Top 3169 Reimbursement manager Jobs in Valhalla, Ny

Director of Claims
Amalgamated Life Insurance —West Harrison, NY
- $115,000 - $120,000 a year
- Full-time
- Hybrid work
- Salesforce
- Office
- Analysis skills
- Free parking
- Commuter assistance
Quick Apply
Claims Manager
Amalgamated Life Insurance —West Harrison, NY
- $85,000 - $95,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Analysis skills
- Free parking
- Commuter assistance
Quick Apply
Team Manager Developmental
Sam's Club —Elmsford, NY
- $70,000 - $95,000 a year
- High school
- Military
- Mid-level
- Paid jury duty
- Disability insurance
Billing Manager
White Plains Hospital —White Plains, NY
- $69,996.42 - $105,006.33 a year
- Full-time
- Bachelor of Science
- Mid-level
- Microsoft Office
Supervisor Patient Accounts
White Plains Hospital —White Plains, NY
- $69,257 - $103,897 a year
- Full-time
- Hospital
- English
- Mid-level
Program Manager
Westchester Medical Center —Valhalla, NY
- $35.88 - $45.42 an hour
- Part-time
- Microsoft Outlook
- Hospital
- Word processing
- Paid holidays
- Health insurance
12d
Control & Reporting Assoc Manager
PepsiCo —Purchase, NY
- $93,500 - $156,450 a year
- CPA
- Office
- 3 years
- Paid parental leave
- Health insurance
8d
Care Manager - Lower Hudson Valley (Bilingual in Hebrew or Yiddish)
Advance Care Alliance New York —White Plains, NY
- $31.75 - $34.00 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Nursing
- RN License
- Mileage reimbursement
- Health insurance
Quick Apply
Strategic Indirect Procurement Specialist, Americas
BELIMO Automation AG —Danbury, CT
- $100,000 - $120,000 a year
- Full-time
- Hybrid work
- 7 years
- Bachelor's degree
- Organizational skills
- Paid parental leave
- Health insurance
9d
Supply Chain Manager
Tel-Instrument Electronics Corp. —East Rutherford, NJ
- $70,000 - $85,000 a year
- 8 hour shift
- 5 years
- ERP systems
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Pediatric 1:1 Registered Nurse for Child at home and school
Sunshine Homecare Services, Corp. —Westchester County, NY
- $45 - $50 an hour
- Part-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- 401(k)
Quick Apply
2d
Project Manager - Flooring Installation
TF Andrew Carpet One Floor & Home —New Rochelle, NY
- From $100,000 a year
- Full-time
- Hybrid work
- Background check
- Google Workspace
- Construction site
- Mileage reimbursement
- Health insurance
Quick Apply
Psychiatrist - Collaborative Care
Physician Affiliate Group of New York —Bronx, NY
- $267,900 - $278,200 a year
- Full-time
- Psychiatry
- BC/BE
- Internal Medicine
- AD&D insurance
- Loan repayment program
Quick Apply
Information Technology Engineer- Network
LiveOnNY —Long Island City, NY
- $110,000 - $145,000 a year
- Full-time
- Hybrid work
- Computer science
- 7 years
- Azure
- Disability insurance
- Health insurance
Quick Apply
Assistant Project Manager
Rapid Door & Trim Corp —Northvale, NJ
- $50,000 - $58,000 a year
- Full-time
- Bilingual
- Management
- Computer literacy
- Paid time off
- Retirement plan
Quick Apply
5d
Outside Sales Representative
One Horizon Homes —Ridgewood, NJ
- $60,000 - $175,000 a year
- Contract
- Hybrid work
- Driver's License
- In-person
- Entry level
- Mileage reimbursement
- Professional development assistance
Quick Apply
Manager, Environmental and Social Risk
Macquarie Group Limited —New York, NY
- $125,000 - $178,000 a year
- Full-time
- Mid-level
- Office
- Continuous improvement
- Paid parental leave
- Health savings account
RN, Clinical Practice and Optimization Field Trainer
LiveOnNY —Long Island City, NY
- $110,000 - $165,000 a year
- Full-time
- Classroom
- Nursing
- RN License
- 403(b) matching
- Health insurance
Quick Apply
Peer Navigator - EnlightenMENT
Children's Aid and Family Services, Inc. —Fair Lawn, NJ
- $41,500 a year
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Mileage reimbursement
- Health insurance
Quick Apply
Acoustic Associate Design Consultant, Hybrid: NYC
Shen Milsom & Wilke, LLC —New York, NY
- $75,000 - $130,000 a year
- Email
- Hybrid work
- Background check
- Hospitality
- Microsoft Excel
- Health savings account
- Disability insurance
Quick Apply

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Director of Claims

Amalgamated Life Insurance -
West Harrison, NY

Quick Apply

Job Details

Full-time
$115,000 - $120,000 a year

Benefits

Free parking
Commuter assistance
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Family leave
Work from home
Employee assistance program
Vision insurance
401(k) matching
Life insurance
Retirement plan

Qualifications

Staff supervision
Team leadership
Leading team collaboration initiatives
Insurance claims management software
Medical terminology
General management

Full Job Description

The Director must directly manage the day-to-day Claims operations with direct oversight of Claims managers and their performance in meeting the needs of the departmental and company goals. This position will also be responsible to actively implement policies and programs that ensure the effective and efficient operation of the Claims department objectives.

