- Molina Healthcare (Albany, NY)
- …IL, OH, ID, SC, UT, WI, MA, NV, IA, GA + Active AZ MD license **Job Duties** + Provides medical oversight and expertise in appropriateness and medical necessity of ... focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.… more
- City of New York (New York, NY)
- …maintenance. 4.Assist drivers with parking, tow trucks, gas, repairs, maintenance, claims (eg vandalism and collision). 5.Interacts with Probation Officers, Fleet ... There are no formal education or experience requirements. Driver License Requirement: By the time you are appointed to...this position, you must have a motor vehicle driver license valid in the State of New York. If… more
- Pioneer Bank (Albany, NY)
- …contact for all servicing needs-from inquiries and endorsements to renewals and claims coordination. This role serves as a liaison between clients, carriers, ... preferred. + Must have valid Property & Casualty (P&C) license or must obtain within 30-60 days of hire....with continuing education requirements is required to maintain the license in good standing. + 2-5 years of commercial… more
- OLV Human Services (Lackawanna, NY)
- …all federal and state regulations and agency policies pertaining to HIPAA, false claims , whistleblower policies and all others 11. Keep all patient, personnel and ... Degree in Dental Medicine Minimum Experience Required: 1-year clinical experience License /Registration/ Certifications Required: Active NYS License in Dentistry… more
- Centene Corporation (New York, NY)
- …DRG, HCPC reimbursement methodologies. + Documents rate negotiation accurately for proper claims adjudication. + Acts as liaison between the TRICARE beneficiary and ... in a health care environment; managed care experience desired. NYS RN license & NYS Driver's License Required **For Fidelis Care only:** NYS RN, OT or PT … more
- MTA (Jamaica, NY)
- …agency objectives. The position is responsible to negotiate and draft license agreements, utility permits and memoranda of understanding with governmental entities ... connection with insurance requirements under the various contracts, entry permits and license agreements. The position may also require to provide advice and support… more
- Saia, Inc (Syracuse, NY)
- …within a defined geographic area. Ensures freight is delivered in a claims -free and cost-efficient manner. **Major Tasks and Responsibilities** + Drives tractor ... the United States. + Valid Class A Commercial Driver's License (CDL) with hazmat, tanker, and twin trailer endorsements....verifiable tractor-trailer driving experience. + No DUI, DWI, or license suspension for moving violations within the past 3… more
- CVS Health (Albany, NY)
- …provider issues, benefit questions, care coordination, member eligibility and claims . + Coordinate vendor participation in onsite vaccine administration. Maintain ... customer service experience. + An active resident insurance producer license , as required by state law or the ability...law or the ability to obtain an insurance producer license within 60 days of start date. + Experience… more
- Wegmans (Niagara Falls, NY)
- …and demonstrating patience, empathy, care, and compassion + Troubleshoot rejected insurance claims and address issues to achieve the best outcome for customers + ... Magazine. (C) 2022 Fortune Media IP Limited. Used under license . FORTUNE and FORTUNE 100 Best Companies to Work...of Fortune Media IP Limited and are used under license . FORTUNE and FORTUNE Media IP Limited are not… more
- Centene Corporation (New York, NY)
- …to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, or unusual or new services in order to ... treating or managing care for a culturally diverse population preferred. ** License /Certifications:** Board certification in a medical specialty recognized by the… more