- MVP Health Care (Schenectady, NY)
- …our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims /Operations** **Pay Type** **Hourly** **Hiring Min Rate** **20 USD** **Hiring Max ... To achieve this, we're looking for a Member Operations Billing & Enrollment Associate to join #TeamMVP. This is the opportunity for you if you have a passion for commitment to serving the customer effectively, strong analytical and problem solving skills and… more
- Tutor Perini (New York, NY)
- …factual assessments of project performance. + Participate in change orders and claims management + Identify and resolves changing site conditions or other impacts ... during planning of the work + Develop quality checks and coordinate permits from appropriate entities + Manage and submit project close-out in coordination with the client and third parties **REQUIREMENTS:** + Bachelor's Degree in Civil Engineering or… more
- Aston Carter (New York, NY)
- …settlements and manage collections. + Validate, settle, and collect facultative premiums and claims . + Apply cash in ceded applications and research open cash items. ... + Research, reconcile, and respond to inquiries from brokers and internal clients. + Confirm and reconcile monthly system-generated ceded balances to general ledger source reports. + Handle quarter and year-end reporting. + Provide support to internal audits… more
- New York State Civil Service (Long Island City, NY)
- …and responding to Solid Waste complaints by investigating the claims and conducting facility compliance inspections, conducting sampling as required, ... performing work in support of enforcement cases, and preparing written materials to advance Department enforcement. Providing outreach and technical guidance to facility owners, the public, and other divisions. Potentially aiding municipal, institutional, and… more
- Northwell Health (Lake Success, NY)
- …editor report to analyze, research and resolve issues related to Medicare outpatient claims that generate code editor edits. + Maintains current knowledge base of ... regulatory & coding guidelines, billing processes, Ambulatory Payment Classification (APC) groups, federal, state and regulatory agency coding and reimbursement changes and coding requirements to ensure hospital procedures and services are properly ordered and… more
- L'Oreal USA (New York, NY)
- …Governance & Ops: Monitor SKU growth and launch KPIs with analytics, manage claims process, budgets, and ensure local market adoption. We Are Looking For A ... strategic, hands‑on leader who delivers product innovation and scalable launches across markets. + Brand Strategy & Management + Product & Portfolio Management + Go‑to‑Market / Launch & Activation Planning + Consumer Insights & Trend Analysis +… more
- University of Rochester (Rochester, NY)
- …for non-routine letters of correspondence related to appeals on denied claims , including compiling all necessary information and drafts for provider signature. ... + Manages provider(s) documentation and information. + Composes and types of non-routine correspondence providing factual information. + Arranges travel, conference registration, and hotel accommodations. Interfaces with organizations, hospitals, and others to… more
- Lowe's (Geneva, NY)
- …all administrative tasks related to Worker's Compensation, General Liability, and Auto Claims . To be successful, the individual in this role must be organized ... and able to balance many administrative tasks throughout the day. The Scheduling and Staffing Administrator works closely with the Store Manager, Assistant Store Managers and Human Resources to support administrative duties and allow these roles to focus on… more
- CVS Health (Albany, NY)
- …position is open in a data engineering team that is responsible for processing Claims , Revenue, and Medicare Specific files and data from 30+ payors into our Data ... Warehouse. **Responsibilities** Team Leadership & Management: + Lead, mentor, and grow a team of talented data engineers, fostering a culture of technical excellence, collaboration, and continuous learning. + Manage the hiring, training, and professional… more
- Capgemini (New York, NY)
- …Ensure alignment with insurance domain processes such as policy issuance and claims **Skills Required:** Hands on experience with Salesforce Sales Cloud and Service ... Cloud Familiarity with integration tools like Mulesoft Informatica or Dell Boomi Understanding of REST and SOAP APIs Knowledge of insurance lifecycle and regulatory compliance **Life at Capgemini** Capgemini supports all aspects of your well-being throughout… more
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