PROVIDER NETWORK OPERATIONS CLAIMS jobs in NEW YORK CITY NY, United Kingdom

a broad range of products to customers through a diversified, multichannel distribution network. Our Claims professionals..., you will be responsible for handling claims from inception through conclusion of Professional Liability matters, including Cyber, Network...

of proprietary network and claims management systems. Provider contracting operational and workflow process and procedures. Network...Integra’s Network Expansion team is responsible for the ongoing success of the Company’s provider network, ensuring...

and/or Professional providers and EmblemHealth. Responsible for day-to-day operations for all activities related to contracts with minimal... supervision and direction, contract optimization, implementation of new programs and to assist with provider issues, education...

Operations team. The position requires strong management, interpersonal, and people leadership skills with an interest in... functional teams from IT, Actuarial, Legal, Compliance, Reinsurance, Finance, Claims, and Underwriting in product delivery. The...

's leading provider and advocate of high-quality, affordable sexual and reproductive health care for all people, as well as the... nation's largest provider of sex education. With more than 600 health centers across the country, Planned Parenthood...

of Operations in support of the Medicare Advantage line of business. The Market Finance Lead supports all Market Financial..., Administrative, Product, Claims and trend analytics. This position is the team lead for all market financial reporting, budget...

there is a dispute raised by a network provider or customer. Maintain comprehensive knowledge of provider and company... specific policies and procedures. Partner with Provider Contracting, Sales, Medical Management and Operations Department in...

analytics, cloud, and AI, we create agile, scalable solutions and execute complex operations for the world’s leading... such as digital transformation, improving customer experience, streamlining business operations, taking products to market faster...

analytics, cloud, and AI, we create agile, scalable solutions and execute complex operations for the world’s leading... such as digital transformation, improving customer experience, streamlining business operations, taking products to market faster...

and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service... with or without notice. Primary Responsibilities Handle inbound calls from members, medical providers, and others. Adjust claims...

operations. Areas of oversight include manual charge capture, coding edit resolution, provider documentation and coding auditing...About Our Company We’re a physician-led, patient-centric network committed to simplifying health care and bringing...

, operations, risk management, and organization transformation. The firm has more than 6,000 professionals around the world who... work with clients to optimize their business, improve their operations, and risk profile, and accelerate...

and with various lines of business (e.g. CFO group, operations (claims, product, underwriting, distribution, etc.), data, technology...We are the leading provider of professional services to the middle market globally, our purpose is to instill...

across and with various internal and external business partners. * Build relationships with Enterprise provider network (PNM) leaders...: Operations, Claims, PFO, Configuration, IT, Medical Economics, etc. across the organization to develop and operationalize...