- Baylor Scott & White Health (Albany, NY)
- …Medicaid). Candidate will oversee extracting and analyzing medical and pharmacy claims data, translating output into business recommendations. This individual will ... design, develop, and support the creation of core analytics products, standardized across the organization. The Medical Trend Analytics Manager 1 will orchestrate deep-dive analyses and monitor emerging healthcare industry trends, in support of developing cost… more
- AECOM (Albany, NY)
- …for project completion. + Review of controversial and/or complex change orders and claims to ensure they are adequately documented and justified. + Attendance of all ... mechanical and plumbing meetings and providing input on effectively meeting all Requests for Proposal (RFP) and design requirements, to include any LEED requirements incorporated into the design. + Attendance of all warranty inspections and support in… more
- City of New York (New York, NY)
- …in certain administrative hearings. Court matters include Article 78 proceedings, small claims and other civil actions and responses to subpoenas. - Provide ... litigation support to the NYC Law Department in the Agency's defense of federal class actions, and other major litigation and appeals. - Performs other related tasks. AGENCY ATTORNEY INTERNE - 30086 Qualifications Graduation from an accredited United States… more
- Constructive Partnerships Unlimited (Queens, NY)
- …the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all corporate compliance investigations and reviews. SUPERVISES: Direct Care Counselor (approximately twenty-five (25) staff) more
- Walmart (Medford, NY)
- …up orders are filled. Oversees assigned area of responsibility by handling claims and returns; zoning the area; arranging and organizing merchandise; identifying ... shrink and damages; organizing and maintaining availability of carts/flatbeds; assisting members with transporting items; utilizing cart retrieval equipment according to company policies and procedures; and maintaining parking lot cleanliness. Completes… more
- Air National Guard Units (Niagara Falls, NY)
- …provide copy of Official Transcripts as documentation to support your educational claims . To receive credit for Education, you must provide documentation of proof ... that you meet the Education requirements for this position. Additional Information If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires… more
- Travelers Insurance Company (Queensbury, NY)
- …Our Ideal Candidate Have?** + Five years of insurance forms/product development, claims , or legal experience. + Advanced knowledge and understanding of insurance ... products, systems, contracts, forms, coverage, compliance, regulatory environment, and insurance financials. + Excellent communication skills with the ability to consult on projects and present information effectively. + Ability to manage multiple priorities… more
- Humana (Albany, NY)
- …in Medicare and/or Medicaid product management or support. + Familiarity with Claims Adjudication Systems (CAS). + Knowledge of X12 transaction sets and standards. ... + Proficiency in SQL for data analysis and management. **Work-At-Home Requirements** + WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of… more
- 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
- Air National Guard Units (Westhampton Beach, NY)
- …provide a copy of Official Transcripts as documentation to support your educational claims . To receive credit for Education, you must provide documentation of proof ... that you meet the Education requirements for this position. Additional Information If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires… more