- Centene Corporation (New York, NY)
- …review of complex, controversial, or experimental medical services. + Support the effective implementation of performance improvement initiatives for capitated ... would improve utilization and health care quality. + Review claims involving complex, controversial, or unusual or new services...weekends and holidays, to meet patient care needs and support case coverage. + Performs other duties as assigned… more
- Molina Healthcare (NY)
- …organized and analytical thinking. Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work ... the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals. + Conducts… more
- New York Racing Association (NY)
- …the day-to-day management of employee and labor relations. The HRBP provides support to business units in interpreting and consistently applying HR policies, ... help identify and resolve HR needs while delivering prompt and efficient support . Essential Functions: + Establish relationships with assigned business units and… more
- AECOM (Albany, NY)
- …seeking a talented and experienced need Mid-Level Mechanical Systems Inspector Position to support the US Army Corps of Engineers at the** **Watervliet Arsenal in ... for project completion. + Review of controversial and/or complex change orders and claims to ensure they are adequately documented and justified. + Attendance of all… more
- Catholic Health Services (Roslyn, NY)
- …corrective actions plans Responsible for professional liability discovery Attends claims litigation meeting Coordinates, investigates, trends and disseminates safety ... the Environment of Care (EOC) Committee, submitting required reports and providing support through data review and evaluation. Assist with legal discovery and… more
- Tutor Perini (New York, NY)
- …on infrastructure - to ensure public safety, maintain a quality of life and support a healthy economy. For more than a century, Tutor Perini Corporation's family of ... coverage.** **Originates in-take of all EEO, harassment and workplace violence claims and forwards to Human Resources.** **Ensures compliance with all environmental,… more
- Defense Commissary Agency (Saratoga Springs, NY)
- …EDUCATION TO QUALIFY. You MUST provide transcripts and/or other documentation to support your educational claims . Transcripts. Required when using education to ... the criteria defined in the Qualifications section of this announcement and it must support your responses to the assessment questionnaire. We do not assume you have… more
- JPMorgan Chase (New York, NY)
- …external events, including catering and transportation + Process invoices and T&E expense claims for team members, ensuring all policies are followed and items are ... **Note: This role requires five days in the office (Mon-Fri) and will not support Hybrid options.** Chase is a leading financial services firm, helping nearly half… more
- Norstella (Albany, NY)
- …project requirements and objectives related to health data analysis and implement/ support implementation of requirements in and outside of IHD. + Become an ... a comprehensive manner. + Establish a relationship with and provide ongoing support to clients, addressing queries and offering guidance in leveraging data insights… more
- Sumitomo Pharma (New York, NY)
- …supporting trial design, including sample size calculations and randomization schemes. + Support the Integrated Summary of Safety (ISS) and Integrated Summary of ... medical writing-to maintain the statistical integrity of study conduct. + Support regulatory submissions by preparing responses to agency inquiries and contributing… more