- Zurich NA (Albany, NY)
- Managed Care , Claims Vendor Management Sr Specialist 118916 Zurich North America is seeking a Managed Care , Claims Vendor Management ... United States. **About the Role** As a Senior Specialist in Managed Care and Claims Vendor Management, you will play a key role in administering… more
- Humana (Albany, NY)
- …7+ years of related compliance and/or special investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated ... Attend federal CMS and state fraud meetings with other managed care organizations, as well as state...exciting interviewing technology provided by Modern Hire, a third-party vendor . This technology provides our team of recruiters and… more
- HealthEdge Software Inc (Albany, NY)
- …Practical understanding of the healthcare system with regards to Medicare, Medicaid, managed care , and commercial payment methodologies, payment integrity, and ... and maintenance of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working knowledge… more
- Staffing Solutions Organization (Albany, NY)
- …hospital revenue cycle including medical coding (CPT-4, ICD-10-CM) standards and medical claims (837I Health Care Claim Transaction - Institutional, 837P Health ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...data content with other subject matter experts and system vendor for annual system update. + Support development of… more
- Takeda Pharmaceuticals (Albany, NY)
- … Vendor Management + Oversight and accountability for labeling activities managed by external vendor (s) for assigned products, ensuring seamless coordination, ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
- New York State Civil Service (Albany, NY)
- …include, but are not limited to, the following:* Manage and review vendor contracts, Memorandums of Understanding (MOU's), fiscal management forms, and expense ... Department regulations and guidelines;* Assist with the tracking and review of claims under the state programs for religious and independent schools (Mandated… more