- Sunrise Senior Living (Glen Cove, NY)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... Process payroll and follow established business processes and "Do It Daily" processing activities and submit accurate bi-weekly payroll by established schedule. +… more
- City of New York (New York, NY)
- …records in the MAESTRO and City/State databases are accurately calculated, that claims are solely processed for injury-related Medicaid expenses paid for by NYC, ... and that all claim forms and necessary documents are correct and complete...determine the overall statistics for total cases, cases pending processing versus the final requests from the entire unit,… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …+ Serve as the primary technical subject matter expert (SME) for upstream processing (cell culture/fermentation, harvest). + Lead and manage the technical aspects of ... regulatory submissions (IND, BLA, MAA, etc.) related to upstream processing . + Collaborate closely with Downstream MSAT, Validation MSAT,...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)
- …as the primary technical subject matter expert (SME) for downstream processing (chromatography, TFF/UFDF, viral clearance/filtration, etc.). + Lead and manage the ... regulatory submissions (IND, BLA, MAA, etc.) related to downstream processing . + Collaborate closely with Upstream MSAT, Validation MSAT,...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)
- …learning models, LLMs, and traditional AI models, as well as managing data processing workflows in a GCP-first environment. The ideal candidate will have experience ... Data Engineering Pipelines: Design and manage data ingestion, transformation, and processing workflows using Apache Airflow (Cloud Composer), Spark, Databricks, and… more
- CVS Health (Amherst, NY)
- …provide plan benefit review, interpretation, and systematic setup essential to the processing of our claims adjudication system. Meritain's proprietary system ... plan benefit review, interpretation, and systematic setup essential to the processing of our claims adjudication system. The setup must also align for exporting… more
- Molina Healthcare (Yonkers, NY)
- …+ Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including ... and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing , and knowledge...Medicaid and Medicare claims denials and appeals processing , and knowledge of regulatory guidelines for Provider No… more
- Walmart (Waterloo, NY)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Transdev (Hillburn, NY)
- …Provide regular reports to local management staff of safety department efforts, claims status, training efforts, accident history, Workers' Compensation claims ... tracking of safety reports. + Assist the Safety Manager in working with corporate claims staff to ensure that all liability and Workers' Compensation claims are… more
- Healthfirst (NY)
- …+ Experience in Healthcare/Health Plan customer service, operations, vendor management, or claims processing . + Previous work experience in an auditing function ... understanding of healthcare Operations processes and supporting systems such as Claims Processing , Enrollment & Billing, and Member Services. + Knowledge of at… more