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Permanent Remote Python Jobs New York
New York Entitlement Advocate
A company is looking for an Entitlement Advocate to assist members and prospects in obtaining and retaining financial entitlements. Key Responsibilities Handle inbound and outbound calls to assist customers with Medicaid and Medicare applications Educate and assess prospects for Medicaid
New York Licensed Claims Adjuster
to ensure effective communication and resolution Document and communicate claim activity efficiently to support claim outcomes Required Qualifications High School Diploma Minimum of 5 years related claims experience Active Adjusters' license in New...York Knowledge of industry standards and practices Computer experience with claims and business software
New York Licensed Claims Supervisor
Required Qualifications High School Diploma Minimum of 10 years related claims experience Appropriately licensed and/or certified in all states where claims are handled Prior leadership experience of at least 5 years Jurisdictional experience in New...York
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New York Licensed Claims Supervisor
claims according to best practices Manage workloads, set team goals, and drive talent development through hiring and training Required Qualifications High School Diploma Minimum of 10 years related claims experience Active adjusters license for New...York 1+ years of supervisory experience Knowledge of team member related functions
New York Licensed Utilization Manager
reviews Develops and monitors staff goals, providing feedback and conducting performance reviews Collaborates with medical staff to solve complex clinical problems and ensure appropriate resource allocation Required Qualifications Associate's degree New...York State Registered Nurse license Experience in managed care or healthcare industry in utilization management Knowledge of regulations governing medical management in managed care Experience with Microsoft Office Suite applications
New York Licensed Claims Supervisor
Required Qualifications High School Diploma Minimum of 10 years related claims experience Appropriately licensed and/or certified in all states where claims are handled Prior leadership experience of at least 5 years Jurisdictional experience in New...York
New York Licensed Senior Claims Adjuster
A company is looking for a Senior Claims Adjuster, Workers Comp (Remote). Key Responsibilities Analyze claims exposure and execute decision-making to resolve claims effectively Communicate with various parties involved in the claim process to ensure timely resolution Document claim activity and
New York Licensed Clinical Review Nurse
A company is looking for a Clinical Review Nurse - Prior Authorization. Key Responsibilities Performs medical necessity and clinical reviews of authorization requests to determine appropriateness of care Works with healthcare providers and authorization team to ensure timely review of services
New York Licensed Workers Compensation Adjuster
effective communication and resolution Document and communicate claim activity in a timely manner to support claim outcomes Required Qualifications High School Diploma Minimum of 5 years related claims experience Active Adjusters' licenses in New...York Knowledge of accepted industry standards and practices Computer experience with related claims and business software
New York Licensed Counsel
A company is looking for a Counsel for its Payroll & Team Management Suite. Key Responsibilities Guide and advise cross-functional teams throughout the product development lifecycle, focusing on payroll and employee-related products Provide practical legal advice on product, regulatory