- Ryder System (Albany, NY)
- …of assigned staff. Assists Director with other staff as directed. Work with Director and other management team to develop tactics and strategies to achieve ... staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues....annual metrics and other KPI's + Participates with the Director in the selection and management of… more
- CVS Health (Albany, NY)
- …during the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management , and maintenance ... Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our...such as Benefit & Product Strategy, Benefits & Product claims configuration, Medicare Service Operations (MSO), Medical … more
- Humana (Albany, NY)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- Humana (Albany, NY)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Albany, NY)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- Merck (Albany, NY)
- **Job Description** The Hematology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, or PharmD) therapeutic and disease expert who ... engages in scientific exchange with leaders in the external medical and scientific community. Scientific exchange does not include promotional claims about any… more
- EFI Global (Albany, NY)
- …rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability ... to learn more about EFI Global. **We are seeking a Client Services Director with experience in the insurance industry, specifically in executive general adjusting… more
- Trustmark (Albany, NY)
- …+ Collaborate with the sales leadership teams of VP of Sales & Client Management , Senior Directors' Sales, and the whole sales team to maximize opportunities. + ... accounting of activities and sales. + Collaborate with and support the Client Management team to assure persistency goals are being achieved. + Review national… more
- CVS Health (Albany, NY)
- …an environment. In partnership with and under the direction of the Lead Director , Health Plan Market Operations, this position will help develop and maintain ... processes for the management , execution, and oversight for all operational functions including...execution, and oversight for all operational functions including benefits, claims , materials, clinical, finance to ensure SNP program requirements… more
- UMB Bank (Albany, NY)
- …across all payment channels. Will work with the Enterprise Fraud Prevention and Claims teams to provide data to help identify emerging fraud trends and UMB's ... concert with the Enterprise Fraud Prevention and Enterprise Fraud Claims teams to identify fraud exposure and make necessary...to fulfill overall business needs and expectations of the Director of Enterprise Fraud Operations and the bank's senior… more
- Intra-Cellular Therapies, Inc (Albany, NY)
- Benefits Offered 401K, Dental, Life, Medical , Vision Employment Type Full-Time "We deliver innovative treatments to improve the lives of individuals suffering from ... by high impact resource allocation decisions. DMs will assume ownership and the management of a wide range of customer interactions as well as accountability for… more
- Northern Rivers Family Services (Albany, NY)
- …+ Collaborate with in-house staff regarding concerns and behaviors. + Communicate with medical director and providers regarding changes in client's health and ... House, and Residential Treatment Center programs. You will report to the Executive Director of Nursing and will work onsite. Responsibilities: + Hire and onboard… more
- Cardinal Health (Albany, NY)
- …on policies. **_Manager, Ethics and Compliance_** Reporting to the Compliance Director , this position is responsible for supporting the programmatic requirements for ... focus include: compliance training, policy development, exclusion screening tracking, management of investigations and development of programmatic presentation materials.… more
- Hudson Valley Community College (Troy, NY)
- …The Assistant Athletic Trainer reports to the Athletic Trainer and the Director of Athletics and performs the following duties: 1. The Assistant Athletic ... the Athletic Trainer and Student Health Services to provide day-to-day general medical coverage for student-athletes. 3. The responsibilities and duties for this… more
- CS Energy (Albany, NY)
- …effectively utilizing project controls tools and track utilization for reporting to Director of Project Controls + Attend, participate, and contribute to cost ... Support Operations with verifying and checking of invoices and claims from suppliers, vendors, and subcontractors to ensure that...Analysis is a plus + Certification related to Project Management (PMP, PSP, etc) is a plus + Advanced… more
- New York State Civil Service (Albany, NY)
- …researching applicable law, and case documents.* Communicate, discuss, and explain to Claims Department staff the basis for rejections of appeal requests;* Preparing ... Appeals Unit Manager is absent for extended periods;* Assisting the Legal Appeals Director by reviewing and analyzing selected Board Panel and Full Board decisions… more
- MVP Health Care (Schenectady, NY)
- …+ Bachelor of Science in Computer Science, Healthcare Administration, Business Management , or a related field. Three yearsrelevant experience in a healthcare ... departments and teams. + Collaborate with the Value Stream Specialist and Director of Product Operations to thoroughly plan product implementation across the… more