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  1. Construction Claims Analyst at DKI Engineering & Consulting USA PC

    Immediate opening for Construction Claims Analyst in Albany area to review and assist in resolving Construction claims for Article 10, 12 and 15 disputes and...

  2. Analyst Configuration I at HealthNow New York Inc.

    Researches and completes root cause analysis of customer service intakes and claim errors. Fundamental knowledge of health insurance operations, e.g. claims...

  3. Research Scientist I at Research Foundation for Mental Hygiene, Inc.

    Experience working with Medicaid claim, encounter and recipient data is strongly preferred. The incumbent will serve as a lead analyst in an Evaluation team...

  4. Licensed Utilization Review I - IHM at Anthem, Inc.

    Review of claim edits, pre-noted inpatient admissions or, episodic outpatient therapy such as physical therapy that is not associated with a continuum of care,...

  5. Scheduling Engineer I - Albany, New York at AECOM

    Assist Client in the defense of contract time-related disputes and/or claims. AECOM is seeking a full-time Scheduling Engineer I professional for the Albany,...

    Ads
    1. Oracle DBA 02773 NY

      Close date: August 12, 2015Start date: September 09, 2015End date: September 08, 2017Duration: 24 MonthsHours per week: 40Task Order #HBITS-03-02773This is a Full-Time.Hours are Negotiable.  The basic workweek and workday is 40 hours per week; 8 hours per day; 8:30 a.m. to 5:00 p.m.; Monday to Friday.  The incumbent may be required to work beyond the hours of the established workday or ...

    2. Local Truck Driver- Building Supplies

      Bellvue Building Supply is currently hiring Truck Drivers to deliver building materials to both commercial and residential customers. The ideal candidate possesses a Valid CDL A or B license, medical card and clean driving record. Our drivers deliver materials to job site, inspect and maintain trucks, report shortages and claims to supervisor and assist in loading and storing of materials. 
 ...

    3. Senior Underwriter

      Senior Underwriter ***You may work from your home in this position.*** Primary Capital Mortgage. Where your job and your passion meet.Primary Capital Mortgage, a leading residential mortgage lender headquartered in Atlanta, GA, is currently searching for an experienced Senior Underwriter. You will have the opportunity to work from your home office while receiving the superior support and ...

    4. Facets Technical Lead / Architect

      FACETS Solutions Architect 12+ months contractResponsible for successful delivery of health plan technology initiatives. The Facets Solutions Architect will be responsible for technology design for various technology solutions. This individual provides hands-on technical leadership including implementing solutions. The Facets Solutions Architect in conjunction with other team members will ...

    5. Operations Manager - Collections/Hauling

      POSITION SUMMARY:Within a business unit, the Operations Manager - Collections/Hauling is responsible for managing the collections activities for commercial and residential customers, as well as container delivery and pick up, in a geographically dispersed area. The position manages a team of Operations Supervisors, Route Supervisors, Dispatchers, Operations Clerks, Drivers and Helpers who are ...

    6. Auto Appraiser/Estimator

      ~~About SCA Appraisal Company:SCA is a claims management firm that has been a leading provider to the insurance industry since 1979.SCA is looking to partner with Independent Auto Appraisers that can adhere to industry standards, provide excellent customer service, and manage multiple client guidelines/relationships. If you are interested in opening up your own company, or grow your existing ...

    7. Facets Technical Lead / Architect

      FACETS Solutions Architect 12+ months contractResponsible for successful delivery of health plan technology initiatives. The Facets Solutions Architect will be responsible for technology design for various technology solutions. This individual provides hands-on technical leadership including implementing solutions. The Facets Solutions Architect in conjunction with other team members will ...

    8. COBOL Programmer

        The following experience preferred: Websphere, Webfacing, SQL/400, MQ Series, JMS, XML, AIX,  various versions of Java, Javascript , C#, NetBeans, Visual Studio 2005 and beyond, DB2 for AIX, DB2 for Linux/Unix /Windows, knowledge of iSeries RPG, COBOL and CLP, CICS, Easytrieve plus, Visual Sourcesafe and Microsoft IIS.  SQL Reporting Services, job scheduling via SQL server agent, ...

    9. Medicaid Project Manager 02727 NY

      Close date: July 26, 2015 Start date: 9/3/15 End date: 9/2/17 Duration: 24 Months Hours per week: 40 Task Order #HBITS-01-02727 This is a Full-Time. Hours are negotiable. Job location is Albany, NY Description: New York State’s Medicaid claims processing system, eMedNY, processes more than 250 million eligibility and prior authorization transactions, 470 million claims and ...

    10. Call Center Reps

      Kelly Services is looking for Call Center Reps for a large client in Albany, NY! SUMMARY: Responsible for coordinating cases for pre-certification and prior authorization review. MAJOR JOB DUTIES AND RESPONSIBILITIES: Primary duties may include: Managing incoming calls or incoming post services claims work. Determining contract and benefit eligibility; providing authorization for inpatient ...

    11. Facets Technical Lead / Architect

      FACETS Solutions Architect 12+ months contract Responsible for successful delivery of health plan technology initiatives. The Facets Solutions Architect will be responsible for technology design for various technology solutions. This individual provides hands-on technical leadership including implementing solutions. The Facets Solutions Architect in conjunction with other team members will ...

