- BronxCare Health System (Bronx, NY)
- …needed. - Participates in special projects and committees as determined by Director . Qualifications CERTIFICATION /LICENSURE : Registered Nurse or physician or a ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Zurich NA (New York, NY)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- Sedgwick (Albany, NY)
- …Conducting reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to ... Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours...provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director of RCM EPIC Optimization Patient Financial Services -Corporate 42** **nd** **Street- Full-Time-Days** The Director of EPIC ... in financial performance, operational efficiency, and patient experience. The Director will collaborate closely with operational, clinical, and IT stakeholders… more
- City of New York (New York, NY)
- …projects using complex SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and state reimbursement rates, ... preparing claim adjustments to maximize federal and state funding, providing...providing technical support, financial analysis, data retrieval and financial claims support to DSS and other City agencies, responsible… more
- Project Renewal, Inc. (Brooklyn, NY)
- Title: Assistant Director Program: Barbara Kleiman Men's Shelter Salary Range: $75,000-80,000 annually Program Overview: The Barbara Kleiman Men's Shelter is a ... placement assistance. Position Overview: Under the general direction of the Program Director , with latitude for independent action, the Assistant Director … more
- Humana (Albany, NY)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …The James J Peters VAMC is seeking a Full-Time Hospitalist Section Chief and Director of Inpatient Quality who will direct patient care and support a range of ... employees and Veterans. Duties: The incumbent serves as Chief Hospitalist and Director of Inpatient Quality within Internal Medicine Service. They are responsible… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the ... on the large global clinical trials and regulatory filing activities. The Senior Director , GCD is responsible for all the clinical development activities for the… more
- Humana (Albany, NY)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more