- Excellus BlueCross BlueShield (Rochester, NY)
- …set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address ... and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and providers to obtain… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …with the Palliative Care Team, which consists of the Palliative Care Medical Director , a part-time H&PC physician, and a dedicated social worker. A full-time H&PC ... also be appointed as PRPs. Proficiency in spoken and written English. Preferred Experience: Palliative Medicine Board eligible. Geriatric experience is a plus, but… more
- New York State Civil Service (Albany, NY)
- …include data entry, conducting searches of the Contractor Registry database, completing claim intakes, & cataloging information to be archived. Near the conclusion ... DocuSign technology helpful.Attention to detail and strong organizational skills preferred . Additional Comments Internship Areas:InvestigationsCriminal Justice/CorrectionsLabor ManagementLegal SpecialistiesOur mission… more
- Veterans Affairs, Veterans Health Administration (Rochester, NY)
- …Chief of Pulmonary Medicine and The Chief of Medicine Service. Operate as a director of one of the major functions within the Pulmonary Section under the direction ... also be appointed as PRPs. Proficiency in spoken and written English. Preferred Experience: Experience in Sleep Medicine and/or Pulmonary Medicine Reference: For… more
- Veterans Affairs, Veterans Health Administration (Northport, NY)
- Summary The Chief of Staff (COS) reports to the Medical Center Director and is a member of the Executive Leadership Team. The COS provides leadership for clinical ... also be appointed as PRPs. Proficiency in spoken and written English. Preferred Experience: Board certification Reference: For more information on this qualification… more
- Cardinal Health (Albany, NY)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... coders, billers and other appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as well as the… more
- The Arc Mid-Hudson (Lake Katrine, NY)
- …Category: Transportation Description The Transportation Safety Officer will assist the Director and Assistant Director of Transportation, and is responsible ... as the primary liaison with the agency's insurance provider, coordinating accident claims and communications with adjusters, repair shops, and body shops as needed.… more
- MTA (Jamaica, NY)
- …denial letter within time limits. Calculate the cost or liability of claims . Negotiate stipulations of settlement where appropriate. Analyze cases and make decisions ... Senior Deputy Chief, Labor Relations - Railroad Operations and Director - Labor Relations on current labor relations issues....+ Juris Doctorate or master's in industrial/labor Relations strongly preferred . + Attainment of or in the process of… more
- Molina Healthcare (Albany, NY)
- …matrix, HEDIS work plans, and all product timelines. + Works with the Director to manage contacts within the plan(s) and/or Molina corporate, external auditors, ... software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and… more
- MTA (New York, NY)
- …108,933 - $ 130,719 HAY POINTS: 451 DEPT/DIV: Information Technology SUPERVISOR: Director , Product Development LOCATION: Various/ 2 Broadway, New York, NY 10004 ... a highly experienced Systems Engineer with relevant experience across claims , insurance, enterprise safety and security systems, occupational health services,… more