- City of New York (New York, NY)
- …of Audit Services. Under the direction of the Acting Executive Audit Director , the Assistant Audit Manager will co-manage the assigned provider audit portfolio ... Perform/review 100% of all testing schedule (PS, OTPS, Fringe, Admin, LOS, EI claims ) and draft reports and submit for Supervisors review (where applicable) within… more
- 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
- Zurich NA (Albany, NY)
- …School Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... including an Associate Degree and 12 or more years of experience in the Claims or Underwriting Support area Preferred Qualifications: + Bachelors degree and 8… more
- Molina Healthcare (Syracuse, NY)
- …the organization and outsourced vendor work. The Sr. Analyst providers peer level support to Analysts in the department through training and guidance on audits and ... federal regulatory rules, contracts, and other guidance to assess compliance and support building regulatory compliance audit procedures. * At the direction of… more
- Molina Healthcare (Syracuse, NY)
- …partnerships supporting the production of encounters as well as provides leadership support at managing overall healthcare costs. + Ability to influence across ... multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in...lead the needed changes within the encounters process to support the organizational needs in all lines of business.… 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
- The Hartford (New York, NY)
- …Managing Director on special projects and developing reports to support Regional Office objectives. Qualifications: + BA/BS degree required with coursework ... insured's management to correct and prevent the potential for future financial loss. Support of pipeline and fee sales initiatives. Presentation Skills: Must be able… more
- Arnot Health (Elmira, NY)
- …short-and long-term disability, and retirement plans. Reports directly to the Director , Benefits. DUTIES AND RESPONSIBILITIES: 1. Demonstrates thorough knowledge of ... employees with interpretation and application of Arnot Health benefits (ie claims processing, waiting period, qualifying events, covered expenses) and assisting with… more
- Zurich NA (New York, NY)
- …School Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support area within the Commercial Insurance industryOR + Zurich ... and 12 or more years of experience in the Claims or Underwriting Support area within the...Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-JJ1 #LI- DIRECTOR #LI-HYBRID EOE Disability /… more
- OLV Human Services (Lackawanna, NY)
- …Human Services is looking for a Program Coordinator to lead and support our residential teams in providing meaningful, person-centered care across our ... will play a pivotal role in mentoring residential leadership, guiding direct support professionals, and ensuring that individuals we serve live fulfilling, safe, and… more