- Humana (Albany, NY)
- …timely and accurate submission of mandated reports, leveraging their understanding of claims data and Medicaid program requirements to drive accurate and timely ... data into reports and dashboards + Experience working with claims data + Experience working with big and complex...for training or meetings may be required. **Scheduled Weekly Hours ** 40 **Pay Range** The compensation range below reflects… more
- CVS Health (Albany, NY)
- …requirements. + Apply clinical criteria and policies to member/provider claims and coordinate clinical resolutions with MD support. **Performance Improvement ... others. + Mentor peers on policy processes and participate in open office hours to improve team engagement. **Provider Communication** + Develop and edit provider… more
- Walgreens (Troy, NY)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- CenterWell (Albany, NY)
- …Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- New York State Civil Service (Albany, NY)
- …Type Contingent Permanent Jurisdictional Class Non-competitive Class Travel Percentage 5% Workweek Mon-Fri Hours Per Week 37.5 Workday From 9 AM To 5 PM Flextime ... Attorney General in the evaluation of and response to claims pertaining to leasing matters against the State or...month/year and, if less than full time, the average hours worked per week for each position listed. Indicate… more
- Family of Kidz (Garden City, NY)
- …into company systems. Location: Garden City, NY Status: Full-Time, hourly Hours : 10a-6p (3 days/week), 8a-4p (2 days/week) Compensation: $20-$24/hour **Please note ... benefits for our employees who work 25 or more hours per week (Medical, Dental, Vision, FSA, and Pet...to correct files as needed + Cleanup projects in CLAIMS + Ensure receipt and distribution of all necessary… more
- Mount Sinai Health System (New York, NY)
- …for reviewing, summarizing, analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality ... Interface with the insurers and legal counsel, reporting potential claims as well as cases of concern by preparation...inquiries from all medical center staff (outside normal business hours ) on risk management issues and other concerns. 16.… more
- Guthrie (Binghamton, NY)
- Your Expertise Deserves More - Claim Up to $25,000 When You Join Guthrie's Urology Team! Join Guthrie Lourdes Hospital's Urology Clinic in Binghamton, NY Looking for ... a nursing role that offers predictable hours , specialty care, and real impact - without the...procedures to education and follow-up. You'll work day shift hours in a modern clinic setting, supporting physicians and… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …requires: lifting, carrying; reaching above shoulder; use of fingers; walking (8 hours ); standing (8 hours ); repeated bending; working alone; protracted or ... ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school… more
- ABM Industries (Flushing, NY)
- …daily operations of janitorial team members across terminals, concourses, restrooms, baggage claim areas, and other airport zones. + Set work priorities and delegate ... Develop and manage staff schedules aligned with airport operational hours , flight schedules, and peak traffic periods. + Respond...of digital reporting tools. + Ability to work flexible hours , including nights, weekends, and holidays as needed. +… more