teams for practices and games (will involve some travel and… more
- Marriott (Albany, NY)
- …as injured worker advocate assisting them to set goals and participate in their care . + Recommend referral to Associate Resource Line as needed. + Coordinate ... **Additional Information** Nurse CARE Manager ( CARE - Coordinated Action...jurisdiction. This position is responsive to Marriott's associates, Marriott Claims Services, business units, Risk Management and community health… more
- University of Rochester (Rochester, NY)
- Responsibilities **Location:** Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings / work at RTP are ... required. Remote location must be within 2 hours of RTP...as to the processes necessary to collect denied insurance claims and resolve billing issues. Maintain a detailed knowledge… more
- Trinity Health (Syracuse, NY)
- …AND LICENSURE:** **Bachelor's degree or 5+ years' experience in Worker's Compensation claims administration; or an Associate 's degree in finance, insurance or ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Potentially a remote opportunity Monday - Friday with some hours on a rotating weekend and… more
- Humana (Albany, NY)
- …Clinical Strategy and Analytics (CS&A) Team is seeking a Research Scientist 2 ( Remote ). Healthcare is rapidly changing, and our members are living longer, often with ... clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key… more
- Humana (Albany, NY)
- …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Humana (Albany, NY)
- …more years of experience with CMS and/or AHCA compliance + 2 or more years Claims experience + 2 or more years Audit and/or Financial Recovery experience + SQL ... structure and design **Preferred Qualifications** + Direct experience working with Medicare claims + Working knowledge of CPT, ICD10 and HCPC + Provider contract… more
- Humana (Albany, NY)
- …first** Humana's Clinical Analytics Team is seeking a Senior Research Scientist ( Remote ). Our team identifies opportunities and builds solutions to improve clinical ... improvement for our members. + Develop models and/or rules using clinical condition in claims data, membership data, or other data sources in order to target at-risk… more
- Humana (Albany, NY)
- …team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical ... depth of knowledge of administrative processes and organizational knowledge. **This is a remote position from anywhere in the US.** **What Humana Offers** We are… more
- Humana (Albany, NY)
- …Disputes reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The ... **What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company...opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent… more
- Elevance Health (New York, NY)
- …Practice Enablement Clinician** **Location** : This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles from one ... key strategic solutions that involve practice collaboration and enablement to improve member care quality and value. Serves as a strategic solution lead for Oncology… more
- Humana (Albany, NY)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products...protect member PHI / HIPAA information This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more
- Molina Healthcare (New York, NY)
- **_ Remote and must live in downstate New York _**...2 - 3 years customer service, provider service, or claims experience in a managed care setting. * ... discuss and resolve issues related to utilization management, pharmacy, quality of care , and correct coding. * Independently delivers training and presentations to… more
- Humana (Albany, NY)
- …for complex accounts + Experience analyzing a wide variety of health or claims related data **Additional Information** **Why Humana?** At Humana, we know your ... space lacking ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below… more