- Humana (Albany, NY)
- …independent determination of the appropriate courses of action. **Where you Come In** As a Claims Process Organization Project Manager II you will manage ... caring community and help us put health first** The Project Manager II manages all aspects of a ... + Communicate with other operational areas in the organization to secure specialized resources and contributions for the… more
- Humana (Albany, NY)
- …career to the next level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional, you will play a pivotal ... in resolving outstanding balances related to claim reversals, all while leading process improvements and influencing departmental strategies. This is your chance to… more
- WSP USA (Albany, NY)
- **This Opportunity** WSP is currently initiating a search for a **Assistant Project Manager (Construction with a Civil Background emphasis for our Client's Albany NY ... PMCM Team and be a part of a growing organization that meets our client's objectives and solves their...to New York State Office of General Services (OGS) Project Manager as directed * Provide assistance managing … more
- Staffing Solutions Organization (Albany, NY)
- …United States of America Req #459 Tuesday, July 2, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused ... tracking and reporting on performance measures related to Integrated Care for Kids Project ; such measures include, but are not limited to, effectiveness of care,… more
- Staffing Solutions Organization (Menands, NY)
- …Analyst Menands, NY, USA Req #388 Friday, March 10, 2023 Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused ... years' experience with Health care data for eligibility, enrollment and coverage data, NOT claims . . Minimum 5 years' experience with NYSOH data. . Minimum 10 years'… more
- Guardian Life (Albany, NY)
- **Job Posting Title** **Team Leader, Absence Claims Management** **Job Description** The **Team Leader, Absence Claims Management** is responsible for leading a ... Managers to get results within their team and the organization . The Team Leader will serve as a primary...action plans for improvement. + Review processes/reports regularly for process improvement opportunities. + Own relationship with client and… more
- Norstella (Albany, NY)
- …Now, Citeline is proud to be a part of Norstella, an organization that consists of market-leading pharmaceutical solutions providers united under one goal: ... to improve patient access to life-saving therapies. Within this organization , Citeline plays a key role in helping clients connect the dots from pipeline to patient.… more
- Emerson (Albany, NY)
- …Engineer to oversee and manage projects related to feeding systems in our organization . The successful candidate will coordinate and lead projects from conception to ... proposal with the sales team, making adjustments as necessary. Overall Project Responsibility: + Assume end-to-end project responsibility, ensuring consistency… more
- Deloitte (Albany, NY)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- New York State Civil Service (Albany, NY)
- …aimed at improving the efficiency and effectiveness of the system, business process , or product/service to fulfill the business requirements (eg, Data Flow Diagram, ... Business Process Model, Root Cause Analysis, Fish Bone Diagram, Context...all changes to the processes that would enable an organization to achieve its goals.5. Verifying requirements throughout the… more
- Sunrun (Albany, NY)
- …branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution of specific market and ... process issues + Work to pursue and achieve tactical...that require cross-functional engagement with key staff across the organization and external stakeholders + Launch initiatives that increase… more
- Takeda Pharmaceuticals (Albany, NY)
- By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application ... **About the role:** At Takeda, we are a forward-looking, world-class R&D organization that unlocks innovation and delivers transformative therapies to patients. By… more
- Wolters Kluwer (Albany, NY)
- … project life cycle; contributing to and executing department process improvement initiatives; managing time and resources effectively; maintaining performance ... increase operational efficiency and reduce costs. Corporate legal and insurance claims departments trust our innovative technology and end-to-end customer experience… more
- Wolters Kluwer (Albany, NY)
- …and not afraid of the hunt. Someone that prefers to navigate the entire sales process , from start to finish, run their own demos, build a strong and lasting ... entity or claim management - Legisway covers end-to-end legal department needs (corporate, claims , IP, Data Privacy, and so much more!). Legisway is used by legal… more
- Elevance Health (Latham, NY)
- …+ Executes client-specific operational deliverables including benefit set up, reporting, and project support as needed. + Leverages data to track account performance ... Management is highly preferred. + Exceptional strategic thinking, analytical, organization , decision-making, problem-solving skills, and adaptability highly preferred. +… more
- Humana (Albany, NY)
- …projects and initiatives, partnering and collaborating with multiple areas across the organization . + Develops or has a deep understanding of physician networks, ... physician performance and rating metrics ( claims , measures, conditions, specialties, etc.), product offerings, and analytics-based approaches which produce… more
- Sunrun (Albany, NY)
- …**ESSENTIAL DUTIES AND RESPONSIBILITIES** + **Represent the customer within the organization , collaborating with the technology team to align product developments ... + **Facilitate research and investigation into Sales ROE (Rules of Engagement) claims , working with customer care and compliance teams to ensure fair outcomes.**… more
- Sumitomo Pharma (Albany, NY)
- …the Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid claims and dispute resolution with state agencies. This position requires a ... as it relates to Model N implementation and payment process . + Lead subject matter expert (SME) for shared...Proficient in MS Office (Word, Excel, Access, PowerPoint, MS Project , Visio, SharePoint). + Customer-focused ability to communicate across… more
- Elevance Health (Latham, NY)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... to provider premises during contract negotiations. + Participates on project team involved with enterprise-wide initiatives. **Minimum Qualifications:** + Requires… more