- Molina Healthcare (Buffalo, NY)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- Hilton (New York, NY)
- …looking for a **Human Resources Manager ** to join our team\!Our 439\-room ... **What will I be doing?** As a Human Resources Manager , you would be responsible for assisting the Director...special events + Oversee function of the data management system to include, but not limited to, entry of… more
- Tutor Perini (New York, NY)
- …BE CONSIDERED FOR THIS POSITION Tutor Perini Corporation is seeking a **Scheduling Manager ** to join our **New Rochelle, NY** office or **NYC** project site. **About ... great nation. We construct and rehabilitate highways, bridges, tunnels, mass-transit systems , and water management and wastewater treatment facilities. In short, we… more
- Sedgwick (Albany, NY)
- …guidelines. + Maintains ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case Manager arrives onsite. ... updates to the customer, and assigns a Field Case Manager (FCM) for onsite visits as appropriate. Ensures that...assignment and facilitates initial onsite hospital visit for the claim . + Maintains communication with the customer, Client Service… more
- American Express (New York, NY)
- …products, features, and processes. In addition to core Compliance Management System related responsibilities, the compliance focus for this position will include ... evaluating compliance risk associated with new product development, marketing claims and disclosures, pricing initiatives, rewards and benefits, and customer… more
- Tompkins Community Bank (Batavia, NY)
- …+ Maintain expiration control log and a follow-up and /or suspense system on outstanding orders, correspondence, audits, reports, reporting form coverage's, and ... protect collection of same. + Assist the Tompkins Insurance claims personnel in and working with the processor in...the processor in the reporting, handling and settlement of claims . + Be familiar with and follow agency E… more
- Tompkins Community Bank (Attica, NY)
- …+ Overall account management-utilizing TIA procedures, AMS, Image Right & all TIA systems + Utilize PL Rater when preparing quotes in fulfilling clients' needs and ... expectations + Complete service requests including but not limited to claims , premium payments, policy endorsements, identification card issuance, photo & property… more
- Catholic Health Services (Centereach, NY)
- …or similar EMR platforms Experience with retail pharmacy prescription processing and claims adjudication Prior experience on pharmacy dispensing systems and ... 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… more
- Intermountain Health (Albany, NY)
- **Job Description:** The Cash Management Payment Posting Manager has the responsibility for overseeing all facets of patient payments, daily deposits, ERA, and EFT ... the accurate and timely processing of patient payments, active participation in system integration testing, serving as a subject matter expert for payment posting,… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
- …Head Brand. Complete special projects as assigned by the Sr. QA Manager . Job Description:Essential Functions + Organize and Audit co-manufacturers QA related ... CAPAs, Nutritional Documents, COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety & Product Quality audits at… more