- MTA (New York, NY)
- …HAY POINTS: 805 DEPT/DIV: IT / Product Management & Engineering SUPERVISOR: Director , Product Development LOCATION: Various/ 2 Broadway, New York, NY 10004 HOURS ... and commuter rail cars than all other US transit systems combined. MTA strives to provide a safe and...low-code/no-code platforms such as Power Platform. + Experience with Claims Management and Legal Case Management applications, and specify… more
- WMCHealth (Valhalla, NY)
- …requirements, assessing regulatory changes and their impact on workflows, processes, and systems . + Collaborate with Finance, IT, and other departments to ensure ... feeds, ensuring accuracy and compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy...pricing updates are correctly reflected in the Pharmacy Information System on a monthly basis. + Auditing & Compliance… more
- CAI (Albany, NY)
- …documents for documentation purposes + Identify and evaluate industry trends in database systems to advise the Data Manager, Director of Business Systems ... and resolve database performance issues + Design, document, create, unit and system test, deploy, and maintain databases including data warehouses + Collaborate with… more
- Barnes & Noble (New York, NY)
- …internal systems and vendor operational guidelines in coordination with Director and other departments. Knowledge&Experience: * Bachelor's Degree and 2+ years' ... factors permitted by law. WhatYouDo: * Coordinate Proposition 65 claims , recalls and similar, including communication, documentation, follow-up, and disposition… more
- New York State Civil Service (Albany, NY)
- …of potential wage violations. The intern will utilize the Contractor Registry system to determine registry status of contractors. They will study the investigator's ... manual & evaluate possible updates given latest advances in technological systems & methodologies. After learning basic safety protocols, the intern will take part… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …Chief of Staff (DCOS) is a key advisor to the Chief of Staff and Director of clinical issues and assists in the administration and oversight of clinical, educational ... Specialist as well as meet the preferred experience below: Knowledge of the VA system and its regulations Knowledge of patient care processes and systems … more
- Evolent (Albany, NY)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may...flow + create & maintain queries required to analyze system processing in detail + provide summary information to… more
- Outreach Development Corporation (Richmond Hill, NY)
- …The medical billing and collections specialist position reports to the Billing Director . The role manages, monitors and ensures the execution of the billing ... Specialist Position Summary: + Compile, monitor and bill out claims . + Verify client's insurance benefits on an ongoing...accounts receivable data. + Work error reports from billing system . + Notify unit CBAs via phone calls, emails… more
- CVS Health (Albany, NY)
- …providers with exposure to benefits and/or contract interpretation, including experience with claims systems and network databases. + 3-5 years of experience ... you can manage relationships with our most key health systems , in order to improve the provider experience for...questions, concerns, and escalations to the contract managers or director as necessary. + Review and submit "fix" tickets… more
- Catholic Health Services (Roslyn, NY)
- …is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home ... corrective actions plans Responsible for professional liability discovery Attends claims litigation meeting Coordinates, investigates, trends and disseminates safety… more