• Director , Appeals & Grievances (Remote)

    Molina Healthcare (Buffalo, NY)
    …recognition and timely routing of member complaints. * Trains each state's provider dispute resolution unit on CMS standards and requirements, including the ... is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards… more
    Molina Healthcare (09/26/25)
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  • Director of Managed Care Contracting

    Stony Brook University (Commack, NY)
    …financial analysis. + Proven track record of successful payer relations and dispute resolution . + Demonstrated ability to develop strategic contracting ... Director of Managed Care Contracting **Position Summary** Stony...and government changes affecting the organization. + Monitor and dispute Managed Care payer reimbursement policies or practices that… more
    Stony Brook University (08/08/25)
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  • Medical Director - Claims Management

    Humana (Albany, NY)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (09/17/25)
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  • Associate General Counsel

    City of New York (New York, NY)
    …in connection with various interagency task forces, working groups, and the City's Contract Dispute Resolution Board; - Assisting in the resolution of ... the positive impact of services on communities. The MOCS Director serves as the City Chief Procurement Officer. JOB...with latitude for the exercise of independent judgment, the Associate General Counsel is responsible for the following: -… more
    City of New York (09/28/25)
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  • The State University of New York - Assistant…

    New York State Civil Service (Albany, NY)
    …CSEA represented employees.- Advises campus officers on union contract interpretation, dispute resolution , disciplinary matters and other campus employee ... of the Assistant Vice Chancellor for Employee Relations, the Assistant Director of Employee Relations performs the following:- Supervises the administration of… more
    New York State Civil Service (08/09/25)
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  • Lead Cage Cashier

    Tioga Downs Casino Resort (Nichols, NY)
    …on an assigned shift. *Ticket Redemption Kiosk (TRU) cash maintenance, and guest dispute resolution *Oversees completion of all reports or forms for accuracy ... operations in the absence of the Cage Supervisor or Director . ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: *Performs...representative of those that must be met by an Associate to successfully perform the essential functions of this… more
    Tioga Downs Casino Resort (09/18/25)
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  • Senior Security Officer - Night Shift

    Trinity Health (Syracuse, NY)
    …the ability work with diverse groups in fact finding, problem solving and dispute resolution . Displays knowledge and competency with video management and access ... Basic Course for Police Officers preferred. High School Diploma/GED Certificate required. Associate degree preferred. A valid NYS Drivers License is required. IAHSS… more
    Trinity Health (09/05/25)
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