- Trustmark (Albany, NY)
- …the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner ... in accordance and compliant with government regulations. Develops claims adjudication policies and procedures that maximize the accuracy of claims payments.… more
- Ryder System (Albany, NY)
- …Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)_ **Summary** The Senior Claims Representative handles complex and mid-to-high ... being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact Ryder… more
- Ryder System (Albany, NY)
- …by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)_ Job Description **Summary** The Senior Claims Representative handles complex and mid-to-high ... being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact Ryder… more
- HealthEdge Software Inc (Albany, NY)
- …**Position** **Overview:** We areseekinga highly skilled and experienced Senior Manager of Product Management to lead our Claims Value Stream.Your ... 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
- 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
- Walgreens (Loudonville, 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
- Norstella (Albany, NY)
- Senior Analytic Consultant Company: Panalgo Location: Remote, United States Date Posted: Sep 5, 2024 Employment Type: Full Time Job ID: R-475 **Description** ... the next level with the help of an outstanding Senior Analytic Consultant. The Analytic Services team is at...Minimum 2+ years of experience working as a project manager or equivalent. + Demonstrated strong analytical, organizational, and… more
- Elevance Health (Latham, NY)
- **Anticipated End Date:** 2024-09-16 **Position Title:** Group Underwriter, Senior **Job Description:** **Group Underwriter, Sr** **Location:** Elevance Health ... role and specified as primarily virtual by the hiring manager , associates are required to work at an Elevance...increments or decrements. + Communicates with sales, administration and claims to assess the rating and administrative impact or… 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
- Elevance Health (Latham, NY)
- **Anticipated End Date:** 2024-09-12 **Position Title:** Account Service Manager - Pharmacy Account Management **Job Description:** **Account Service Manager - ... to worksite and other locations as necessary. The **Account Service Manager ** is responsible for providing advanced customer service representation and strategic… 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
- 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 (Loudonville, 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 ... 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
- CenterWell (Albany, NY)
- …Health Quality Reporting Program (QRP) including ongoing monitoring of supporting claims based, HHCAHPS, and OASIS metrics. + Regularly monitors regulatory updates ... into reports and dashboards + Proficiency in verbal and written communication to senior and executive leadership + Strong organizational skills and ability to manage… more