policy and claims research specialist Jobs - 449
Manager, Digital Systems
Rich Products Corporation - Lancaster,NY
Employment Type : Full-Time
Rich's, also known as Rich Products Corporation, is a family-owned food company dedicated to inspiring possibilities. From cakes and icings to pizza, appetizers...
Dental Claims Review Analyst - Remote
Emblem Health - New York,NY
Employment Type : Full-Time
Dental Claims Analyst 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 procedures...
Manager, Enrollment - REMOTE
Molina Healthcare - all cities,NY
Employment Type : Full-Time
Job Description Job Summary Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's...
Provider Relations Contracting and Network Specialist
US Family Health Plan- A TRICARE Prime option - New York,NY
Employment Type : Full-Time
JOB SUMMARY Initiates dialog with prospective providers/ancillary providers (including, but not limited to, hospitals, skilled nursing facilities, skilled home healthcare agencies, and ambulatory surgical centers)...
Claims Specialist
Soni Resources - New York,NY
Employment Type : Full-Time
We are seeking a Claims Specialist for a New York based Insurance Company. This hybrid position, based in New York City, involves investigating, evaluating, negotiating, and settling claims to ensure fair resolutions. The role requires interaction...