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Clinton County, NY, USA ● Crown Point, NY 12928, USA ● Lake Placid, NY 12946, USA ● Plattsburgh, NY, USA ● Req #2627Sunday, July 6, 2025Qualifications you’ll bring: Two or more years in a customer service or sales environment, with some experience in the health care industry such as a hospital, medical office, or health insurance company The ability to speak more than one language (for example, English and Spanish) An associate degree or equivalent combination of education and related experience The availability to work full-time, virtual, with some travel including nights and weekend hours required Must have a valid driver' ...Read more about Health Care Sales EnrollerMore
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220 Alexander St, Rochester, NY 14607, USA ● 625 State St, Schenectady, NY 12305, USA ● Fishkill, NY 12524, USA ● Req #2669Tuesday, July 1, 2025Qualifications you’ll bring: Bachelor’s Degree preferred; equivalent experience may be substituted if the candidate can demonstrate significant relevant work experience. Minimum of 5 years in health insurance or equivalent experience in Finance or Project Management Strong proficiency in problem solving and analysis Demonstrated ability to interact with all levels of management Adaptability and flexibility in a changing environment required Ability to use Microsoft Office and Power Point Profic ...Read more about Network Program ManagerMore
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625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Req #2663Monday, June 30, 2025Qualifications you’ll bring: Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24 months after hire. At least 3 years of recent clinical and Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home required. Must demonstrate understanding of clinical and psychosocial issues that may alter treatment or plan of care and be able to demonstrate good judgment when dealing with emotion ...Read more about Case Manager, Medicaid Long Term Support ProgramMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2662Friday, June 20, 2025Qualifications you’ll bring: Bachelor’s degree required. Two years (2) of experience in auditing/monitoring health insurance companies. Experience with Medicare regulations preferred. Understanding of regulatory and operational responsibilities of health insurance plans. Strong written communication skills with the ability to produce clear, concise, and professional reports. Excellent interpersonal communication skills with the ability to interact professionally and cooperatively with all leve ...Read more about Compliance AuditorMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #2572Friday, June 20, 2025What’s in it for you: Growth opportunities to uplevel your career A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team Competitive compensation and comprehensive benefits focused on well-being An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York Qualifications you’ll bring: High School Diploma required. Associate de ...Read more about Commercial Claims Processing Associate, Claims ExaminerMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2639Thursday, June 19, 2025Qualifications you’ll bring: Bachelor’s degree in accounting or finance. 3-5 years of experience in accounting Public accounting experience preferred On-site for the first 90-days then hybrid, 8 days/month, Schenectady N.Y. Strong knowledge of accounting principles and regulations Proficiency in using accounting software and MS Office Suite Excellent analytical and problem-solving skills Attention to detail and ability to work with a high level of accuracy Strong communication and interpersona ...Read more about Staff AccountantMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #2641Friday, June 13, 2025Qualifications you’ll bring: Associate’s degree preferred, but equivalent experience may be substituted. Requires at least 3 years of health insurance claims experience. 1 year of supervisory experience or 2 years' experience as a team lead/senior. Knowledge of ICD-10, CPT-4, and HCPCS coding preferred. Strong problem-solving and decision-making abilities, with the capability to interact effectively at all levels of management and lead cross-functional teams. Strong presentation, verbal, and ...Read more about Leader, Claims SupportMore
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220 Alexander St, Rochester, NY 14607, USA ● 303 S Broadway # 230, Tarrytown, NY 10591, USA ● 625 State St, Schenectady, NY 12305, USA ● Req #2645Friday, June 6, 2025Qualifications you’ll bring: Extensive experience in AI strategy and governance, preferably within a healthcare or payer organization. Strong understanding of AI technologies, machine learning, data science and their applications in healthcare. Proven experience in establishing and managing governance frameworks for data and AI projects. Excellent leadership, communication, and interpersonal skills, with the ability to engage and influence stakeholders at all levels. Knowledge of healthcare ...Read more about Sr. Director, Artificial Intelligence, Governance and StrategyMore
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625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA ● Req #2635Tuesday, June 3, 2025Qualifications you’ll bring: M.D. or D.O. with current, unrestricted license to practice medicine in any US state. Eligible for licensure in New York State and Vermont Board certification in a recognized specialty Minimum of 5 years of clinical practice experience Managed care, utilization management, or health plan operations experience preferred. Experience working in a matrixed healthcare environment Previous medical director or clinical leadership experience within a health plan preferre ...Read more about Medical Director, Clinical Review and Care IntegrityMore
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Headquarters Office, 625 State Street, Schenectady, NY, USA ● Req #2629Wednesday, May 28, 2025Qualifications you’ll bring: Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field. Actuarial certification (e.g., ASA, ACAS) or progress towards certification is preferred. Strong analytical and problem-solving skills with the ability to work with large datasets. Proficiency in actuarial software and tools, such as Excel, SAS, or R. Excellent communication skills to effectively convey complex actuarial concepts to both technical and non-technical stakeholde ...Read more about Actuarial AnalystMore
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Qualifications you’ll bring: Current New York State Licensure as a Registered Nurse required with at least 4 years of recent clinical and Care Management experience. Certification in Case Manager (CCM) is required within 2 years of employment. Previous experience in Care & disease management or a related healthcare role. Ability to work cross functionally and influence clinical stakeholders to best support the patient’s needs. Demonstrated clinical knowledge including an understanding of popul ...Read more about Hospital Case Manager - Registered Nurse (RN)More
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Rochester Office, 20 S. Clinton Ave, Rochester, NY, USA ● Req #2486Tuesday, April 29, 2025Qualifications you’ll bring: An AA/AS or BA/BS in a technical discipline, Computer Science preferred. IT certification, such as A+, MCDS, or equivalence experience as a deskside support technician or similar role The availability to work on-site, full-time. 3+ years Computer Hardware experience require 3 years customer service experience Proven experience in providing technical support and problem solving/troubleshooting skills in an office environment. Microsoft 365 Cloud Platform (Intune/ ...Read more about IT Support SpecialistMore
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