- City of New York (New York, NY)
- …and maintain expense and claiming data received from the Bureau of Claims & Reimbursement (BCR), which includes approximately 3,200 DSS/HRA/DHS and other agency ... claims submitted annually for Federal and State reimbursement. -...and State reimbursements entered in the city's Financial Management System (FMS) for quality assurance. - Perform data entry… more
- City of New York (New York, NY)
- …and wastewater utility in the country, with nearly 6,000 employees. DEP's water supply system is comprised of 19 reservoirs and 3 controlled lakes throughout the ... system 's 2,000 square mile watershed that extends 125 miles...and operations, DEP is party to numerous lawsuits and claims filed with the New York City Comptroller and… more
- Molina Healthcare (Rochester, NY)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... data from the provider network for entry into the plan's provider management system . + Reviews/analyzes data by applying job knowledge and experience to ensure… more
- City of New York (New York, NY)
- … systems , employment and work engagement services, revenue-producing computer matches, claims processing systems , and personnel management systems . ... delivery, and maintenance of enterprise technology solutions supporting agency-critical systems . - Provide strategic guidance and leadership to ensure alignment… more
- Walgreens (Yonkers, NY)
- …planograms. + Responsible for reviewing and coordinating the proper use of reports and system applications, which have an impact on the accuracy of front end and ... and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed),… more
- CVS Health (Amherst, NY)
- …benefit review, interpretation, and systematic setup essential to the processing of our claims adjudication system . Meritain's proprietary system provides a ... interpretation, and systematic setup essential to the processing of our claims adjudication system . The setup must also align for exporting in formats used… more
- Robert Half Finance & Accounting (New York, NY)
- …industry, as well as familiarity with compliance reporting and workers' compensation claims . The ideal candidate will possess strong technical skills and the ability ... programs, including health insurance, retirement plans, and workers' compensation claims . * Handle garnishments, insurance reporting, and other payroll-related… more
- JPMorgan Chase (New York, NY)
- …Morgan Health, you will utilize your deep experience with health care claims warehouses, data transformations, and product design thinking to evolve and execute ... this role, you will leverage your expertise in medical and pharmaceutical claims data, survey data, biometrics data and industry-standard groupers to propose… more
- Elevance Health (Latham, NY)
- …preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems , provider billing guidelines, payer ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- MTA (New York, NY)
- …strategy to drafting, soliciting and procuring, negotiating and awarding, and claims and change management. Develop strategic and consistent contracts and ... vendors in all contracts. Advises Delivery department leaders on contract enforcement, claims management, and merit determinations. Manages the claims process,… more