- City of New York (New York, NY)
- …needs Under the direction of the Assistant Director of Forensic Operations , oversees the quality assurance/control activities associated with Morgue operations ... and measures the effectiveness of quality control programs for borough forensic operations . - Assures compliance with mortuary decedent case intake and case release… more
- Sedgwick (Albany, NY)
- …great work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Manages overall clinical operations for more than 3 assigned teams/offices; develops and implements ... locations/offices; provides expert medical and product support to Sedgwick claims and clinical staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Human Technologies Corporation (Utica, NY)
- …these metrics to assess performance and make data-driven decisions to optimize operations . (ie. ISO9000, OSHA 300 log) * Understand, comply and educate employees ... assess, document, and track incidents, near misses, and potential claims that may present a risk of loss to...protocol for immediately addressing any reported injuries. * Coordinate claims management and follow up activities with other team… more
- Cognizant (Albany, NY)
- …satisfaction. **Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify due process was followed. Determine if the appeal ... or Grievance is legitimate. A strong understanding of Claims , Appeals and Medical Benefits. Referring suspicious or complicated Claims to investigators.… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …and execution through standardized dashboards. + Partner with Commercial Operations to **streamline reporting processes** and provide clear, actionable insights ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Ross Stores, Inc. (New York, NY)
- …counsel, vendor partners, buying agents, third\-party testing labs, merchants, operations , planners, supply chain specialists, and others throughout the organization ... investigations, ad hoc client inquires, and compliance/regulatory projects * Project/Process/ Claims Management: Effectively and efficiently develop, maintain and improve… more
- Molina Healthcare (NY)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM, ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Molina Healthcare (Albany, NY)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM, ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Allied Universal (New York, NY)
- …This position is responsible for employee relations, employment compliance, unemployment claims , and monitoring of employment status for the employees of that ... terminations, and responses to the Department of Labor for unemployment claims . + Participation in employee retention and human capital management activities.… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations , etc.) to develop global regulatory plans, address global regulatory ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more