- CVS Health (Albany, NY)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... and legal review. + Documents all appropriate case activity in case tracking system . + Prepare written case summaries and make referrals to State and Federal… more
- Defense Health Agency (Fort Drum, NY)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. ... diagnosing and treating diseases affecting mental health including the brain, nervous system , substance abuse of drugs or chemicals and personality disturbances. +… more
- Astor Services (Poughkeepsie, NY)
- …budgetary goals for each clinic. Implements effective controls and regular monitors claims remittance, denial and write off metrics to assess clinic financial ... . Gains increasing levels of proficiency of the Astor Electronic Health Record system though training and testing to determine all possible automated support for… more
- Catholic Health Services (Smithtown, NY)
- …is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home ... Support Prepare agendas, handouts, and minutes for risk, safety, and claims review meetings. Support scheduling, communication, and follow-up on action items… more
- Packing Corp of America (Syracuse, NY)
- …turnover. + Enters electronic employee data in the Human Resources Management System . + Supports hourly employee training and maintains training records. + Serve ... and tracking of training records. + Monitor and respond to all unemployment claims . + Know and follow policies and procedures of the company, share information… more
- Molina Healthcare (Rochester, NY)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... determinations and appeals. + Records calls accurately in call tracking system . + Maintains specific quality and quantity standards. **JOB QUALIFICATIONS**… more
- The Walt Disney Company (New York, NY)
- …and/or witness testimony. + Researching and resolving copyright and other claims and/or other inquiries regarding news materials, as necessary. + Providing ... inquiries or correspondence. We will only respond to those requests that are related to the accessibility of the online application system due to a disability. more
- Turner & Townsend (New York, NY)
- …client's needs. **Responsibilities:** + Implement, administer and maintain cost control system and procedures to track project budgets, commitments, expenditures and ... required, facilitate change processes, negotiations, facilitating and negotiation of claims and disputes as required, forecasting, accrual reporting, validation of… more
- New York State Civil Service (Albany, NY)
- …and deliverable based contracts to include review and processing of contracts, claims , subsequent budget modifications, as well as all related vendor compliance ... of contract performance; experience using the New York Statewide Financial System (SFS), particularly the Grants Management Module and related payment functions;… more
- Defense Health Agency (Fort Drum, NY)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. ... + Coordinate and integrate care across all elements of the healthcare system (eg, subspecialty care, hospitals, home health agencies, nursing homes) and the… more