- Sedgwick (Albany, NY)
- …Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Manager | VA Jurisdiction | Remote **PRIMARY PURPOSE** : To manage the ... + Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements. +… more
- Elevance Health (Latham, NY)
- …2024-10-01 **Position Title:** LTSS Service Coordinator - RN Telehealth ( Remote ) **Job Description:** **LTSS Service Coordinator - RN Telehealth** _Location:_ ... While this position is remote , candidate must reside in tri-state area (NY, NJ,...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more
- Sedgwick (Albany, NY)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker , attorney and supervisor. + Identifies ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured … more
- Elevance Health (Latham, NY)
- **Anticipated End Date:** 2024-09-17 **Position Title:** Account Service Manager **Job Description:** **Account Service Manager ** **Location: Must be within 50 ... miles of any location listed; position has both office/ remote expectations.** AmeriBen is a proud member of the Elevance Health family of companies. We are a… more
- Elevance Health (Latham, NY)
- **Anticipated End Date:** 2024-09-12 **Position Title:** Account Service Manager - Pharmacy Account Management **Job Description:** **Account Service Manager - ... Pharmacy Account Management** **Location:** This position will work a hybrid model ( remote and office). The ideal candidate must live within 50 miles of one of our… more
- Elevance Health (Latham, NY)
- **Anticipated End Date:** 2024-09-23 **Position Title:** CarelonRx Account Manager II **Job Description:** **CarelonRx Account Manager II** **Location:** This ... position will work a hybrid model ( remote and office). The ideal candidate must live within...PulsePoint locations listed on the requisition. The **CarelonRx Account Manager II** is responsible for retention and operational excellence… more
- Elevance Health (Latham, NY)
- …Payment Integrity line of business** _Location: This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles from our ... of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. **How you… more
- Elevance Health (Latham, NY)
- …**Title: Grievance/Appeals Analyst I** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of one of ... with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable… more
- Elevance Health (Latham, NY)
- …Group Clinical Validation Auditor** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of one of ... Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Latham, NY)
- …Payment Integrity line of business** _Location: This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one the ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- The Robison Group (Albany, NY)
- …selected for the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , ... medical treatment). + College Degree preferred. TRAINING The Robison Group provides remote and/or in-classroom training to ensure that individuals are set up for… more
- Elevance Health (Latham, NY)
- …Utilization Management Representative I** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of the ... make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for… more
- Elevance Health (Latham, NY)
- …in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. Candidates must reside ... increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more