- City of New York (New York, NY)
- …payment for deliverables as specified in a vendor's contract; and vendor appeals for performance -based payments. Career Services is recruiting for one (1) ... Administrative Staff Analyst NM-II to function as a Senior Director of Career Services Contracts who will: - Direct the oversight and assessment of contract compliance and enhancing operational workflows within a procurement environment using a strategic… more
- University of Rochester (Rochester, NY)
- …closure and obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. ... Mentors and trains new or lower-level staff. **ESSENTIAL FUNCTIONS** + Independently determines the most effective method to follow up on disputed, unpaid, underpaid, or overpaid insurance or contracted service accounts in order to bring about prompt account… more
- New York State Civil Service (Albany, NY)
- …case law. The incumbent serves as the Chancellor's representative in hearing appeals of disciplinary and contract grievances pursuant to the collective bargaining ... agreements, and coordinates the defense of improper practice charges before the Public Employment Relations Board. The incumbent also represents the State-operated campuses in the expedited disciplinary arbitration process for all CSEA represented… more
- New York State Civil Service (Albany, NY)
- …animal and human subjects research, and clinical trials); revenue cycle appeals ; scientific misconduct; research conflicts of interest; good laboratory practices, ... laboratory accreditation and certification; researching legal issues, statutory and regulatory interpretation; and such other duties as may be assigned. Minimum Qualifications Required Qualifications:- Juris Doctor degree from an accredited American Bar… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …medical and pharmacy consultants for reviewing complex cases and medical necessity appeals . Participates in provider network development and new market expansion as ... appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice… more
- City of New York (New York, NY)
- …conducting related training sessions. - Serve as hearing officer for disciplinary appeals , draft decisions, stipulations, and prepare research for Step I, Step II, ... and Step III hearings. - Develop standard operating procedures and policies related to labor and employee relations. - Collaborate with hiring managers to review job vacancies, ensuring proper staffing and alignment with agency needs. - Maintain accurate… more
- Crouse Hospital (Syracuse, NY)
- …department, including Utilization Management, Discharge Planning and Denials and Appeals functions. + Assessing workflow related to readmission prevention, length ... of stay and daily review of observation admissions. + Works with Business Office staff regarding workflow processes and maintains an effective denials management process. + General operational oversight includes hiring, training and evaluating staff. +… more
- Resource Center for Independent Living (Utica, NY)
- …tactics to diversify funding sources. + Create targeted campaigns and appeals tailored to different donor segments, including individual, corporate, and ... institutional donors. + Work closely with program and finance teams to align fundraising messages with programmatic impact and to ensure compliance with funder expectations. + Design, lead, and oversee the strategic planning and execution of key fundraising… more
- International Rescue Committee (New York, NY)
- …briefs, segmentation strategies, and creative direction for donor journeys and appeals . * Coordinate with the centralized production team to execute campaigns ... across all offline and digital channels. * Partner with creative teams on testing, content development, and calendar planning. * Track campaign timelines, results, and improvements for continuous optimization. Insights & Innovation (10%) * Use data, testing,… more
- Arnot Health (Elmira, NY)
- …errors, types and recurring issues. 4. Facilitates, coordinates and prepares denial appeals working with internal and external customers in a proactive manner to ... bring satisfactory resolution in coordination with other department staff 5. Relays denial information to appropriate billing clerks and management. 6. Follow up on denial claims using reports to ensure completion of appeal with other department staff 7.… more