Direct the day-to-day activities, tasks, and processes to ensure the efficient operation of the claims processing units and all related tasks to meet the claims payment TAT, accuracy and production goals, and objectives.
Direct and oversee the activities, tasks, and processes of all claims handling including payments, denials, or pending of all disability, Paid Family Leave, Critical Illness/Accident, medical, vision, health, dental, and flex claims.
Utilize workflow to monitor, assign, and follow up on all claims ensuring proper assignments, timely handling, and correct workflow performance.
Oversee the administration of all claims processing activities and tasks interdepartmentally.
Reviews, examines, and directs the processing and handling of unusual or difficult claims providing information and instruction for accurate handling.
Ensure the high dollar claims are given priority and are timely processed and routed for high dollar review and ensure their final adjudication is accurate and within the acceptable TAT.
Track, report, and measure all claims statistics for reporting groups using available tools.
Maintain up to date knowledge of all groups and benefit plans and ensure that staff are kept abreast of all new groups and benefit changes.
Troubleshoot and analyze root causes for second handling of claims using systems, and coordinate all activities required to correct quality issues.
Review Fast Track Examiner Portal and identify all processes affecting efficient/effective use of this application and provide support to effect best use of this application.
Consults with specialty areas to ensure timely handling of all Anthem /Salesforce Inquiries.
Oversee/and coordinate with Claims managers to ensure the timely handling and assignments of all claim correspondence.
Coordinate with Claims managers on all aspects check maintenance functions: voids, overpayments, refunds, emails, stale date and adjustments to ensure they are done timely and accurately.
Coordinate with all claims managers to ensure all JAA Anthem failures reported are done timely and accurately.
Lead and motivate both union and non-union staff to meet performance expectations and manage their performance in accordance with departmental and company policies.
Provide leadership, direction, and support to all the claims management team working in collaboration with other Claims Department personnel.
Support Claims AVP in managing the oversight of the Claims department in various areas, as necessary.
Review High dollar claims for accuracy and provide signatory sign off on checks requiring such.

Education and/or Experience:

Bachelor's degree in business or management or associate degree or equivalent experience.
New York State A&H adjuster license (can be obtained after employment but conditioned on passing the exam and all required application questions.)
Ten or more years supervisory and management experience required.
Ten or more years work experience in handling health insurance or self-funded medical, disability, Paid Family Leave claims
Experience in claims systems and understanding of system technology that is used in claims handling.
In-depth knowledge of claims handling, industry terminology, and claim related medical terminology.
Knowledge of supervisory principles and practices
Knowledge of the functions of management including planning, organizing, leading, and controlling functions and theories.
High level of organizational, problem solving and analytical skills.
Excellent written and verbal communication skills.
Excellent interpersonal skills with leadership qualities.
Team player and willing to collaborate with management team.
Experience with claims systems and knowledge of the operational systems to handle.

Benefits from Amalgamated:

Hybrid work environment. 4 days in White Plains, NY with 1 scheduled work from home day.
Commuter benefits including free onsite parking and shuttle service from White Plains Train Station.
Training, growth and development opportunities.
Generous vacation, paid time off and holidays.
Subsidized company-sponsored Medical, Dental, and Vision insurance.
Employer sponsored life insurance and long-term disability.
Employee Assistance Program.
401K plan with employer contribution.
Defined benefit pension.
A team working environment with an established culture of inclusion and belonging which supports a healthy work/life balance.
Employee recognition events.

About Amalgamated Life Insurance Company

Amalgamated Life is a leading provider of life and health insurance serving working men and women since 1943. Amalgamated Life has consistently earned the “A” (Excellent) rating from A.M. Best Company since 1975, attesting to our proven policies and procedures, adherence to the industry’s highest standards, strong fiscal conditions and excellent claims-paying ability.

Job Type: Full-time

Pay: $115,000.00 - $120,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Retirement plan
Tuition reimbursement
Vision insurance

Work Location: Hybrid remote in West Harrison, NY 10604

Quick Apply

Refine Your Search

reimbursement manager jobs in valhalla, ny

Director of Claims

Claims Manager

Team Manager Developmental

Billing Manager

Supervisor Patient Accounts

Program Manager

Control & Reporting Assoc Manager

Care Manager - Lower Hudson Valley (Bilingual in Hebrew or Yiddish)

Strategic Indirect Procurement Specialist, Americas

Supply Chain Manager

Pediatric 1:1 Registered Nurse for Child at home and school

Project Manager - Flooring Installation

Psychiatrist - Collaborative Care

Information Technology Engineer- Network

Assistant Project Manager

Outside Sales Representative

Manager, Environmental and Social Risk

RN, Clinical Practice and Optimization Field Trainer

Peer Navigator - EnlightenMENT

Acoustic Associate Design Consultant, Hybrid: NYC

I want to receive the latest job alert for reimbursement manager in valhalla, ny

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