Overview Works directly with management on highly visible projects to understand business needs and challenges of managed care payors and to develop innovative solutions to meet those needs. Gathers requirements, performs analysis,...
Job Summary Analyze, review, and process suspended claims, predetermination, and Service Requests based on industry standards and clinical guidelines. Research, analyze, and investigate member benefits, policy and...
Description The Claims Manager is responsible for promptly reporting and managing claims from workers' compensation, auto, property, and general liability. The candidate will be able to analyze mid-level claims to ensure accurate and...
OverviewWorks directly with management on highly visible projects to understand business needs and challenges of managed care payors and to develop innovative solutions to meet those needs. Gathers requirements, performs analysis, designs new or...
Job Description HumanHire is working with one of the largest insurance companies in New York, to help find a Claims Analyst for their White Plains office. This company has been around for over 75 years and...
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care,...
Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative...
Location New York, New York Shift: Day (United States of America) Description: NewYork-Presbyterian Hospital: Claims Representatives - Make It Possible At...
About the job Healthcare Data Analyst - Remote The Healthcare Data Analyst is responsible for analytics, financial analysis and claims auditing. This candidate will reside within the Analytics and Reporting department and will work closely...
Summary of Position Lead the technical implementations for the ASO, Shared Administration and Network Access Programs with Third Party Administrators (TPAs) as required.Manage the maintenance and enhancement of...