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New York City

    Med D Claims Analyst - New York, United States - CVS Health

    CVS Health background
    Description
    Analyze submitted documentation, make outbound calls for information, and process Medicare Part D claims. Resolve situations using policies and procedures, meet deadlines and quality standards, and work well within a team.

  • AIG

    Claims Analyst Iii

    3 weeks ago


    AIG New York, United States

    Who we are · American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial service ...


  • Ryan Specialty, LLC New York, United States

    **Position Summary**: · **Essential Functions**: · - Receive and distribute first notices of claims to proper claims handlers (carrier, TPA, etc.). · - Review first notices to assure claim within policy dates, location on policy and proper LOB. Alert claims handlers of same and i ...


  • AIG New York, United States

    Join us as a Claims Analyst III to grow your experience in Claims. · Make your mark in Claims · Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled g ...

  • Oscar Health

    Analyst, Claims

    1 week ago


    Oscar Health New York, United States

    Job Description · Job DescriptionHi, we're Oscar. We're hiring a Claims Analyst to join our Claims Optimization team. · Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create ...


  • Tandym Group New York, United States

    A healthcare company in New York City is looking to add a new Claims Compliance Remediation Analyst to their growing team. In this role, the Claims Compliance Remediation Analyst will be responsible for supporting the Director of Claims Support to ensure claims rules, guidelines, ...


  • C. Winchell Agency, Inc. New York, United States

    Reinsurance Claims Analyst · New York City - Remote Opportunity · Property and Casualty Insurance Industry · Come join the global reinsurance claims team with a best in class insurer and reinsurer Our client is seeking an accomplished claims professional to technically manage ...

  • RIT Solutions, Inc.

    Claims Test Analyst

    3 weeks ago


    RIT Solutions, Inc. New York, United States

    Claims Testing Analyst · 7+ Month Contract · REMOTE · "Client "Rx Core PBM Operations role is critical to M3P initiative. This role is responsible for development and execution of end-to-end client testing that must be completed in 2024. · This position is required to complete ...


  • Amida Care New York, United States

    Amida Care, the largest Medicaid HIV Special Needs Plan in NY, delivers a uniquely effective care model that has become a true benchmark for innovation, engagement and member health outcomes. Our mission is to provide access to comprehensive care and coordinated services that fac ...


  • Centers Plan for Healthy Living Staten Island, United States

    Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living. · **JOB SUMMARY**: · Responsible for the ...


  • Oscar Health New York, United States

    Job Description · Job DescriptionHi, we're Oscar. We're hiring a Claims Quality Analyst to join our Claims Quality team. · Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to cre ...


  • RCM Health Care Services New York, United States

    Job Description · Job DescriptionPayment Integrity Analyst / Managed Care Claims / Hybrid Position (2-3 days in Manhattan office, 2-3 days remote) · For over three decades, this health plan has been dedicated to fostering strong connections with members and providers, empowering ...


  • MetroPlusHealth New York, United States

    Job Description · Job DescriptionEmpower. 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 spirit, work with us. You can come ...


  • Resilience New York, United States Full time

    About Us · Resilience is the next-generation cyber risk company that's on a mission to help make the world cyber resilient. · Founded in 2016 by experts from across the highest tiers of the US military and intelligence communities, augmented by prominent leaders and innovators f ...


  • MetroPlusHealth New York, United States

    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 spirit, work with us. You can come to work being proud of what y ...

  • EmblemHealth

    Sr. Claims Analyst

    3 weeks ago


    EmblemHealth New York, United States

    Summary of Job · Ensure prompt, efficient, accurate and timely claims adjudication of high dollar claims in accordance with the current policy benefits, limitations or exclusions. Provide resolution of provider inquiries and collaborate with internal departments. Provide feedbac ...


  • MetroPlusHealth New York, United States

    Job DescriptionJob DescriptionEmpower. 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 spirit, work with us. You can com ...


  • NYC Health Hospitals New York, United States

    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, Medicare, Child Health Plus, Exchan ...


  • World Insurance Associates LLC Syosset, United States

    **Summary** · World Insurance Associates is a unique insurance organization offering top products and services from major providers, combined with attentive service from local agents. · Founded in 2011, World is one of the fastest-growing insurance brokers in the U.S. with over 2 ...


  • MetroPlusHealth New York City, United States

    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 spirit, work with us. You can come to work being proud of what y ...


  • MetroPlusHealth New York, United States

    Job Description · Job DescriptionEmpower. 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 spirit, work with us. You can come ...