- The Cigna Group (New York, NY)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... and Marketing and Service. + Supports strategic positioning for provider contracting, assists in the development of networks and helps identify opportunities for greater value-orientation. + Contributes to the development of alternative network initiatives.… more
- MetLife (New York, NY)
- …Key Responsibilities * Date science in Dental: Contributions to underwriting models, claims auto-adjudication logic and models, fraud waste and abuse analyses and ... models (mostly provider-related), dental network analyses, consumer analytics, network expansion analytics and much more. * Leads and contributes to data analysis and modeling projects from project/sample design, business review meetings with internal and… more
- City of New York (New York, NY)
- …identification, evaluation, or educational placement of such student. Such disagreements and/or claims may be resolved through an impartial hearing, a formal method ... in which the parties present and refute evidence before a hearing officer. The Special Education Attorney will be instrumental in supporting the OATH Special Education Hearings Division in its mission of providing fair and efficient adjudication of special… more
- Curtiss-Wright Corporation (East Farmingdale, NY)
- …of order. + Negotiates and settles with suppliers regarding damage claims , rejections, return of materials, over-shipments, cancellations and engineering changes. + ... Conducts supplier site visits and rates them as to production capability, performance and delivery. + Responsible for complying with corporate policies, procedures and underlying Federal, state and/or local regulations concerning the purchase or shipment of… more
- MTA (New York, NY)
- …management (RFI's, AWO's, inspections, testing, submittals, O&M manuals, training, warranty claims , invoices etc.); field visits to ascertain project activities and ... status; assisting management with technical aspects of the projects; Monitor project performance against established baselines and pursue opportunities for improved performance. Identify project issues and risks and ensure timely resolution and mitigation.… more
- Belcan (Hauppauge, NY)
- …suppliers and company personnel. * Negotiates and settles damage claims , rejections, losses, return of materials, over-shipments, cancellations and engineering ... changes with suppliers. * Prepares moderately complex reports by collecting, analyzing, and summarizing information and trends. * Provides parts, equipment, and materials information by answering questions and requests. * Applies continuous improvement… more
- Bowery Residents Committee (Manhattan, NY)
- …Act (NLRA), and Equal Employment Opportunity (EEO) regulations. + Respond to unemployment claims and participate in Department of Labor hearing + Stay updated on ... employment law changes and advise management on necessary policy updates. + Collaborate with HR leadership to design and update workplace policies and procedures. Data Analysis and Reporting: + Track and analyze labor and employee relations trends to identify… more
- Constructive Partnerships Unlimited (Queens, NY)
- …including the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completion of annual corporate ... compliance training . Fully cooperates in all corporate compliance investigations and reviews. more
- Bowery Residents Committee (Manhattan, NY)
- …Highly proficient with Microsoft Office tools. + Prior knowledge of electronic claims processing would be preferred. *Vaccination preferred but not required. MAKE AN ... IMPACTAre you looking to make a positive impact on the lives of those in your community? At BRC, our staff help New Yorkers experiencing homelessness reclaim their lives by providing a hand up, offering opportunities for health and self-sufficiency, and… more
- Rochester Regional Health (Rochester, NY)
- …$4,000 + Licensing & Professional Dues: $2,000 + Malpractice Coverage: Claims -made policy for professional malpractice insurance with $2.3M per occurrence and ... $6.9M aggregate plus tail coverage + Comprehensive Benefits Package: Health insurance, retirement plans, and more + Eligibility for Performance-Based Incentives Pay Summary: The listed base pay range is a good faith representation of current potential base pay… more