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,...
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...
NYU Grossman School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and...
Claims Manager/Claims Oversight Property & Casualty Insurance Industry Addition to staff position has created this IMMEDIATE need for a NYC based specialty program insurance Senior Claims /...
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...
Job Description Job Summary The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and...
The Payment Integrity (PI) Analyst will assist in the development of a strategic roadmap to recover, eliminate, and prevent unnecessary medical-expense spending and support the execution for a comprehensive claim accuracy program. The incumbent will...
The Liability Claims Specialist manages within company best practices lower-level, non-complex and non-problematic liability claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims...
Job Summary Acts as liaison between Special Investigations Unit (SIU) operations and health plans and internal functional teams to assure a smooth workflow exists, quality assurance measures are designed and monitored, appropriate hand offs...
The qualifications for a Senior Commercial Lines Claim Advocate requirements include the following: Education Bachelor's degree in business; insurance; risk management; or a related field is...