- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... financial health of provider agencies through financial review and audits; maintenance of the ACS bank accounts; centralized oversight of ACS Child Welfare financial eligibility; and data maintenance for financial systems of record. The Child Welfare Payments… more
- Walmart (Lakewood, NY)
- …equipment in accordance with company guidelines handling customer and merchandise claims and returns zoning the area ordering arranging and organizing merchandise99 ... supplies and monitoring the Auto Care Center and automotive area for environmental disposal for example batteries tires oil and OSHA compliance and ensuring customer safety and satisfaction Coordinates completes and oversees jobrelated activities and… more
- Molina Healthcare (New York, NY)
- …& ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed ... healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for service, capitation and various forms of risk, ASO, etc. **PREFERRED EDUCATION** : Bachelor's Degree in a related… more
- Kyndryl (New York, NY)
- …programs across Insurance clients in areas such as operational excellence, claims automation, risk mitigation and technology modernization + In depth experience ... to help clients navigate digital disruption, data governance, AI adoption, cloud migration, and cybersecurity challenges. + In depth expertise in either Commercial or Personal Lines, and understanding of the differences between the two with respect to… more
- Catholic Health (Buffalo, NY)
- …Analyst II will be responsible for analyzing health care electronic medical record and claims data in order to track and trend health care utilization and quality of ... care for the population health business model. This responsibility requires that the analyst access a complex data base and produce reports for external and internal customers. The reports will be used to monitor health care quality and utilization within the… more
- MVP Health Care (Rochester, NY)
- …quality data highly preferred + Subject matter expertise in healthcare data- claims , coding, HIE's etc. Experience with quality metrics, (NCQA HEDIS and NYS ... QARR) standards strongly preferred + Strong analytical skills, with the ability to turn data into actionable insights + Proficiency in SQL, data visualization tools (eg Tableau, PowerBI) + Data Manipulation tools (eg Alteryx, R, Python) beneficial + Excellent… more
- Pfizer (Albany, NY)
- …financial assistance brochures. + Reactively assisting HCP offices with coding and claims -related issues by contacting payers to understand policy or procedures and ... to provide information on payer requirements. + Compliantly use Pfizer's designated case notes system The Field Reimbursement Manager is to be the subject matter expert on reimbursement and coverage issues affecting Pfizer products in their assigned regions… more
- The Arc Erie County NY (Buffalo, NY)
- …for various assigned programs. This may include property and liability claims , incident reporting, coding of various invoices/bills, reconciliation of departmental ... petty cash receipts and distribution, and/or the documentation maintenance using the school's software management system. + Maintains and protects confidential or other sensitive information such as Protective Health Information (PHI) and Personally… 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… more
- Cardinal Health (Albany, NY)
- …knowledge of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. + ... Experience working with cloud platforms like Google Cloud Platform (GCP) for data processing, model training, evaluation, monitoring, deployment and support preferred. + Proven ability to lead data science projects, mentor colleagues, and effectively… more