    12. Project Manager / Medicaid Environment:Job ID: HBITS 2727

      Technical SKILLS SET MUST MATCH with UPDATED RESUME: Please respond with your updated resume to be considered and read all the details listed here as the State contract is very specific concerning experience level and skills. Please call at 732-762-0856 for more details: Final date of Resume Submission is July 25,2015 Job Location: Albany,NY,USA Job Rate: $60/per hour Duration: 24 Months ...

    13. Auto Appraiser

      ~~About SCA Appraisal Company: SCA is a claims management firm that has been a leading provider to the insurance industry since 1979. SCA is looking to partner with Independent Auto Appraisers that can adhere to industry standards, provide excellent customer service, and manage multiple client guidelines/relationships. If you are interested in opening up your own company, or grow your ...

    14. Utilization Management Representative

        SUMMARY: Responsible for coordinating cases for precertification and prior authorization review. MAJOR JOB DUTIES AND RESPONSIBILITIES: Primary duties may includes, but are not limited: Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior ...

    15. Accumulator Review CCE

      Do you have experience working within the Healthcare field? Are you able to type 50wpm or more? If so, Westaff has the opportunity for you!Westaff is hiring for a great local health insurance company today! Check out our qualifications below. If this sounds like you, we want you to apply! This is a 1st shift position, starting immediately! Job Duties:Reviewing data and updating Excel ...

    16. Facets Technical Lead / Architect

      FACETS Solutions Architect 12+ months contract Responsible for successful delivery of health plan technology initiatives. The Facets Solutions Architect will be responsible for technology design for various technology solutions. This individual provides hands-on technical leadership including implementing solutions. The Facets Solutions Architect in conjunction with other team members will ...

    17. Medical Coding

        Job ID: 81654 Title: Coder Analyst I City, State: Amsterdam, NY Location: St Mary's Hospital Department: Specialty Care Admin Additional Job Details: PT Days, 40 Hours Bi-Weekly Summary: The Coder Analyst I applies the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Responsibilities: ...

    18. CI10 - Contact Center Customer Service Inbound I

      Our client, a major health insurance company, is currently seeking experienced Utilization Management Representatives for a temp position. The position is located in New Albany, NY. Hours are 8-5 , M-F, and some Saturdays. In addition to working with the world's most recognized and trusted name in staffing, Kelly employees can expect: - Competitive pay - Paid holidays - Year-end bonus program ...

    19. Boom Truck Driver

        Bellvue Building Supply is currently hiring Truck Drivers to deliver building materials to both commercial and residential customers. The ideal candidate possesses a Valid CDL A or B license and medical card. Our drivers deliver materials to job site, inspect and maintain trucks, report shortages and claims to supervisor and assist in loading and storing of materials. 
   Essential Job ...

    20. Facets Technical Lead / Architect

      FACETS Solutions Architect 12+ months contract Responsible for successful delivery of health plan technology initiatives. The Facets Solutions Architect will be responsible for technology design for various technology solutions. This individual provides hands-on technical leadership including implementing solutions. The Facets Solutions Architect in conjunction with other team members will ...

    21. Database Administrator/DB2 LUW experience Needed ASAP

        DATABASE ADMINISTRATOR DB2 LUW experience required LOCATION: Albany, NY Salary- up to $105k/annual depending on experience GREEN CARD ok Schedule : Full-time - Shift Work - Production Support Environment TRAVEL: 5% REQ # 1400REM     CLF Staffing is a National Staffing firm whose CLIENT ranks in the Top 5 leading IT services providers in FORTUNE's “World's Most Admired Companies” ...

    22. Database Administrator/DB2 LUW experience Needed ASAP

        DATABASE ADMINISTRATOR DB2 LUW experience required LOCATION: Albany, NY Salary- up to $105k/annual depending on experience GREEN CARD ok Schedule : Full-time - Shift Work - Production Support Environment TRAVEL: 5% REQ # 1400REM     CLF Staffing is a National Staffing firm whose CLIENT ranks in the Top 5 leading IT services providers in FORTUNE's “World's Most Admired Companies” ...

    23. Automotive Technician Mechanic Inspector

      Inspectors needed in your area. Automotive inspectors travel to repair facilities in order to verify failed engine components related to a warranty claim. Through an inspection report, inspectors document failures and extent of damage and provide support for their findings with digital photos. Inspectors also provide a recommendation of needed repairs. This information is vital for our ...

    24. Patient Services Rep 1 (10:30am to 7:00pm)

      McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Business Performance Services (BPS) is a leader in physician and hospital revenue cycle management, physician electronic health record and practice management system technology, and strategic consulting services. BPS offerings are uniquely designed to help ...

      1. System Configuration Analyst I, Latham, NY at Beacon Health Strategies

        Previous experience with benefit configuration or 1-3 years of claims experience is preferred.? There are 2 System Configuration Analyst I positions for our...

      2. Corporate BSA I (BHS) at Value Options

        Previous experience with benefit configuration or 1-3 years of claims experience is preferred. We are currently seeking a dynamic Business Systems Analyst I to...

      3. CLAIMS PROCESSOR I at Value Options

        Report claims adjudication and/or claims system issues to management. The Claims Processor is responsible for the adjudication of behavioral health care claims...

      4. CLAIMS AUDITOR I at Value Options

        65 claims per day (325/week) for Government Program processed claims to ensure accuracy in accordance with established policies and procedures in the CAS/SCC...

      5. General Engineer/Physical Scientist (Facility Representative) at Department of Energy

        You must provide documentation supporting any education claims in your application. About the Agency....