- HealthEdge Software Inc (Albany, NY)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... **: ** + 5+ years' experience as a product manager in a **SaaS-based, Agile** /Scrum technology company including...**Must have 5+ years' experience working as a Product Manager on a Core Administrative Processing System** + Proven… more
- HealthEdge Software Inc (Albany, NY)
- **Overview** ** Senior Manager , Product Operation** **Position Overview:** We areseekinga highly skilled and experiencedSenior Manager , ProductOperationsto ... business. Our product teams are cross-functional and durable,generally comprisedof a product manager , a product designer, several engineers, and QE. We have divided… more
- Wolters Kluwer (Albany, NY)
- …| Wolters Kluwer (https://www.wolterskluwer.com/en-gb/solutions/legisway) **What We Offer: ** This Senior Field Sales Manager role offers growth potential ... remote schedule, and amazing benefits. **What You'll be Doing:** As our newest Legisway Senior Field Sales Manager , your primary responsibility will be the sales… more
- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager Senior ** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior ** is responsible for care management...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- HealthEdge Software Inc (Albany, NY)
- **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more
- Elevance Health (Latham, NY)
- **Investigator Senior ** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... recover, eliminate and prevent unnecessary medical-expense spending. The **Investigator Senior ** is responsible for the independent identification, investigation and… more
- Elevance Health (Latham, NY)
- **Provider Contract/Cost of Care Analyst Senior -Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 miles/1 ... Value Analytics and Optimization team** is looking for a senior analyst who will lead medical cost trend deep...Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Humana (Albany, NY)
- …our caring community and help us put health first** Humana is seeking a Senior Economist to lead the development and management of advanced econometric models to ... forecast and understand drug utilization trends and costs. As a Senior Economist, you will use open-source programming languages (R or Python) in Databricks to… more
- Crawford & Company (Albany, NY)
- …with injured worker, employer and physicians. + Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure ... worker/disabled individual. + May obtain records from the branch claims office. + May review files for claims...one of the below: + Certification as a case manager from the URAC-approved list of certifications (preferred); +… more
- J&J Family of Companies (Albany, NY)
- Strategic Intelligence Manager - 2406199376W **Description** Johnson & Johnson is currently seeking a **Strategic Intelligence Manager ** to join our **Abiomed** ... all belong. Abiomed is seeking a highly motivated **Strategic Intelligence Manager ** individual with strong analytical skills to collaborate with internal… more
- Wolters Kluwer (Albany, NY)
- …increase operational efficiency and reduce costs. Corporate legal and insurance claims departments trust our innovative technology and end-to-end customer experience ... business outcomes. **Basic Function** This remote-friendly Account Management Team Manager , you will build a team to drive profitable...to the sales planning. You will report to the Senior Director, Account Management within the LR ELM division… more
- WSP USA (Albany, NY)
- …other duties related to construction site activities * Provide assistance reviewing contract claims & advise senior management* Travel throughout the region may ... is currently initiating a search for a **Assistant Project Manager (Construction with a Civil Background emphasis for our...New York State Office of General Services (OGS) Project Manager as directed * Provide assistance managing project plans,… more
- Evolent Health (Albany, NY)
- …meet regulatory and Plain Language requirements. This position requires a manager who can synthesize various clinical and administrative requirements, communicate ... when applicable. + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director. + Communicates appropriate… more
- Travelers Insurance Company (Albany, NY)
- …multinational partners around the world, in partnership with the B&SI Senior Management team. -Serves as trusted advisor for external constituents **Post-transaction ... invoice issuance, policy issuance, etc.). - Coordinates with Claim when foreign claims are at issue and assistance is needed. - Assists Reinsurance Accounting… more
- Zurich NA (Albany, NY)
- …This role will be filled at either theSenior or AVP Level. The hiring manager will determine the appropriate level based upon the selected applicant's experience and ... Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate… more
- Walgreens (Albany, NY)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Hudson, NY)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- New York State Civil Service (Albany, NY)
- …and diplomacy skills. Duties Description Primary PurposeThe Field Representative assists the Project Manager or Senior Project Manager in all aspects of ... related to change order proposals.Assist in the evaluation of claims and make recommendations to Project Manager .Develop...of claims and make recommendations to Project Manager .Develop and maintain records for the project and/or program… more
- New York State Civil Service (Albany, NY)
- …and diplomacy skills. Duties Description Primary PurposeThe Field Representative assists the Project Manager or Senior Project Manager in all aspects of ... to change order proposals.* Assist in the evaluation of claims and make recommendations to Project Manager .*...of claims and make recommendations to Project Manager .* Develop and maintain records for the project and/or… more
- Elevance Health (Latham, NY)
- …healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, ... and claim systems for review of facility, professional and pharmacy claims . + Responsible for identifying and developing enterprise-wide specific healthcare… more