- MTA (Brooklyn, NY)
- …in state and federal trial and appellate courts related to varied tort claims involving MTA and its agencies. The successful candidate will have significant ... of a litigation team as related to personal injury claims brought against MTA agencies. + Conduct legal research;...+ Effectively communicate and interact with external departments (ie: operations , courts). + Assist in the business goals of… more
- Molina Healthcare (Rochester, NY)
- …managed care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations , Hospital or Physician Billing, or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Stony Brook University (East Setauket, NY)
- …Analyst may include the following, but are not limited to:** + Analyze claims and remittance data and present findings to departmental leadership. + Complete ... business processes and business systems configuration, including: Patient Billing, Claims Scrubber, Contract Management and Work Listing Software. + Interpret… more
- CDPHP (Latham, NY)
- …such as Marketing, Enrollment, Pharmacy (internal and external), Provider Services, and Claims Operations to resolve member inquiries as defined within Member ... fast-paced high volume call center preferred. + A background in health insurance claims and appeals processing is preferred. + Experience with a documentation system… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …for ensuring the robustness, scalability, and compliance of upstream operations through effective technology transfer, validation support, process monitoring, ... assessment. + Provide expert technical oversight of upstream manufacturing operations at CDMOs, including review of batch records, deviation...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …for ensuring the robustness, scalability, and compliance of downstream operations through effective technology transfer, validation support, process monitoring, ... risk assessment. + Provide expert technical oversight of downstream manufacturing operations at CDMOs, including review of batch records, deviation investigations,… more
- Molina Healthcare (Yonkers, NY)
- …outcomes and benefit realization + Demonstrates deep understanding of Core Operations , Claims and Enrollment processes, deliverables, vendor partners and ... responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of… more
- University of Rochester (Rochester, NY)
- …implementing them. This role will monitor daily administrative operations , suggest cost-effective alternatives, recommend revenue enhancement opportunities, manages ... on HB Top Errors. + Ensure Patient, DAR, account, claim edit work queues and high cost, ALC reports...and efficiencies. + Collaborate with SMH departments to integrate operations with other components of URMC, such as Medicaid… more
- Stony Brook University (Commack, NY)
- …the Assistant Director of Managed Care, the Director will oversee the daily operations of the Managed Care Contracting Team, ensure timely execution of contracts and ... not limited to:** + Lead and manage the daily operations of the Managed Care Contracting Team. + Oversee...+ Support internal operational departments by addressing contractual disputes, claim denials, and reimbursement issues. + Participate in and… more
- AIG (New York, NY)
- …+ Collaborate with support functions such as the Product Office, Operations , Audit, COE, Modeling, Engineering, Natural Catastrophe Modeling, Actuarial, Claims ... in close collaboration with all regional business leaders, Legal, Claims , Actuarial, Filing/Regulatory, Claims , and ERM. +...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more