- Independent Health (Buffalo, NY)
- …Case Management, and SIU for specific BH related case review, product/benefit development, claims , servicing and network as directed. + Review and provide input to ... policies, standard operating procedure (SOP) documents, reports and data related to BH CM programs. + Assist with the preparation of the annual program evaluations and Work Plans for the BH CM Programs. + Aid department efforts with quality improvement… more
- St. John's Embrace Living (Rochester, NY)
- …viable assets associated with paying privately. + Prepares and submits billing claims for Private, Medicare, Medicaid and other third-party insurances + Maintain ... Clearinghouse and/or Electronic Medical Record as needed for all eligibility and billing needs + Meet all required billing and department deadlines + Ensure proper procedures related to Medicare, Medicaid and other third-party payers + Proactively work monthly… more
- City of New York (New York, NY)
- …transfer tax) and serve as a presiding officer to hear and decide small claims tax cases. The Administrative Law Judge will also review and determine annual ... applications for correction of real property tax assessments on behalf of the NYC Tax Commission and conduct hearings and render written determinations on behalf of the NYC Office of Administrative Tax Appeals. AGENCY ATTORNEY - 30087 Qualifications 1.… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …including the code of business conduct, the NYS and federal false claims act, whistleblower protections and mandatory reporting. 11. Completes corporate compliance ... training and mandatory training at least annually and fully cooperates in all corporate compliance investigations and reviews. SUPERVISES: Nurse Educators Nurse Case Managers (NCM) Medical Case Manager Counselors (MCMC) more
- AIG (New York, NY)
- …network. Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to be a market leader in critical ... lines of the insurance business. Corporate Finance - Investment Accounting The Investment Accounting group at AIG is responsible for the accounting and reporting for AIG's Invested Assets of over $95 billion a comprised primarily of fixed maturity securities… more
- WTW (New York, NY)
- …to day-to-day service issues and questions (eligibility, carrier coverage and claims issues, compliance, etc.) + Preparation for client meetings (prepare agendas ... and materials, coordinate resources, etc.) + Supporting vendor procurement, implementation, and optimization activities + Providing benefit enrollment support, including preparing materials and presentations, verifying policy and plan information, and updating… more
- Brink's (New York, NY)
- …replenishment's, amount loaded versus amount requested, overages/shortages and claims investigation; provide resolution code to reconciliation + Maintain ... and distribute procedures to field personnel, educate field personnel on customer requirements and processes, coordinate and communicate with field personnel to ensure all operational changes are known + Cross train and perform other duties as assigned + Guard… more
- Molina Healthcare (Albany, NY)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
- NTT America, Inc. (NY)
- …to solve process challenges related to **F&A, Customer Experience, KYC, Claims , HR, Procurement** , or **industry-specific processes** . + Strong financial ... acumen and ability to structure complex deal constructs. + Exceptional executive presence, communication, and relationship-building skills. + Experience working within or selling to Fortune 1000 clients. **Preferred Attributes** + Ability to bridge business… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …the organization's insurance programs, including renewals, coverage adequacy, and claims oversight. **This is not a remote opportunity** **Responsibilities** **Job ... Duties:** + Act as a strategic partner to the CFO and other key stakeholders by providing expert analysis and insights to drive decision-making and operational efficiencies. + Responsible for leading and managing all aspects of company-wide financial planning,… more