- Ankura (Lexington, NY)
- …counsel assess and quantify the potential impact of a dispute. Role Overview: Senior Directors support the Healthcare Disputes team within Ankura's Disputes ... A recognized leader in healthcare litigation support, Ankura's Healthcare Disputes team combines unparalleled clinical, technical, and operational experience with… more
- Ankura (Lexington, NY)
- …is a team of excellence founded on innovation and growth. Ankura's Disputes & Economics professionals are world class and globally recognized independent experts ... solutions to complex litigation, enforcement, and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's … more
- Molina Healthcare (Albany, NY)
- …handling provider disputes , appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims ... **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake...years of experience in previous roles in a managed care organization, health insurance or directly adjacent… more
- CVS Health (Albany, NY)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...with heart, each and every day. **Position Summary** The Senior Manager will lead strategic pharmaceutical contracting initiatives, including… more
- Amrize (Ravena, NY)
- …+ Health Savings Accounts (HSAs) & Flexible Spending Accounts (FSAs) for health and dependent care + Vision and other Voluntary benefits and discounts ... Senior Project Manager Requisition ID: 14158 Location: Ravena,...and oversee quality control. **WHAT YOU'LL ACCOMPLISH** + Ensures Health , Safety and Environmental values, policies and standards are… more
- Humana (Albany, NY)
- …put health first** Humana Healthy Horizons is seeking a Senior Value-Based Programs professional who will support successful value-based provider relationships ... contractual terms. + Analyzes utilization data to reconcile provider disputes . + Contributes to development and support of provider...millions of people we serve to achieve their best health - delivering the care and service… more
- Humana (Albany, NY)
- …we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These ... part of our caring community and help us put health first** Join Humana-recognized as a Fortune Top Company...improvements in quality and/or reductions in total cost of care . + Design and develop data models to attribute… more